Resolution Medical Aid Comparison - 2013 Plans
Resolution Health is a medium sized medical aid with about 42,000 lives covered. It was registered in 1998 and has the second highest Global Credit Rating of A-, for claims paying ability with claims being processed within 14 days. Their range of products includes a hospital plan with the rest being traditional in structure.
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| RESOLUTION HEALTH |
| HOSPITAL PLAN |
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IN HOSPITAL BENEFIT |
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100% Scheme Rate |
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No Overall Annual Limit |
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Co-payments are due for certain |
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procedures (e.g. R3,000 Arthroscopy) |
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*7 days Take Home Medicine |
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Annual Sub-limits per person: |
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Psychiatric Treatment |
PMB |
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Hospice Care |
10 days |
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Oncology (subject to ICON |
R65,000 |
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network & scheme |
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protocols |
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Internal Prosthesis |
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(see detailed benefits) |
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CHRONIC MEDICATION BENEFIT |
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100% Scheme Rate |
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27 PMB Chronic Disease Conditions |
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Subject to scheme formulary |
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member to pay upfront |
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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 998 |
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Spouse/Adult dependant |
R 833 |
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Per Child (max 3) |
R 356 |
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| RESOLUTION HEALTH |
| PROGRESSIVE FLEX |
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IN HOSPITAL BENEFIT |
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100% Scheme Rate |
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No overall annual limit, subject to DSP Network Provider |
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Co-payments are due for certain |
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procedures (eg. R3,000 Arthroscopy) |
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*7 day take home medication |
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Emergency Casualty Annual
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Limit: R1,270 per family |
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Annual Sub-limts per person: |
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Psychiatric Treatment |
PMB |
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Hospice Care |
12 Days |
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Oncology (subject to ICON |
R100,000 |
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network & scheme |
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protocols |
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Internal Prosthesis |
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(see detailed benefits) |
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CHRONIC MEDICATION BENEFIT |
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100% Scheme Rate |
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27 PMB Chronic Disease Conditions |
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Subject to scheme formulary |
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at a DSP Pharmacy |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% Scheme Rate |
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GP's: |
Member |
4 visits |
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Member + 1 |
7 visits |
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Family |
9 visits |
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Specialists: |
Member |
2 visits |
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Member + 1 |
3 visits |
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Family |
3 visits |
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Conservative |
Member |
R2,500 |
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Dentistry |
Family |
R4,000 |
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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 |
R1,365 |
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Spouse/Adult dependant |
R1,257 |
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Per Child (max 3) |
R418 |
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| RESOLUTION HEALTH |
| CLASSIC |
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IN HOSPITAL BENEFIT |
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150% Scheme Rate |
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No overall annual limit |
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Co-payments are due for certain |
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procedures (eg. R3,000 Arthroscopy) |
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*7 day take home medication |
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Annual Sub-limts per person: |
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Psychiatric Treatment |
R12,100 |
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Hospice Care |
15 Days |
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Oncology (subject to ICON |
R150,000 |
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network & scheme |
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protocols |
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Internal Prosthesis |
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(see detailed benefits) |
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CHRONIC MEDICATION BENEFIT |
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100% Scheme Rate |
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27 PMB Chronic Disease Conditions |
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Subject to scheme formulary |
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at a designated Pharmacy |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% Scheme Rate |
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Out of hospital annual limit: |
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Member |
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R4,220 |
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Member + Spouse |
R7,820 |
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Member+ Spouse+ 1 Child |
R8,830 |
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Member+ Spouse+ 2 Child |
R9,840 |
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Member+ Spouse+ 3 Child |
R10,850 |
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Conservative |
Member |
R3,000 |
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Dentistry |
Family |
R6,000 |
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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 |
R1,626 |
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Spouse/Adult dependant |
R1,383 |
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Per Child (max 3) |
R651 |
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| RESOLUTION HEALTH |
| MILLENIUM |
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IN HOSPITAL BENEFIT |
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150% Scheme Rate |
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No Overall Annual Limit |
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Co-payments are due for certain |
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| procedures (eg R3,000 Arthroscopy) |
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*7 days Take Home Medicine |
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Annual Sub-limits per person: |
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Psychiatric Treatment |
R15,000 |
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Hospice Care |
18 days |
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Oncology (subject to ICON |
R200,000 |
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network & scheme |
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protocols |
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Internal Prosthesis |
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(see detailed benefits) |
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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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(Additional 4 Chronic disease |
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conditions) |
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Annual Limit |
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Single |
R2,120 |
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Family |
R4,240 |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% Scheme Rate |
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Limits per annum |
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Member |
R6,048 |
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Member + Spouse |
R11,004 |
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Member+ Spouse +Child 1 |
R12,456 |
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Member+ Spouse +Child 2 |
R13,908 |
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Member+ Spouse +Child 3 |
R15,360 |
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ANNUAL THRESHOLD BENEFIT |
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Principal Member R8,560 |
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Spouse/Adult dependant R6,860 |
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Per Child R1,910 |
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MONTHLY CONTRIBUTIONS |
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Principal Member |
R 2,518 |
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Spouse/Adult dependant |
R 2,065 |
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Per Child (max 3) |
R 604 |
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| RESOLUTION HEALTH |
| SUPREME |
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IN HOSPITAL BENEFIT |
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220% Scheme Rate |
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No Overall Annual Limit |
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Co-payments are due for certain |
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| procedures (eg R3,000 Arthroscopy) |
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*7 days Take Home Medicine |
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Emergency Casualty Annual |
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Limit: R1,270 per family |
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Annual Sub-limits per person: |
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Psychiatric Treatment |
R24,000 |
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Hospice Care |
21 days |
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Oncology (subject to ICON |
Unlimited |
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network & scheme |
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protocols |
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Internal Prosthesis |
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(see detailed benefits) |
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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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(Additional 24 Chronic disease |
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conditions) |
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Annual Limit |
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Single |
R4,400 |
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Family |
R8,800 |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% Scheme Rate |
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Out of Hospital Annual Limit |
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Member |
R12,000 |
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Member + Spouse |
R21,000 |
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Member+ Spouse + 1 Child |
R22,260 |
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Member+ Spouse+ 2 Child. |
R23,520 |
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Member+ Spouse+ 3 Child. |
R24,780 |
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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 2,712 |
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Spouse/Adult dependant |
R 2,637 |
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Per Child (max 3) |
R 694 |
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For more detailed information on any of the above Resolution 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 and then fax it back to us on 0866 200 320. 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 21 712-8866 at any point in your decision making process for further information on Resolution Health.
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