Resolution Health - Hospital Medical Aid Plan

Resolution Health - Hospital

The Resolution Health hospital plan provides comprehensive in-hospital benefits at 100% of the scheme's rate, unlimited private hospitalization at any hospital in South Africa and a casualty benefit for emergencies.

In Hospital Benefits

Overall Annual Limit

Unlimited subject to scheme protocols
100% (Resolution rate)

Provider

Any hospital

GP's & Specialists

Professional fees paid at 100% Scheme Tariff
GPs & specialists: Unlimited
Radiology & pathology: Unlimited
Oncology: R180 081 per family per annum at ICON Network.
Organ transplants: Limited to PMB at State hospitals
Dialysis: PMBs and subject to Network
Internal prostheses: R37 685 procedure based; PMBs Sub-limits apply.
Mental health: PMBs at designated providers.

Chronic

25 PMB's + HIV, BPH & HRT

Out of Hospital Benefits

Saving / Day to Day / OHEB

No benefit on Hospital plan

Pooled Day to Day Benefit

No benefit

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

Subject to registration and consultations are subject to PMBs, 2X2D scans are subject to scheme protocols

Contributions

Contributions

Member: R1 720
Adult: R1 450
Child: R640

 

 

 

 

 

 

 

 


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