CAMAF Benefit Brochure 2024

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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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Please note that all 2024 Benefit Option information, benefits and limits are subject to Council for Medical Schemes (CMS) approval.

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CAMAF BENEFIT OPTION 2024 – PDF DOWNLOAD

[vc_column_text css=”.vc_custom_1570737592029{margin-bottom: 50px !important;}”][/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][qode_accordion style=”toggle”][qode_accordion_tab title=”CAMAF Benefit Option Summary”][vc_tta_section tab_id=”1668539634515-a3cd4834-771b”][vc_single_image image=”25570″ img_size=”full” qode_css_animation=””][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”CAMAF Benefit Options: Quick Summary”][vc_tta_section tab_id=”1668539735699-c54f45e4-678f”][vc_column_text][table id=270 responsive=”scroll” /][/vc_column_text][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Benefit Option: Alliance Plus & Alliance Network”][vc_tta_section tab_id=”1668539920827-599f1161-9597″][vc_column_text]

Alliance Plus: Any Private Hospital – No limits. Private wards for childbirth confinements (subject to availability)
Alliance Network: Life Healthcare, Netcare (20% co-payment applies for utilisation of non-DSP hospitals for non-emergencies) – No limits, private wards for childbirth confinements (subject to availability)
Attending Doctors and Specialists: 300% CBT
65 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: Melanoma, PSA, Pap Smear, Mammogram
3 Months post-hospitalisation benefit
External Appliances: Wheelchair, hearing aid, breast pump, baby sleep monitor (on referral from a nominated network GP or a specialist for Alliance Network)
Checkups and Vaccines: GP (nominated network GP referral applies for Alliance Network), Specialist, Dental, Optometry (PPN optometrist for Alliance Network), Dermatologist, ECG, Dietician
Infertility R106 811 per family

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ALLIANCE PLUS & ALLIANCE NETWORK

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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=271 /][/vc_column_text][vc_column_text]

#Please refer to website for ICON benefit structures.

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ALLIANCE PLUS & ALLIANCE NETWORK

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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=272 /][/vc_column_text][vc_column_text]*Refer to website for relevant ICD 10 codes.[/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22963″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22964″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ALLIANCE PLUS & ALLIANCE NETWORK

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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=273 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22963″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22964″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ALLIANCE PLUS & ALLIANCE NETWORK

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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=274 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22963″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22964″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ALLIANCE PLUS & ALLIANCE NETWORK

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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=275 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22963″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22964″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ALLIANCE PLUS & ALLIANCE NETWORK

[/vc_column_text][vc_column_text][table id=276 responsive=”scroll” /][/vc_column_text][vc_separator type=”transparent”][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Benefit Option: Double Plus & Double Network”][vc_tta_section tab_id=”1668540600425-f2d867fd-8119″][vc_column_text]

Double Plus: Any Private Hospital – No limits
Double Network: Life Healthcare, Netcare: (20% co-payment applies for utilisation of non-DSP hospitals for non-emergencies) No limits
Attending Doctors and Specialists: 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 Benefits Melanoma, PSA, Pap Smear, Mammogram
3 Months post-hospitalisation benefit
External Appliances: wheelchair, hearing aid, breast pump, baby sleep monitor (on referral from a nominated network GP or a specialist for Double Network)
Checkups and Vaccines: GP (nominated network GP referral applies for Double Network), Specialist, Dental, Optometry (PPN optometrist for Double Network), ECG
Infertility R75 329 per family

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DOUBLE PLUS & DOUBLE NETWORK

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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=277 /][/vc_column_text][vc_column_text]

#Please refer to website for ICON benefit structures.

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DOUBLE PLUS & DOUBLE NETWORK

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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=278 /][/vc_column_text][vc_column_text]

*Refer to website for relevant ICD 10 codes.

