Doctor Benefits

As a SAMWUMED member, you and your dependents are covered for visits and treatments by GPs, either at the GPs’ rooms or at home, irrespective of your benefit option.

GP & Specialist Consultations, Visits and Procedures

Consultations, minor procedures and visits. Specialist consultations are subject to a Nominated GP referral.

Doctor Benefit Options

OPTION A

Paid from available savings.

Day-to-Day (Out of Hospital)

Some benefits are paid from the Medical Savings Account, which is 15% of total contributions excluding late joiner penalties where they are applicable.

GP and Specialist Consultations, Minor Procedures and Visits.

The benefit is paid from available savings. The family limit increases with each dependant that is added to the membership.

OPTION B

Paid from Risk

Day-to-Day (Out of Hospital)

All benefits are paid from the Main Risk Benefit

GP and Specialist Consultations, Minor Procedures and Visits.

The benefit is paid from risk. The family limit increases as up to eight dependants are added to the membership.

Benefit Limit

R8,320 per beneficiary limit per year with a family limit of R4,320 per year for consultations with Chiropractors, Homeopaths, Naturopaths and Podiatrists excluding X-rays performed by Chiropractors.

Member: R5,120
Member+1: R8,320
Member+2: R11,290
Member+3: R14,080
Member+4: R17,160
Member+5: R20,140
Member+6: R23,120
Member+7: R26,100
Member+8: R29,080