Resolution Medical Aid Comparison - 2012 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: Foundation Plan  Hospital Plan  Progressive Flex
  Prestige Plan     
 
RESOLUTION HEALTH
FOUNDATION PLAN
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  *7 days Take Home Medicine  
  Co-payments apply for certain  
  procedures  
     
  Emergency Casualty Annual Limit  
  R1,000 and R300 for associated  
  medecine per family per annum   
     
  Annual Sub-limits per person:  
  Prosthesis R30,000  
   (subject to prosthesis sub-    
   limits)    
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
  Only from Network Provider  
       
       
       
       
       
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
     
  100% Scheme Rate  
  GP's:  
  No Limit from Network Providers  
     
  Specialists  
  4 visits limited to R1,050 per family  
  from Network Providers  
     
  Conservative Dentistry  
  Fillings: 2 check ups and 1 scale and  
  polish, 2 emergency consultations per  
  annum from Network Provider  
       
     
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
  MONTHLY CONTRIBUTIONS  
  Income pm R0 - R3,750   
  Principal Member R 492  
  Spouse/Adult dependant R 480  
  Per Child R 148  
       
  Income pm R3,751 - R5,800   
  Principal Member R587  
  Spouse / Adults dependant R525  
  Per Child R203  
       
  Income pm R5,801 - R8,000   
  Principal Member R744   
  Spouse / Adult dependant R656  
  Per Child  R237  
       
  Income pm R8,001- R9,500   
  Principal Member R972  
  Spouse/Adult R863  
   dependant    
  Per Child R333  
       
  Income pm R9,501+   
  Principal Member R 1124  
  Spouse/Adult dependant R 998  
  Per Child R 385  
               
RESOLUTION HEALTH
HOSPITAL PLAN
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  *7 days Take Home Medicine  
  Co-payments apply for certain  
  procedures  
     
  Emergency Casualty Annual Limit  
  R1,200 per family  
     
     
  Annual Sub-limits per person:  
  Prosthesis R45,000   
   (subject to prosthesis sub-    
   limits)    
  Hospice,Rehab & Step down R17,700  
       
       
  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  
     
       
     
       
       
       
       
       
       
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
  MONTHLY CONTRIBUTIONS  
  Principal Member R 899  
  Spouse/Adult dependant R 718  
  Per Child R 285  
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
RESOLUTION HEALTH
PROGRESSIVE FLEX
  IN HOSPITAL BENEFIT  
  150% Scheme Rate  
  No overall annual limit  
  *7 day take home medication  
  Co-payments apply for  certain  
  procedures  
     
  Emergency Casualty Annual Limit:  
  R1,200 per family  
     
     
  Annual Sub-limts per person:  
  Prosthesis R45,000  
   (subject to prosthesis sub-    
   limits)    
  Hospice,Rehab & Step down R20,600   
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
     
     
     
     
     
     
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% NHRPL Rate  
  GP's: Member 4 visits  
    Member + 1 7 visits  
    Family 9 visits  
  Specialists: Member 3 visits  
    Member + 1 4 visits  
    Family 5 visits  
         
  Conservative & Specialised Dentistry  
     
     
     
     
     
     
     
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
  MONTHLY CONTRIBUTIONS  
   Principal Member R1,224  
   Spouse/Adult dependant  R1,164  
   Per Child R362  
       
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               

 

RESOLUTION HEALTH
PRESTIGE PLAN
  IN HOSPITAL BENEFIT  
  220% Scheme Rate  
  No Overall Annual Limit  
  *7 days Take Home Medicine  
  Co-payments apply for certain  
  procedures  
     
  Emergency Casualty Annual Limit:  
  R1,200 per family  
     
  Annual Sub-limits per person:  
  Prosthesis (subject to R50,000   
   prosthesis sub-limits)    
  Hospice,Rehab &  R29,500   
    Step down    
       
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
     
     
  Non-PMB Annual Limit  
       
   Single R4,150   
   Family R8,300   
       
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% NHRPL Rate  
     
  GP's: Unlimited at Network    
            provider    
   Specialists:    
   Member 4 visits   
   Member + 1 5 visits   
   Family 6 visits   
       
   Conservative & Specialist    
   Dentistry    
       
       
       
       
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
  MONTHLY CONTRIBUTIONS  
  Principal Member R 2,083  
  Spouse/Adult dependant R 2,026  
  Per Child R 534  
               
       
       
       
       
     
 
 
     
     
     
      
     
     
     
     
     
     
     
       
       
       
       
       
       
       
       
       
     
     
     
     
     
       
       
       
       
       
       
     
  
 
     
     
       
        
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
     
     
               
     
       
       
       
               
     
     
     
     
     
 
 
     
     
     
     
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
     
     
     
     
     
     
     
     
     
     
               
     
     
     
     
     
     
     
     
     
     
       
       
       
       
       
       
     
       
     
     
     
       
     
     
               
     
       
     
     
     
     
       
     
     
       

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.