Appliances Beneﬁts

Members are covered for medical and surgical appliances including crutches, walking aids and blood pressure monitors.

OPTION A

Paid from Risk

Member: R3,580
Member+1: R5,060
Member+2: R6,420
Option A benefits cover medical and surgical devices, including orthotics, within a yearly limit based on the number of dependant numbers.

Mobility/walking aids like crutches, walking frames, slings, and collars are covered without authorisation up to a yearly limit.
Immobilisation splints for limbs are also covered every year, and foot-related orthotics every two years without pre-authorisation.
However, oxygen therapy, CPAP devices, certain boots and braces, incontinence and stoma products require pre-authorisation.
Blood pressure monitors and other medical devices have a four-year cycle but need chronic medicine authorisation.
Hearing aids, manual wheelchairs and spinal braces need authorisation and have a four-year cycle.
There is no funding for electric wheelchairs and scooters.

Paid from Risk

Option B covers medical and surgical devices, including orthotics, within an annual family limit of R7,890.
Mobility aids like crutches, walking frames, slings, collars and immobilisation splints are funded without authorisation.
Foot-related orthotics are funded every two years without pre-authorisation.
However, oxygen therapy, CPAP devices, certain boots and braces, incontinence and stoma products require pre-authorisation.
Blood pressure monitors and other medical devices have a four-year cycle but need chronic medicine authorisation.
Items like hearing aids, manual wheelchairs and spinal braces also need authorisation and have a four-year cycle.
There is no funding for electric wheelchairs and scooters.