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DOUBLE PLUS & DOUBLE NETWORK

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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=279 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22965″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22966″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

DOUBLE PLUS & DOUBLE NETWORK

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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=280 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22965″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22966″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

DOUBLE PLUS & DOUBLE NETWORK

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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=281 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22965″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22966″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

DOUBLE PLUS & DOUBLE NETWORK

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[/vc_column_text][vc_separator type=”transparent”][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Benefit Option: Vital Plus & Vital Network”][vc_tta_section tab_id=”1668540907679-6dd7f0aa-66aa”][vc_column_text]

Vital Plus: Any Private Hospital – No limits
Vital Network: Life Healthcare, Netcare: (20% co-payment applies for utilisation of non-DSP hospitals for non-emergencies) No limits
Attending Doctors and Specialists: 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: Melanoma, PSA, Pap Smear, Mammogram
3 Months post-hospitalisation benefit
External Appliances: Wheelchair, hearing aid, breast pump, baby sleep monitor
Checkups and Vaccines: GP, Specialist, Dental, Optometry, ECG

[/vc_column_text][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22967″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22968″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

VITAL PLUS & VITAL NETWORK

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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=283 /][/vc_column_text][vc_column_text]

#Please refer to website for ICON benefit structures

[/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22967″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22968″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

VITAL PLUS & VITAL NETWORK

[/vc_column_text][vc_column_text]

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=284 /][/vc_column_text][vc_column_text]

*Refer to website for relevant ICD 10 codes.

[/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22967″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22968″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

VITAL PLUS & VITAL NETWORK

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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=285 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22967″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22968″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

VITAL PLUS & VITAL NETWORK

[/vc_column_text][vc_column_text]

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=286 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22967″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22968″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

VITAL PLUS & VITAL NETWORK

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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=287 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22967″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22968″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

VITAL PLUS & VITAL NETWORK

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[table id=288 responsive=”scroll” /]

[/vc_column_text][vc_separator type=”transparent”][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Benefit Option: Essential Plus & Essential Network”][vc_tta_section tab_id=”1668541267322-37a90e16-c8da”][vc_column_text]

Essential Plus: Any Private Hospital – No limits
Essential Network: Life Healthcare, Netcare: (20% co-payment applies for utilisation of non-DSP hospitals for non-emergencies) No limits
Attending Doctors and Specialists: 200% of CBT
27 Chronic Conditions: Medication and consultations
Unlimited X-Rays and Blood Tests IN hospital including MRI and CT scans
Screening Benefits: Melanoma, PSA, Pap Smear, Mammogram
Checkups and Vaccines: GP, Specialist, Dental, Optometry, ECG

[/vc_column_text][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22969″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22970″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ESSENTIAL PLUS & ESSENTIAL NETWORK

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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=289 /][/vc_column_text][vc_column_text]#Please refer to website for ICON benefit structures

[/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22969″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22970″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ESSENTIAL PLUS & ESSENTIAL NETWORK

[/vc_column_text][vc_column_text]

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=290 /][/vc_column_text][vc_column_text]

*Refer to website for relevant ICD 10 codes.

[/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22969″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22970″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ESSENTIAL PLUS & ESSENTIAL NETWORK

[/vc_column_text][vc_column_text]

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=291 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22969″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22970″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ESSENTIAL PLUS & ESSENTIAL NETWORK

[/vc_column_text][vc_column_text]

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=292 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22969″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22970″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ESSENTIAL PLUS & ESSENTIAL NETWORK

[/vc_column_text][vc_column_text]

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=293 /][/vc_column_text][vc_separator type=”transparent”][vc_row_inner row_type=”row” type=”full_width” text_align=”left” css_animation=””][vc_column_inner width=”1/2″][vc_single_image image=”22969″ img_size=”150 x 150″ alignment=”right” qode_css_animation=””][/vc_column_inner][vc_column_inner width=”1/2″][vc_single_image image=”22970″ img_size=”150 x 150″ qode_css_animation=””][/vc_column_inner][/vc_row_inner][vc_column_text]

ESSENTIAL PLUS & ESSENTIAL NETWORK

[/vc_column_text][vc_column_text][table id=294 responsive=”scroll” /][/vc_column_text][vc_separator type=”transparent”][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Benefit Option: First Choice”][vc_tta_section tab_id=”1668541492390-29b7005e-a0fd”][vc_column_text]

Any Private Hospital – No limits
Attending Doctors and Specialists: 100% CBT
27 Chronic Conditions: medication and consultations. Includes unlimited appropriate biological drugs and
specialised technology and door to door medication delivery
Radiology Advanced scans limited to R45 320 per family and R5 300 per beneficiary for basic radiology
Screening Benefits: PSA, Pap Smear, Mammogram
80% of GP, Specialists, Dental, Optometry, Checkups, ECG, Vaccines

[/vc_column_text][vc_single_image image=”22971″ 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.

