Optometry Benefits

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SAMWUMED members on both Option A and Option B qualify for optical (eye) cover.

Optometry Benefit Options

OPTION A

Paid from Capitation Benefits.

Option A Benefits

One composite eye test per beneficiary per benefit cycle is limited to R755 at a Network Provider and R400 at a Non-Network Provider.
One pair of clear single-vision spectacle lenses limited to R215 at a Non-Network Provider or clear flat top bifocal spectacle lenses limited to R460 at a Non-Network Provider or clear multifocal spectacle lenses limited to R810 at a Non-Network Provider.
Lenses are covered in full at PPN Network Provider.
Frame and or lens enhancements per beneficiary are limited to R1,080 at a non-network provider and R1,350 at a PPN Network Provider.
There is no benefit for reading glasses or contact lenses.

Conditions:

Optical benefits are subject to Scheme protocols and the PPN Network.
Optical benefits are subject to a 2-Year cycle.
To access benefits members must check their claim status.
To lodge a claim, locate the closest PPN Network Optician, or register a query, members must visit ppn.co.za or Contact PPN at:
Email: info@ppn.co.za or Tel: 041 065 0650.

OPTION B

Paid from Capitation Benefits.

Option B Benefits

One composite eye test per beneficiary per benefit cycle limited to R755 at Network Provider and R400 at Non-Network Provider.
One pair of clear single vision spectacle lenses limited to R215 (two hundred and fifteen rand only) per lens; or One pair of clear flat top bifocal spectacle lenses limited to R460 (four hundred and sixty rand only) per lens.
One pair of clear multifocal spectacle lenses including branded lens add-on limited to R850 (eight hundred and fifty rand only) per lens.
Lenses are covered in full at a PPN Network Provider.
Frame and or lens enhancements per beneficiary are limited to R1,408 at non-network provider and R1,760 at a PPN Network Provider.
Contact lenses are limited to R3,000 per beneficiary.
There is no benefit for reading glasses.

Conditions:

Optical benefits are subject to Scheme protocols and the PPN Network.
Optical benefits are subject to a 2-Year cycle.
To access benefits members must check their claim status.
To lodge a claim, locate the closest PPN Network Optician, or register a query, members must visit ppn.co.za or Contact PPN at:
Email: info@ppn.co.za or Tel: 041 065 0650.

Optometry Network

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HEALTHCARE BENEFITS

2025 Benefits Brochure

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