Medical Aid member

Contracted Medical Aids


BENEFIT REQUIRED CODE flexiFED 1
flexiFED 2
MAXIMA
Plus
Exec
FlexiFED 4
flexiFED 3 myFED
Submission Medscheme Medscheme Medscheme Iso Leso

SAVINGS CLAIMS

SAVINGS CLAIMS

Family Limit

n/a

R 10 190

Refer Medscheme

n/a

n/a

Beneficiary Limit

 

R 3 340

Vision Examination

(Iso Leso Members)

11001/11081

R 550

R 550

Bronze Benefit

Bronze Benefit

PEP Providers

(Iso Leso Members)

01PEP

R 100

R 100

Bronze Benefit

Bronze Benefit

Vision Examination

(Non-Iso Leso Members)

11001/11081

R 425

R 425

Bronze Benefit

Bronze Benefit

Single Vision Lenses

(Glass/Plastic)

71BS001/72BS001

81BS001/82BS001

R 275

R 275

Bronze Benefit

Bronze Benefit

Accommodation

Support Lenses*

83BS001

R 595

R 595

Bronze Benefit

Bronze Benefit

Bifocal Lenses**

(Glass/Plastic)

74BS001

84BS001

R 670

R 670

Bronze Benefit

Bronze Benefit

Multifocal Lenses**

(Glass/Plastic

85BS001

86BS001

R 835

R 835

Bronze Benefit

Bronze Benefit

Multifocal Lenses**

(Glass/Plastic)

76BS001

R 1095

R 1095

Bronze Benefit

Bronze Benefit

Frames

40501

Included, Limit to R193

Included, Limit to R193

Contact Lens Materials

Per plan

Bronze Benefit

Bronze Benefit

PATIENT TO PAY

Lens Enhancements

All Lens Codes

Optical Assistant

Med Aid

Optical Assistant

Med Aid

Optical Assistant

Med Aid