| RESOLUTION HEALTH |
| HOSPITAL |
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IN HOSPITAL BENEFIT |
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100% NHRPL rate |
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No Overall Annual Limit |
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*7 days Take Home Medicine |
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Co-payments apply for certain |
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procedures |
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Emergency Ward treatment which |
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does not result in hospitalisation |
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R1,050 |
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Annual Sub-limits per person: |
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Post hospitalisation: |
R15,750 |
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Rehabilitation, Step-down |
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and terminal care |
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International travel 90 days |
R5 million |
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per trip |
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Removal of impacted |
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wisdom teeth in hospital |
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paid from risk,excl dental |
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practitioner's fee |
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CHRONIC MEDICATION BENEFIT |
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100% MSR |
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27 PMB Chronic Disease Conditions |
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Subject to Hospital formulary |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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Preventative Care Benefits to the |
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value of R2,600 |
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See detailed list: |
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Maternity: Out of hospital |
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3 Gynae Consultations |
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2 2D scans |
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R500 Ante-Natal classes once |
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registered on ResoBaby |
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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 753 |
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Spouse/Adult dependant |
R 556 |
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Per Child |
R 174 |
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| RESOLUTION HEALTH |
| PROGRESSIVE |
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IN HOSPITAL BENEFIT |
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100% NHRPL rate |
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R210,000 Single per Annum |
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R420,000 per family per Annum |
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*7 days Take Home Medicine |
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Co-payments apply for certain |
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procedures |
|
| |
Emergency Ward treatment which |
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does not result in hospitalisation |
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R1,050 |
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Annual Sub-limts per person: |
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Oncology |
R 210,000 |
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Internal Prosthesis |
R 42,000 |
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Post hospitalisation: R18,350 |
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Rehabilitation, Step-down |
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and terminal care |
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International travel 90 days |
R5 million |
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per trip |
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CHRONIC MEDICATION BENEFIT |
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100% MSR |
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27 PMB Chronic Disease Conditions |
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Subject to Progressive formulary |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% NHRPL Rate |
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GP's: |
Member |
R 850 |
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Member + 1 |
R 1,500 |
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FamilyM+2+ |
R 1,900 |
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Specialists: |
Member |
R 500 |
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Member + 1 |
R 750 |
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FamilyM+2+ |
R 1,250 |
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OAL |
Member |
R1,600 |
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Member +1 |
R2,200 |
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FamilyM+2+ |
R2,500 |
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MSA |
Member |
R576 |
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Member +1 |
R1152 |
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FamilyM+2+ |
R1,728 |
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Medical |
Member |
R2,600 |
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Appliances |
Member +1 |
R2,600 |
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FamilyM+2+ |
R2,600 |
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Plus: Dentistry, Optometry & |
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Preventative Care benefits as per |
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schedule |
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Additional benefits paid from risk |
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Maternity: Out of hospital |
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7 Gynae Consultations |
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2 2D Scans |
0 |
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R500 Ante-Natal classes once |
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registered on ResoBaby |
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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 1,011 |
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Spouse/Adult dependant |
R 963 |
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Per Child |
R 309 |
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| RESOLUTION HEALTH |
| PRESTIGE |
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IN HOSPITAL BENEFIT |
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200% NHRPL Rate |
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No overall annual limit |
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*7 day take home medication |
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| |
Co-payments for certain procedures |
|
| |
Emergency Ward treatment which |
|
| |
does not result in hospitalisation |
|
| |
R1,050 |
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| |
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Annual Sub-limts per person: |
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Oncology |
R262,000 |
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Internal Prosthesis |
R42,000 |
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Post hospitalisation: |
R26,250 |
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Rehabilitation, Step-down |
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and terminal care |
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International travel 90 |
R5 million |
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days per trip |
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CHRONIC MEDICATION BENEFIT |
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100% MSR |
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26 PMB Chronic Disease Conditions |
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Subject to Prestige formulary |
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Additional 23 Chronic Conditions |
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Single R 3,675 |
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Family R 7,350 |
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Paid over and above PMB |
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Chronic Benefit |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% NHRPL Rate |
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GP's: |
Member |
R1,800 |
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Member + 1 |
R2,600 |
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FamilyM+2+ |
R3,400 |
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Specialists: |
Member |
R1,500 |
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Member + 1 |
R1,750 |
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FamilyM+2+ |
R2,250 |
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OAL |
Member |
R5,000 |
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Member +1 |
R7,000 |
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FamilyM+2+ |
R9,000 |
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Medical |
Member |
R9,000 |
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Appliances |
Member +1 |
R9,900 |
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FamilyM+2+ |
R9,900 |
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Plus: Dentistry, Optometry & |
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Preventative Care benefits as per |
|
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schedule |
|
| |
|
|
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Additional benefits paid from risk |
|
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Maternity: Out of hospital |
|
| |
10 Gynae Consultations |
|
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2 2D Scans |
|
| |
R500 Ante-Natal classes once |
|
| |
registered on ResoBaby |
|
| |
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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 |
R1,677 |
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Spouse/Adult dependant |
R1,630 |
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Per Child (pay to max 3) |
R430 |
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