CAMAF Benefit Brochure 2020

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This brochure is for summary purposes only and does not supersede the rules of the Scheme in any way.

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CAMAF BENEFIT OPTION 2020 – PDF DOWNLOAD

[/vc_column_text][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][vc_accordion collapsible=”yes” style=”toggle”][vc_accordion_tab title=”CAMAF Benefit Option Summary”][vc_column_text]

[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”CAMAF Benefit Options: Quick Summary”][vc_column_text][table id=71 /][/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Benefit Option: Alliance” title_color=”#01304a”][vc_column_text]

	Any Private Hospital: No limits, private wards for confinements (subject to availability)
	Attending Dr’s and Specialists: Up to 300% CBT
	64 Chronic Conditions medication and consultations. Includes unlimited appropriate biological drugs and specialised technology
	Unlimited X-Rays and Blood Tests IN and OUT of hospital including MRI and CT scans
	Screening Benefit
	3 Month post hospitalisation benefit
	External Appliances: Wheelchair, hearing aid, breast pump, baby sleep monitor
	Check-Ups and Vaccines: GP, Specialist, Dental, Optometry, Dermatologist, ECG, Dietician
	Infertility R87 000 per family

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ALLIANCE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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#Please refer to website for ICON benefit structures.

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ALLIANCE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

[/vc_column_text][vc_column_text][table id=68 /][/vc_column_text][vc_column_text]*Refer to website for relevant ICD 10 codes.[/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”18452″ img_size=”150 x 150″ alignment=”center” qode_css_animation=””][vc_column_text]

ALLIANCE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

[/vc_column_text][vc_column_text][table id=72 /][/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”18452″ img_size=”150 x 150″ alignment=”center” qode_css_animation=””][vc_column_text]

ALLIANCE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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ALLIANCE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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Monthly Contribution Rates: Alliance

[/vc_column_text][vc_separator type=”transparent”][vc_column_text][table id=69 /][/vc_column_text][vc_separator type=”transparent”][/vc_accordion_tab][vc_accordion_tab title=”Benefit Option: Double Plus” title_color=”#f79b19″][vc_column_text]

	Any Private Hospital: No limits
	Attending Dr’s and Specialists: Up to 300% CBT
	63 Chronic Conditions Medication and Consultations. Includes unlimited appropriate Biological Drugs and Specialised Technology
	Unlimited X-rays and Blood Tests In and Out of Hospital including MRI and CT Scans
	Screening Benefits
	3 Month Post Hospitalisation Benefit
	External Appliances: wheelchair, hearing aid, breast pump, baby sleep monitor
	Check-ups and Vaccines: GP, Specialist, Dental, Optometry, ECG
	Infertility R61 400 per family

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DOUBLE PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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#Please refer to website for ICON benefit structures.

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DOUBLE PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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*Refer to website for relevant ICD 10 codes.

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DOUBLE PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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DOUBLE PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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DOUBLE PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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Monthly Contribution Rates: Double Plus

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	Any Private Hospital: No limits
	Attending Doctors and Specialists: Up to 300% of CBT
	63 Chronic Conditions: Medication and consultations. Covers the medication and necessary consultations and procedures. Includes unlimited appropriate biological drugs and specialised technology as well as door to door medication delivery
	Unlimited X-Rays and Blood Tests IN and OUT of hospital including MRI’s and CT’s
	Screening Benefits
	3 Month post hospitalisation benefit
	External Appliances: Wheelchair, hearing aid, breast pump, baby sleep monitor
	Check-Ups and Vaccines: GP, Specialist, Dental, Optometry, ECG

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VITAL

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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#Please refer to website for ICON benefit structures

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VITAL

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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*Refer to website for relevant ICD 10 codes.

