Issue link: https://www.hub.camaf.co.za/i/1530517
12 2025 MEMBER GUIDE - ALLIANCE PLUS & ALLIANCE NETWORK Day-to-day Benefits Day-to-day benefits limited to an overall collective limit - paid at 80% CBT rate. The difference can be paid from Medical Savings Account. Benefits below are subject to the overall annual limit Annual Overall Limits Adult R43 964 Child R27 380 GPs and Dentists Dental x-rays performed by dentists, consultations and procedures performed by these practitioners; basic dentistry 80% CBT Nominated Network GP for Alliance Network Specialists Consultations, procedures and radiology performed by these practitioners 80% CBT (on referral from a nominated network GP for Alliance Network) Acute Medication Including injections and materials 80% SEP plus dispensing fee, subject to MMAP, co-payment from MSA (on referral from a nominated network GP for Alliance Network) Non-DSP Visits to doctor's rooms One visit per beneficiary 80% CBT for Alliance Network for non-network or non-nominated GP Casualty and Out Patient Treatment at a Hospital 80% CBT Nurse Visits 80% CBT up to 21 days Supplementary Health Audiology, Chiropractors, Dieticians, Homeopaths, Occupational Therapy, Physiotherapists, Biokineticists, Podiatry and Speech Therapy 80% CBT (on referral from a nominated network GP or from a specialist for Alliance Network) Advanced Dentistry Crowns, Bridges, Orthodontics, Dentures 80% CBT limited to: M0 R22 415 M1 R33 501 M2+ R40 402 Over the Counter Medication 80% SEP plus a dispensing fee, subject to MMAP, co- payment from MSA, limited to R5 532 per beneficiary Laser K/Excimer Laser No approval for surgery where spectacles obtained in previous 12 months 80% CBT limited to R16 974 per beneficiary per eye BACK TO CONTENTS PAGE