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3 Victoria Link, Route 21 Corporate Park, Irene, 0178

0861 hosmed (467 633)

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Health Plans: Value Option

Value Option 2020

  • There is no overall annual limit as long as the sub-limits are not exceeded

  • Pro-rated benefits are applicable if you join after the 1st of January of a benefit year

  • Statutory Prescribed Minimum Benefits (PMBs).  Services rendered are payable at 100% of cost at designated service providers (DSPs) with no annual limit

  • 3 Month General Waiting Periods (Subject to the rights of interchangeability)

  • 12 Months condition specific waiting period for pre-existing conditions (Subject to the rights of interchangeability)

  • Claims received later than the last day of the 4th month in which the service was rendered will not be covered

  • 100% of Scheme rates are payable in RSA currency for emergencies when travelling abroad (subject to PMBs). This is also subject to completion of documentation prior to leaving RSA and requires approval by the Scheme

Download shows Benefits across all Options