OpenPlan Medical Aid Comparison
Metropolitan Health administers about twenty different medical aids including OpenPlan, which is a relatively small scheme, but backed by the Metropolitan group. They market a range of new generation and traditional options and cover about 40,000 lives. The only option that falls within our value proposition is the Primary Classic, their network option.
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IN HOSPITAL BENEFIT |
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100% MSR |
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Annual Limits: |
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Per Family |
R 570,000 |
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Only at Network Hospitals |
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Annual Sub-limits: |
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Radiology & Pathology |
R 700 |
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Internal Prostheses: |
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See detailed benefits. |
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Co-payment for elective |
R 1,000 |
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procedures. |
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CHRONIC MEDICATION BENEFIT |
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100% MSR |
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26 Prescribed Chronic Disease List |
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Conditions. Subject to formulary. |
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ANNUAL DAY TO DAY BENEFIT (including savings) |
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100% MSR |
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GP's: No limit from Network Provider |
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Specialists: |
Member |
R 525 |
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Family |
R 1,050 |
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Must be referred by Network Doctor |
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Dentistry: No limit for consultations, |
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fillings, extractions, scaling and |
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polishing at Network Provider. |
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ANNUAL THRESHOLD BENEFIT |
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Does not apply |
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MONTHLY CONTRIBUTIONS |
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Income: |
R0 - |
R6001- |
R9001 |
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R6000 |
R9000 |
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Member |
R 466 |
R 697 |
R 843 |
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Spouse/Adult |
R 394 |
R 661 |
R 800 |
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dependant |
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Per Child |
R 198 |
R 308 |
R 372 |
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For more detailed information on any of the above OpenPlan plan, just click on the name of the relevant plan in the tables above. If you already know what you want, why not make use of our site to download the relevant Medical Aid Application form and thereafter you can send it directly to your chosen medical aid company. Alternatively, if you would like us to confirm some of the finer details and/or pricing, just fill in our Medical Aid Quote Request form and we will get back to you promptly.
Finally, we invite you to contact us on +27 21 712-6686 at any point in your decision making process for further information on the OpenPlan Medical Aids.
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