Radiology Benefits

SHARE:

SAMWUMED offers its members general and specialised radiology benefits.

RADIOLOGY Benefit Options

Family

OPTION A

Paid from Savings

General Radiology Benefits

  • Limited to R3,390 per family per year if performed out-of-hospital.
  • Unlimited if performed in-hospital.

Specialised Radiology

  • Limited to R10,330 per family per year for both in and out-of-hospital services
  • Virtual colonography and Coronary Angiography are limited to one per beneficiary per year.
  • Oncology, organ and stem cell transplant, and renal dialysis radiology expenses are covered under their respective benefits and not from this limit.

Conditions:

  • General Radiology is subject to Nominated GP referral, Scheme protocols, and the use of Designated Service Provider (DSP) Networks.
  • Benefits are subject to authorisation.
  • Specialised Radiology is subject to Nominated GP referral and Scheme protocols.
  • Pre-authorisation is required for CT scans, MUGA scans, MRI scans Radio isotope studies and virtual colonography.

OPTION B

Paid from Risk

General Radiology Benefits

  • R9,980 limit per family per year if performed out-of-hospital and unlimited if performed in-hospital.

General Radiology Benefits

  • Limited to R15,040 per family per year for both in and out-of-hospital services, subject to authorisation.
  • Virtual colonography and Coronary Angiography are limited to one per beneficiary per year.
  • Oncology, organ and stem cell transplant, and renal dialysis radiology expenses are covered under their respective benefits and not from this limit.

Conditions:

  • General Radiology is subject to Nominated GP referral, Scheme protocols, and the use of Designated Service Provider (DSP) Networks.
  • Benefits are subject to authorisation.
  • Specialised Radiology is subject to Nominated GP referral and Scheme protocols.
  • Pre-authorisation is required for CT scans, MUGA scans, MRI scans Radio isotope studies and virtual colonography.

SHARE:

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

Contact Details

CALL
CENTRE

0860 104 117

Hospital
Authorisation

0860 33 33 87

Netcare 911
Emergency Services

082 911

Physical Address:
Cnr Trematon & Lascelles Streets,
Athlone, Cape Town,
7760
Postal Address:
P.O. Box 134,
Athlone,
7760.
Contact Centre Hours:
08h30 - 16h00
Saturdays & Public Holidays: 
Contact Centre Closed
call-centre

OUR BENEFIT OPTIONS

OPTION A

MORE FLEXIBILITY, MORE VALUE

Option A for younger members and younger families offers more flexibility and peace of mind.

OPTION B

OUR TOP-TIER OPTION

With Option B we make it possible for the main member to cover up to eight child dependents.

SAMWUMED HEALTHCARE BENEFITS

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Hospital
Benefits
Medication
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Maternity
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Optometry
Benefits

SAMWUMED HEALTHCARE Programmes