Resolution Health - Progressive Flex Medical Aid Plan

Resolution Health - Progressive Flex

Resolution's Progressive Flex offers balanced cover for both day-to-day expenses and unlimited hospitalization. This option is suitable for members looking for an affordable plan that includes good day-to-day cover.

In Hospital Benefits

Overall Annual Limit

Unlimited subject to scheme protocols
100% (Resolution Rate)

Provider

Network hospitals, R4 110 co-payment for use of non-network hospital

GP's & Specialists

GPs & specialists: Unlimited
Radiology & pathology: Unlimited
Oncology: R2 75 941 per family per annum at ICON Network.
Organ transplants: R118 713 per family. PMBs
Dialysis: PMBs and subject to Network
Internal prostheses: R56 537 Procedure based. Sub-limits apply.
Mental health: PMBs at designated providers.

Chronic

25 PMBs + HIV, BPH & HRT

Out of Hospital Benefits

Saving / Day to Day / OHEB

GP visit limits
Member: 4 visits
Member + 1: 7 visits
Member + 2+: 9 visits
Specialists limits
Member: 2 visits
Member + 1: 3 visits
Member + 2+: 3 visits

Pooled Day to Day Benefit

Flexi benefit
Member: R2 393
Member +1 +: R3 036
For: Alternative healthcare, radiology & pathology, physiotherapy, audiology, psychiatric treatment
LIMITS APPLY

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

Subject to registration, 3 specialist visits, R634 for baby care products, 3 scans at network facilities

Contributions

Contributions

Member: R2 365
Adult: R2 190
Child: R725

 

 

 

 

 

 

 

 


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