[/vc_column_text][vc_column_text][table id=295 /][/vc_column_text][vc_column_text]

#Please refer to website for ICON benefit structures.

[/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”22971″ 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.

[/vc_column_text][vc_column_text][table id=296 /][/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=”22971″ 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.

[/vc_column_text][vc_column_text][table id=297 /][/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”22971″ 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.

[/vc_column_text][vc_column_text][table id=298 /][/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”22971″ 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.

[/vc_column_text][vc_column_text][table id=299 /][/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”22971″ alignment=”center” qode_css_animation=””][vc_column_text]

FIRST CHOICE

[/vc_column_text][vc_column_text][table id=300 responsive=”scroll” /][/vc_column_text][vc_separator type=”transparent”][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Benefit Option: Network Choice”][vc_tta_section tab_id=”1668541780263-05a54812-343f”][vc_column_text]

Network Hospital: No limits (DSP hospital group is Netcare)
Attending Doctors: 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
Radiology Advanced scans limited to R45 320 per family and R5 300 per beneficiary for basic radiology (on referral by nominated GP or specialist for out of hospital)
Screening Benefits: PSA, Pap Smear, Mammogram
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=301 /][/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.

[/vc_column_text][vc_column_text][table id=302 /][/vc_column_text][vc_column_text]

*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.

[/vc_column_text][vc_column_text][table id=303 /][/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”22972″ alignment=”center” qode_css_animation=””][vc_column_text]

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=304 /][/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”22972″ alignment=”center” qode_css_animation=””][vc_column_text]

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=305 /][/vc_column_text][vc_separator type=”transparent”][vc_single_image image=”22972″ alignment=”center” qode_css_animation=””][vc_column_text]

NETWORK CHOICE

[/vc_column_text][vc_column_text][table id=306 responsive=”scroll” /][/vc_column_text][vc_separator type=”transparent”][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Monthly Contribution Rates”][vc_tta_section tab_id=”1668542081236-3f038a15-2ad2″][vc_column_text][table id=307 responsive=”scroll” /]

¹ Monthly income based on Total Cost to Company of Principal Member[/vc_column_text][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Quote Calculator”][button target=”_self” hover_type=”default” text=”View” link=”http://camaf.org.za.dedi1527.jnb1.host-h.net/online-quote-calculator-2024/” color=”#ffffff” hover_color=”#00304a” background_color=”#00304a” hover_background_color=”#76cbb8″ border_color=”#00304a” hover_border_color=”#76cbb8″][/qode_accordion_tab][qode_accordion_tab title=”Chronic Disease List – PMB CDL Conditions – All Options”][vc_tta_section tab_id=”1668542169189-8e5bb432-391d”][vc_column_text][table id=9 responsive=”scroll” /]

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_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Chronic Disease List – Additional Chronic Conditions – Alliance Plus, Alliance Network, Double Plus, Double Network, Vital Plus and Vital Network”][vc_tta_section tab_id=”1668542250699-7b3e8f15-59c5″][vc_column_text][table id=264 responsive=”scroll” /][/vc_column_text][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”ICD10 Codes 2024″][vc_tta_section tab_id=”1668542338423-962a76f3-8cd7″][vc_column_text][table id=27 responsive=”scroll” /][/vc_column_text][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”CAMAF Benefit Option 2024 – Pdf Download”][vc_tta_section tab_id=”1668542404448-94c527c7-e5d8″][button target=”_blank” hover_type=”default” text=”Download” link=”http://camaf.org.za.dedi1527.jnb1.host-h.net/wp-content/uploads/2024/02/CAMAF_2024-Electronic-Brochure.pdf” color=”#ffffff” hover_color=”#00304a” background_color=”#00304a” hover_background_color=”#76cbb8″ border_color=”#00304a” hover_border_color=”#76cbb8″][/vc_tta_section][/qode_accordion_tab][qode_accordion_tab title=”Glossary”][vc_tta_section tab_id=”1668542475271-5edf51c8-e036″][vc_column_text][table id=308 responsive=”scroll” /][/vc_column_text][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 2024 – PDF DOWNLOAD

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