Cape Medical Plan Medical Aid
CM

Cape Medical Plan Medical Aid · Cape Medical Plan Medical Aid Plans

Cape Medical MyHealth 200 Plan – Updated

standard tier

Consultations, Procedures, and Operations by General Practitioners

Covered up to 200% of the CMP Tariff.Subject to pre-authorization.

Consultations, Procedures, and Operations by Registered Medical Specialists

Covered up to 200% of the CMP Tariff.Subject to pre-authorization & written referral.

Registered Medical Specialist Consultations and Procedures

Only PMBs are covered.Subject to pre-approval & written referral.

Paediatrician Consultations

Covered up to 200% of the CMP tariff.Limited to R2 595 per child yearly unless it forms part of a PMB.

Chronic Renal Dialysis

Covered at 100% of the CMP if:PMB level of care criteria is met.Treatment is offered by a Preferred Provider.Subject to pre-approval.

Monthly Premiums

Pricing information is being updated.

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