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.
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| RESOLUTION HEALTH |
| FOUNDATION 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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*7 days Take Home Medicine |
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Co-payments apply for certain |
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procedures |
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Emergency Casualty Annual Limit |
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R1,000 and R300 for associated |
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medecine per family per annum |
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Annual Sub-limits per person: |
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Prosthesis |
R30,000 |
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(subject to prosthesis sub- |
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limits) |
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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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Only from Network Provider |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% Scheme Rate |
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GP's: |
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No Limit from Network Providers |
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Specialists |
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4 visits limited to R1,050 per family |
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from Network Providers |
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Conservative Dentistry |
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Fillings: 2 check ups and 1 scale and |
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polish, 2 emergency consultations per |
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annum from Network Provider |
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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 pm |
R0 - R3,750 |
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Principal Member |
R 492 |
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Spouse/Adult dependant |
R 480 |
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Per Child |
R 148 |
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Income pm |
R3,751 - R5,800 |
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Principal Member |
R587 |
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Spouse / Adults dependant |
R525 |
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Per Child |
R203 |
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Income pm |
R5,801 - R8,000 |
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Principal Member |
R744 |
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Spouse / Adult dependant |
R656 |
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Per Child |
R237 |
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Income pm |
R8,001- R9,500 |
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Principal Member |
R972 |
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Spouse/Adult |
R863 |
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dependant |
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Per Child |
R333 |
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Income pm |
R9,501+ |
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Principal Member |
R 1124 |
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Spouse/Adult dependant |
R 998 |
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Per Child |
R 385 |
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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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*7 days Take Home Medicine |
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Co-payments apply for certain |
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procedures |
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Emergency Casualty Annual Limit |
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R1,200 per family |
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Annual Sub-limits per person: |
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Prosthesis |
R45,000 |
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(subject to prosthesis sub- |
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limits) |
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Hospice,Rehab & Step down |
R17,700 |
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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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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 899 |
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Spouse/Adult dependant |
R 718 |
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Per Child |
R 285 |
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| RESOLUTION HEALTH |
| PROGRESSIVE FLEX |
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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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*7 day take home medication |
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Co-payments apply for certain |
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procedures |
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Emergency Casualty Annual Limit: |
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R1,200 per family |
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Annual Sub-limts per person: |
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Prosthesis |
R45,000 |
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(subject to prosthesis sub- |
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limits) |
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Hospice,Rehab & Step down |
R20,600 |
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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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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% NHRPL 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 |
3 visits |
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Member + 1 |
4 visits |
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Family |
5 visits |
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Conservative & Specialised Dentistry |
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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 |
R1,224 |
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Spouse/Adult dependant |
R1,164 |
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Per Child |
R362 |
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| RESOLUTION HEALTH |
| PRESTIGE PLAN |
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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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*7 days Take Home Medicine |
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Co-payments apply for certain |
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procedures |
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Emergency Casualty Annual Limit: |
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R1,200 per family |
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Annual Sub-limits per person: |
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Prosthesis (subject to |
R50,000 |
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prosthesis sub-limits) |
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Hospice,Rehab & |
R29,500 |
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Step down |
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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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Non-PMB Annual Limit |
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Single |
R4,150 |
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Family |
R8,300 |
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ANNUAL DAY TO DAY BENEFIT
(including savings) |
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100% NHRPL Rate |
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GP's: Unlimited at Network |
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provider |
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Specialists: |
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Member |
4 visits |
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Member + 1 |
5 visits |
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Family |
6 visits |
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Conservative & Specialist |
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Dentistry |
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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 2,083 |
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Spouse/Adult dependant |
R 2,026 |
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Per Child |
R 534 |
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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 the Resolution Medical Aids.
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