Oxygen Medical Aid Comparison - 2010 Plans
Oxygen is the fourth largest medical aid in the country and has the benefit of being backed by Old Mutual. It has approximately 230,000 lives covered with an excellent Global Credit Rating of A+. They are one of only a few schemes that combine traditional day-to-day cover with an overriding medical savings account, that is available should any provider benefit be exhausted. On all of the options we market, a premium is only payable for one child, so it is excellent value for large families.
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IN HOSPITAL BENEFIT |
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100% MSR |
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R500,000 Per Family per annum |
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Primary Network Hospitals to be used |
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Co-payments apply for certain |
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procedures |
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Annual Sub-limits per person: |
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Oncology Medicines |
R 200,000 |
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Wisdom Teeth Removal |
R 1,750 |
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Internal Prostheses: |
R 20,000 |
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Organ Transplants |
R 200,000 |
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Psychiatric treatment |
R 10,000 |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Subject to Basic formulary |
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Only from Oxygen Pharmacy |
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Network |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% MSR |
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Monthly Savings Amounts: |
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Income p/m |
R0-R7,000 |
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Member |
R 116 |
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Member + Spouse |
R 222 |
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Member+Spouse+Child 1 |
R 272 |
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Member+Spouse+Child 2 |
R 272 |
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Member+Spouse+Child 3 |
R 272 |
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Member + Child 1 |
R 166 |
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Income p/m |
R7,001+ |
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Member |
R171 |
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Member + Spouse |
R 321 |
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Member+Spouse+Child 1 |
R 376 |
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Member+Spouse+Child 2 |
R 376 |
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Member+Spouse+Child 3 |
R 376 |
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Member + Child 1 |
R 226 |
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Savings Advance on a monthly basis |
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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 p/m |
R0 - R7,000 |
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Principal Member |
R 776 |
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Spouse/Adult dependant |
R 707 |
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1st Child Only |
R 333 |
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Income p/m |
R7,001 + |
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Principal Member |
R 1,143 |
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Spouse /Adult dependant |
R 1,003 |
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1st Child Only |
R 368 |
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| OXYGEN |
| ESSENTIAL CARECROSS |
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IN HOSPITAL BENEFIT |
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100% MSR |
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R500,000 Per Family per annum |
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Primary Network Hospitals to be used |
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Co-payments apply for certain |
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procedures |
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Annual Sub-limits per person: |
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Oncology Medicines |
R 200,000 |
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Wisdom Teeth Removal |
R 1,750 |
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Internal Prostheses: |
R 20,000 |
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Organ Transplants |
R200,000 |
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Psychiatric treatment |
R 10, 000 |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Subject CareCross formulary |
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Only from CareCross provider |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% MSR |
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GP's & Acute Medication: |
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No limit from CareCross Network |
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Providers. |
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Specialists: |
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2 visits per annum. Must be referred |
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by CareCross GP |
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Conservative Dentistry: |
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No limit from CareCross Network |
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Providers. Subject to Scheme |
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Protocols |
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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 p/m |
R0 - R7,000 |
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Principal Member |
R 799 |
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Spouse /Adult dependant |
R 730 |
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1st Child Only |
R 339 |
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Income p/m |
R7,001 + |
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Principal Member |
R 1,178 |
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Spouse /Adult dependant |
R 1,026 |
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1st Child Only |
R 368 |
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IN HOSPITAL BENEFIT |
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Private Provider Rates |
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No overall Annual limit |
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Advanced Network Hospitals |
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to be used |
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Co-payments apply for certain |
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procedures |
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Annual Sub-limits per person: |
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Rehabilitation Benefit |
R 45,000 |
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Jaw Surgery |
R 15,000 |
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Wisdom Teeth Removal |
R 5,500 |
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Oncology Medicines |
R200,000 |
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Internal Prostheses: |
R 27,000 |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Subject to Basic formulary |
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Only from Oxygen Pharmacy |
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Network |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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Does not apply |
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ANNUAL THRESHOLD BENEFIT |
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Does not apply |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 1,071 |
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Spouse/Adult dependant |
R 903 |
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1st Child Only |
R 500 |
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IN HOSPITAL BENEFIT |
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100% MSR |
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No Overall Annual Limit |
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Advanced Network Hospitals |
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to be used |
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Co-payments apply for certain |
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procedures |
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Annual Sub-limits per person: |
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Rehabilitation benefit |
R 40,000 |
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Jaw Surgery |
R 15,000 |
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Wisdom Teeth Removal |
R 5,500 |
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Oncology Medicines |
R 200,000 |
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Internal Prosthesis |
R 25,000 |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Subject to Basic formulary |
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Only from Oxygen Pharmacy |
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Network |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% MSR |
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Monthly Savings Amounts: |
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Member |
R 261 |
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Member + Spouse |
R 485 |
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Member+Spouse+Child 1 |
R 602 |
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Member+Spouse+Child 2 |
R 602 |
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Member+Spouse+Child 3 |
R 602 |
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Member + Child 1 |
R 378 |
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Savings Advance on a monthly basis |
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ANNUAL THRESHOLD BENEFIT |
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Does not apply |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 1,308 |
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Spouse/Adult dependant |
R 1,122 |
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1st Child Only |
R 586 |
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IN HOSPITAL BENEFIT |
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Private Provider Rates |
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No Overall Annual Limit |
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Co-payments apply for certain |
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procedures |
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Annual Sub-limits per person: |
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Rehabilitation Benefit |
R 45,000 |
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Jaw Surgery |
R 15, 000 |
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Wisdom Teeth Removal |
R 5,500 |
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Oncology Medicines |
R 200,000 |
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Internal Prosthesis |
R27,000 |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Subject to Basic formulary |
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Only from Oxygen Pharmacy |
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Network |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% MSR |
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Monthly Savings Amounts: |
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Member |
R 531 |
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Member + Spouse |
R 1,028 |
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Member+Spouse+Child 1 |
R 1,217 |
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Member+Spouse+Child 2 |
R 1,217 |
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Member+Spouse+Child 3 |
R 1,217 |
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Member + Child 1 |
R 720 |
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Savings Advance on a monthly basis |
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ANNUAL THRESHOLD BENEFIT |
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Does not apply |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 2,123 |
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Spouse /Adult dependant |
R 1,989 |
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1st Child Only |
R 754 |
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For more detailed information on any of the above Oxygen plans, 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 then fax it back to us on 021 712 6626. 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 Oxygen Medical Aids.
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