Resolution Health - Supreme Medical Aid Plan

Resolution Health - Supreme

Offers comprehensive medical cover including unlimited hospitalization at 100% of your rate at designated hospitals and generous day-to-day benefits.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Resolution rate). Subject to scheme protocols.

Provider

Any hospital

GP's & Specialists

GPs and Specialists: Unlimited
Radiology and Pathology: Unlimited
Oncology: Unlimited, subject to Network
Organ Transplants: Unlimited, subject to PMBs
Dialysis: Unlimited, subject to Network
Internal prostheses: R62 825 Procedure based. Sub-limits apply.
Mental health: At Network. Non-PMBs limit is R31 610 per family.

Chronic

25 PMBs + HIV, BPH and HRT
25 additional conditions
Limits:
Member: R5 790
Member +: R11 567

Out of Hospital Benefits

Saving / Day to Day / OHEB

OUT OF HOSPITAL
Member: R14 936
Adult: R11 202
Child: R1 562

Pooled Day to Day Benefit

Member: R7 832
Member + 1: R13 786
Member + 2+: R14 972
TO BE USED FOR: Alternative healthcare, radiology, pathology, physiotherapy, psychology treatment, speech therapy, acute medication LIMITS APPLY

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

Subject to registration. 9 consultations, R968 for baby care products, 2 x 2D scans

Contributions

Contributions

Member: R5 065
Adult: R4 820
Child: R1 255

 

 

 

 

 

 

 

 


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