Resolution Medical Aid Comparison - 2018 Plans

Resolution Health is a medium sized medical aid with about 150,000 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 48 hours. Their range of products includes a hospital plan with the rest being traditional in structure.

 
Resolution: Hospital Plan  Progressive Flex
 Millenium
        
 
RESOLUTION HEALTH
HOSPITAL PLAN
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
     
  Co-payments are due for certain  
  procedures (e.g. R3,957 Arthroscopy)  
     
  *7 days Take Home Medicine  
     
     
     
  Annual Sub-limits per person:  
  Psychiatric Treatment PMB  
  Hospice Care 10 days  
  Oncology (subject to ICON R180,081  
   network & scheme    
   protocols    
   Internal Prosthesis    
    (see detailed benefits)    
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
     
     
     
     
       
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
     
  Does not apply  
     
  2 GP consultation per family per annum  
  with a R150 co-payment  
     
   Specialist consultations  
    subject to PMB and    
    pre-authorisation only at    
    contracted providers    
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
               
               
               
  MONTHLY CONTRIBUTIONS  
  Principal Member R 1 720  
  Spouse/Adult dependant R 1 450  
  Per Child (max 3) R 640  
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
RESOLUTION HEALTH
PROGRESSIVE FLEX
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No overall annual limit  
  Network hospitals to be used,  
  otherwise R4,110 co-payment  
  Co-payments are due for certain  
  procedures (eg. R3,957 Arthroscopy)  
     
  *7 day take home medication  
  Emergency Casualty Annual
 
  Limit: R1,680 per family  
     
  Annual Sub-limts per person:  
  Psychiatric Treatment PMB  
  Hospice Care 12 Days  
  Oncology (subject to ICON R275,941  
   network & scheme    
   protocols    
   Internal Prosthesis    
    (see detailed benefits)    
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
     
     
     
     
     
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% Scheme Rate  
  GP's: Member 4 visits  
    Member + 1 7 visits  
    Family 9 visits  
  Specialists: Member 2 visits  
    Member + 1 3 visits  
    Family 3 visits  
  Conservative Member R3,287  
   Dentistry Family R5,284  
         
         
     
     
     
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
               
               
               
  MONTHLY CONTRIBUTIONS  
   Principal Member R2,365  
   Spouse/Adult dependant  R2,190  
   Per Child (max 3) R 725  
               
     
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
RESOLUTION HEALTH
MILLENIUM
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No overall annual limit  
     
     
  Co-payments are due for certain  
  procedures (eg. R3,957 Arthroscopy)  
  Contracted Specialist paid at   
   150% Scheme Rate  
     
  *7 day take home medication   
     
     
     
  Annual Sub-limts per person:  
  Psychiatric Treatment R19,787  
  Hospice Care 18 Days  
  Oncology (subject to ICON Unlimited  
   network & scheme    
   protocols    
   Internal Prosthesis    
     (see detailed benefits)    
       
  CHRONIC MEDICATION BENEFIT  
  100% Medicine Price  
  27 PMB Chronic Disease Conditions  
  (Add. 7 Chronic Disease Conditions)  
  Annual Limit:  
     
  Single    R 2,795  
  Per family    R 5,602  
     
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% Scheme Rate  
  Limits per annum:  
  Member   R11,184  
  Member + Spouse R20,760  
  Member+ Spouse+ 1 Child R23,364  
  Member+ Spouse+ 2 Child R25,968  
  Member+ Spouse+ 3 Child R25,968  
  Member + Child 1 R13,788  
  Member + Child 2  R16,392  
  Member + Child 3  R16,392  
     
     
     
     
  ANNUAL THRESHOLD BENEFIT  
     
   Principal Member:              R14,854  
   Spouse / Adult Dependant: R12,350  
   Per Child:                         R3,272  
               
  MONTHLY CONTRIBUTIONS  
   Principal Member R4,660  
   Spouse/Adult dependant  R3,990  
   Per Child (max 2) R1,085  
       
       
       
               
               
               
               
               
               
               
               
               
               
               
               
               
               

 

     

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 the Resolution Medical Aids.