- Hospital Medical Aid Plan

- 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)


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.


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



Member: R1 720
Adult: R1 450
Child: R640









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Finding it difficult to make sense of all this? Not to worry, you can:

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