Appliances Benefits

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Members are covered for medical and surgical appliances including crutches, walking aids and blood pressure monitors.

Appliances

APPLIANCES Benefit Options

Option A
Option B
Family

OPTION A

Paid from Risk

Option A Benefits

  • Member: R3,580
  • Member+1: R5,060
  • Member+2: R6,420

  • Option A benefits cover medical and surgical devices, including orthotics, within a yearly limit based on the number of dependant numbers.
  • Mobility/walking aids like crutches, walking frames, slings, and collars are covered without authorisation up to a yearly limit.
  • Immobilisation splints for limbs are also covered every year, and foot-related orthotics every two years without pre-authorisation.
  • However, oxygen therapy, CPAP devices, certain boots and braces, incontinence and stoma products require pre-authorisation.
  • Blood pressure monitors and other medical devices have a four-year cycle but need chronic medicine authorisation.
  • Hearing aids, manual wheelchairs and spinal braces need authorisation and have a four-year cycle.
  • There is no funding for electric wheelchairs and scooters.

Conditions:

  • Appliances are subject to clinical motivation and authorisation.

OPTION B

Paid from Risk

Option B Benefits

  • Option B covers medical and surgical devices, including orthotics, within an annual family limit of R7,890.
  • Mobility aids like crutches, walking frames, slings, collars and immobilisation splints are funded without authorisation.
  • Foot-related orthotics are funded every two years without pre-authorisation.
  • However, oxygen therapy, CPAP devices, certain boots and braces, incontinence and stoma products require pre-authorisation.
  • Blood pressure monitors and other medical devices have a four-year cycle but need chronic medicine authorisation.
  • Items like hearing aids, manual wheelchairs and spinal braces also need authorisation and have a four-year cycle.
  • There is no funding for electric wheelchairs and scooters.

Conditions:

  • Appliances are subject to clinical motivation and authorisation.
Click here to download Appliances Lists

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Option A for younger members and younger families offers more flexibility and peace of mind.
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With Option B we make it possible for the main member to cover up to eight child dependents.
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