Medical Aid member

Contracted Medical Aids

BENEFIT REQUIRED CODE BONCLASSIC STANDARD PRIMARY BONCAP

Plan Prefix

476

020

277

470

Family Limit

R 5300 pf

2 years

R 5 550 pf

2 years

R 4270 pf

2 years

N/A

Vision Examination

(Iso Leso Members)

11001/11081

R 525

R 525

R 525

Bronze Benefit

PEP Providers

(Iso Leso Members)

01PEP

R 100

R 100

R 100

Bronze Benefit

Vision Examination

(Non-Iso Leso Members)

11001/11081

R 405

R 405

R 405

Bronze Benefit

Single Vision Lenses

(Glass/Plastic)

71BS001/72BS001

81BS001/82BS001

R 176,50

R 176,50

R 176,50

Bronze Benefit

Accommodation

Support Lenses*

83BS001

R 395

R 395

R 395

Bronze Benefit

Bifocal Lenses**

(Glass/Plastic)

74BS001

84BS001

R 395

R 395

R 395

Bronze Benefit

Multifocal Lenses**

(Glass/Plastic)

85BS001

76BS001

86BS001

R 810

R 810

R 810

Bronze Benefit

Frames

40501

R 740

R 850

R 350

Included

*Accom Support Lens for age < 40 years require motivation.

** Bifocal and Multifocal Lens for age < 40 years require motivation.

OR

Contact Lens Materials

R 1790

R 1870

R 1235

Bronze Benefit

PATIENT TO PAY

Lens Enhancements

All Lens Codes

Optical Assistant

Med Aid

Optical Assistant

Med Aid

Optical Assistant

Med Aid

Optical Assistant

Med Aid

Please use the matrix above to claim directly from Iso Leso for reimbursement.
Refer to the ISO LESO MANAGED CARE MATRIX for details