FAMILY MAX 3
FAMILY MAX 5
WHAT IT COVERS
8 consultations for an Individual, 12 consultations for a family of 3 and 15 consultations for a family of 5, provided the Designated Network is used. Dispensing GP reimbursement paid at R330 per consultation and Non-dispensing GP reimbursement paid at R300 per consultation.
R600 as a combined benefit for consultations, Fillings, X-Rays and Extractions, including Scale and Polish, 2 Emergency Root Canal at R400 each, 2 Crowns at R500 each and In Chair Wisdom Teeth at R750, per beneficiary per annum.
All activities for Optometry services including (Eye Test, 1 Consultation, Frames and Lenses up to R900) or Contact Lenses up to R900 every 24 Months per beneficiary.
Individual Option: 1 consultation refunded at R700. Family Option 3: 2 consultations refunded at R700. Family Option 5: 3 consultations refunded at R700.
MEDICATION (PER CDL)
Individual Option: R1 250 Family Option 3: R2 150 Family Option 5: Limited to R3 250 per policy per annum. Up to a max Of R230 per script.
Clinically trained consultant available 24 / 7.
R2 000 per policy per annum.
Individual Option: R800 Family Option 3: R1 500 Family Option 5: Limited to R2 200 per policy per annum. Up to a max Of R180 per script.
Limited to Black and White X-Rays and/or 1 Scan to the value of R1 500 per policy per annum.
hiv – early detection
HIV Elisa Blood Test. Pre and Post Testing for HIV. Symptomatic treatment due to HIV Infection. Medicines available through State only.
24 HOUR EMERGENCY
Limited To R30 000 per policy per annum.
Call Me Back!
Wesmart is a medical insurance product and therefore may review the premium on an annual basis. In the event of this occurring, we will notify you 30 days in advance of any changes to benefits or premiums. The benefits mentioned are a summary and not the full terms, conditions and limitations. The word “Formulary” refers to an approved list agreed to by Wesmart relating to the specific benefit.