Suremed Health Medical Aid Scheme · Suremed Health Medical Aid Scheme Plans
The unlimited cover is provided by a Preferred Provider.Specialists are limited to R21,000 PMF unless it involves a PMB.
Limited to 12 consultations per beneficiary.Authorization is required for the twelfth consultation to activate the PMB benefit.Members may only change doctors twice a year.
Limited to one visit per beneficiary or two per family.Limited to R1,260 per event.Authorization is required within 72 hours of the visit.
Unlimited when using a Preferred Provider.Pre-authorization is required via the Prime Cure formulary.Subject to preferred provider-managed care protocols.
Unlimited coverage is provided if prescribed by a nominated provider.Subject to registration through Prime Cure.Subject to the Prime Cure medication formulary.
Effective from January 2026
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