Bestmed - PACE 3
Comprehensive medical aid, with private hospital cover at 100% of the scheme rate, a medical savings account and day-to-day benefits for GP and specialist visits, dentistry, optometry and more. Most out-of-hospital expenses are paid from savings first and, if savings are depleted, covered up to specified limits by the scheme. Limits on day-to-day benefits are more generous than for the PACE 1 or 2 plans.
In Hospital Benefits
| Overall Annual Limit |
Unlimited at 100% scheme rate |
|---|---|
| Provider |
Any hospital |
| GP's & Specialists |
Hospital accounts covered at negotiated rate, limits apply |
| Chronic |
26 PMBs+ additional 20 at 90% of scheme rate with limits |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
Member: R13 908 Spouse: R11 196 Per Child: R2388 |
|---|---|
| Pooled Day to Day Benefit |
PACE 3 option: Savings first + OVERALL DAY TO DAY LIMIT/SUB-LIMITS APPLY: Member: R21 045, M+1=R43 425 |
| Threshhold / Safety Net |
Not applicable |
| Self-Payment Gap Before Threshold |
Not applicable |
| Above Threshold Limits |
Not applicable |
| Maternity Care |
9 Antenatal visits & Post-natal visits, 2 scans, Register for maternity benefit, supplements up to R133 per claim for max of 9 months |
Contributions
| Contributions |
Member: R8280 Adult: R6655 Per Child: R1424
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