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VITAL

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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VITAL

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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Monthly Contribution Rates: Vital

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	Any Private Hospital: No limits
	Attending Doctors and Specialists: Up to 200% of CBT
	27 Chronic Conditions: Medication and consultations
	Unlimited X-Rays and Blood Tests IN hospital including MRI and CT scans
	Screening Benefits
	Check-ups and Immunisation Benefits

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ESSENTIAL PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

[/vc_column_text][vc_column_text][table id=86 /][/vc_column_text][vc_column_text]#Please refer to website for ICON benefit structures

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ESSENTIAL PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

[/vc_column_text][vc_column_text][table id=87 /][/vc_column_text][vc_column_text]

*Refer to website for relevant ICD 10 codes.

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ESSENTIAL PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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ESSENTIAL PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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ESSENTIAL PLUS

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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Monthly Contribution Rates: Essential Plus

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	Any Private Hospital: No limits
	Attending Dr’s and Specialists: Up to 100% CBT
	27 Chronic Conditions: medication and consultations. Includes unlimited appropriate biological drugs and specialised technology and door to door medication delivery
	X-Rays and Blood Tests Advanced scans limited to R36 900 per family
	Screening Benefits
	80% of GP, Specialists, Dental, Optometry, Check-ups, ECG, Vaccines

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FIRST CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

[/vc_column_text][vc_column_text][table id=92 /][/vc_column_text][vc_column_text]

#Please refer to website for ICON benefit structures.

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FIRST CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

[/vc_column_text][vc_column_text][table id=93 /][/vc_column_text][vc_column_text]*Refer to website for relevant ICD 10 codes.[/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”18431″ alignment=”center” qode_css_animation=””][vc_column_text]

FIRST CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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FIRST CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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FIRST CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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Monthly Contribution Rates: First Choice

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	Network Hospital: No limits (DSP hospital group is Netcare)
	Attending Doctors: Up to 100% CBT only at DSP
	27 Chronic Conditions: medication and consultations. Includes unlimited appropriate biological drugs and specialised technology and door to door medication delivery
	X-Rays and Blood Tests Advanced scans limited to R36 900 per family
	Screening Benefits
	Vaccines

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NETWORK CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

[/vc_column_text][vc_column_text][table id=98 /][/vc_column_text][vc_column_text]

#Please refer to website for ICON benefit structures

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NETWORK CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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*Refer to website for relevant ICD 10 codes.

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NETWORK CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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NETWORK CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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NETWORK CHOICE

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All benefits listed below are annual, unless otherwise stated. Where a condition qualifies as a PMB and is registered with the Scheme, payment will be governed by the legislation set out in the Regulations listed in the Medical Schemes Act.

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Monthly Contribution Rates: Network Choice

[/vc_column_text][vc_separator type=”transparent”][vc_column_text][table id=102 /][/vc_column_text][vc_separator type=”transparent”][/vc_accordion_tab][vc_accordion_tab title=”Monthly Contribution Rates”][vc_column_text][table id=104 /][/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Chronic Disease List – PMB CDL Conditions – All Options”][vc_column_text][table id=9 /]

In terms of the Medical Schemes Act Regulations that came into effect on 1 January 2004, Medical Schemes are required to fund the cost of the diagnosis, medical management
(consultations and procedures) and medication of the specified list of chronic conditions. All of these conditions are covered by CAMAF.
*Subject to registration on relevant Wellness Programme.
**Subject to registration with LifeSense.[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”Chronic Disease List – Additional Chronic Conditions – Alliance, Double Plus and Vital options”][vc_column_text]

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[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”ICD10 Codes 2020″][vc_column_text]

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[/vc_column_text][/vc_accordion_tab][vc_accordion_tab title=”CAMAF Benefit Option 2020 – Pdf Download”][button target=”_self” hover_type=”default” text=”Download” link=”http://camaf.org.za.dedi1527.jnb1.host-h.net/wp-content/uploads/2019/10/2020-CAMAF-Benefits-eBrochure_FINAL.pdf”][/vc_accordion_tab][vc_accordion_tab title=”Glossary”][vc_column_text]

*More details available on the website www.camaf.co.za
– for full explanations, consult the Registered Rules

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CAMAF BENEFIT OPTION 2020 – PDF DOWNLOAD

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