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All quoted amounts are in Emalangeni
CONTRIBUTIONS
Employer Groups M0 M1 M2 M3 M4 M5 PARENT
All 711 1000 1117 1174 1201 1280 711
Medscheme Eswatini 2020 Tertiary Care Plan

OVERALL ANNUAL LIMIT (OAL)

300 000 per family

FUNERAL POLICY

Optional

AMBULANCE SERVICES (Emergency only)

100% NPL / NHRPL (SA)
12 120 per family

BLOOD AND BLOOD PRODUCTS

100% Cost

CONSULTATIONS AND VISITS (General Practitioners, Specialists & Nurse Practitioners)

Rooms or Home 2 Specialist visits per family per annum subject to referral from employer GP
In Hospital 100% NPL / NHRPL (SA)

HOSPITALISATION

In-patient
(Accommodation – General Ward, Theatre Fees, Medicines, Materials & Equipment)
100% NPL / NHRPL (SA)
TTO’s 500 per admission
Alternatives to Hospitalisation
(Step down nursing Facilities, Private Nursing, Frail Care, Hospice & Physical rehabilitation in hospital)
100% NPL / NHRPL (SA)
17 480 per family

MENTAL HEALTH (In and out of hospital)

100% NPL / NHRPL (SA)
9 290 per family

NON-SURGICAL PROCEDURES AND TESTS

In Hospital 100% NPL / NHRPL (SA)

PATHOLOGY AND MEDICAL TECHNOLOGY

In Hospital 100% NPL / NHRPL (SA)
20 700 per family

PHYSIOTHERAPY AND BIOKINETICS

In Hospital
(Only applicable when there is a referring doctor)
100% NPL / NHRPL (SA)
780 M0
1 520 M1
2 410 M2+

PREGNANCY/CONFINEMENT

Services (Consultations, Visits & Scans)
Ante-natal consults are from the Consultation benefit and
Scans from Radiology benefit and scans are limited to two.
100% NPL / NHRPL (SA)
2 x post natal midwife consultations per pregnancy

PROSTHESIS

100% Cost
Internal (e.g. Knee & Hip Replacements, etc.) – surgically implanted 26 800 per family

RADIOLOGY & RADIOGRAPHY

In Hospital
General and Specialised (including CT Scans, MRI Scans, etc)
100% NPL / NHRPL (SA)
16 200 per family
PET Scan and PET-CT Scans
Bone Densitometry
Within Radiology limit above
1 per family per annum
1 per family per annum

SURGICAL PROCEDURES

100% NPL / NHRPL (SA)

This Plan is subject to underwriting as per the Scheme Rules. Underwriting will be done at application stage.

NPL: Medscheme Eswatini Price List
NHRPL (SA): National Health Reference Price List (inside South Africa)
SAOA: South African Optometrists Association

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JOIN US TODAY

  1. Download the application form below.
  2. Complete both sides of this application form to avoid a delay in registration.
  3. Send the comleted form to the following email: membership@medscheme-eswatini.com/medscheme

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