Radiology Benefits

SHARE:

SAMWUMED offers its members general and specialised radiology benefits.

RADIOLOGY Benefit Options

Family

OPTION A

Paid from Savings

General Radiology Benefits

  • Limited to R3,390 per family per year if performed out-of-hospital.
  • Unlimited if performed in-hospital.

Specialised Radiology

  • Limited to R10,330 per family per year for both in and out-of-hospital services
  • Virtual colonography and Coronary Angiography are limited to one per beneficiary per year.
  • Oncology, organ and stem cell transplant, and renal dialysis radiology expenses are covered under their respective benefits and not from this limit.

Conditions:

  • General Radiology is subject to Nominated GP referral, Scheme protocols, and the use of Designated Service Provider (DSP) Networks.
  • Benefits are subject to authorisation.
  • Specialised Radiology is subject to Nominated GP referral and Scheme protocols.
  • Pre-authorisation is required for CT scans, MUGA scans, MRI scans Radio isotope studies and virtual colonography.

OPTION B

Paid from Risk

General Radiology Benefits

  • R9,980 limit per family per year if performed out-of-hospital and unlimited if performed in-hospital.

General Radiology Benefits

  • Limited to R15,040 per family per year for both in and out-of-hospital services, subject to authorisation.
  • Virtual colonography and Coronary Angiography are limited to one per beneficiary per year.
  • Oncology, organ and stem cell transplant, and renal dialysis radiology expenses are covered under their respective benefits and not from this limit.

Conditions:

  • General Radiology is subject to Nominated GP referral, Scheme protocols, and the use of Designated Service Provider (DSP) Networks.
  • Benefits are subject to authorisation.
  • Specialised Radiology is subject to Nominated GP referral and Scheme protocols.
  • Pre-authorisation is required for CT scans, MUGA scans, MRI scans Radio isotope studies and virtual colonography.

SHARE:

MEMBERSHIP OPTIONS
OPTION A
Option A for younger members and younger families offers more flexibility and peace of mind.
OPTION B
With Option B we make it possible for the main member to cover up to eight child dependents.