2025 MEMBER GUIDE - DOUBLE PLUS & DOUBLE NETWORK
11
BACK TO CONTENTS PAGE
OUT OF HOSPITAL
Benefit and Extent of Cover
Choice
The DSP for audiology consultations and obtaining Hearing Aids is HearConnect
for both Double Plus and Double Network. Co-payments will apply if the DSP is
not used.
For Double Network - PPN is the DSP for optical benefits and nominated GPs for
GP consultations.
Preventative Wellness Cover
Preventative programme accessible to all beneficiaries.
One consultation per beneficiary per annum with a GP (nominated network GP
for Double Network), specified Specialists, dietician, dentist - for a general check-
up only and optometrist for an eye test (PPN optometrist for Double network) -
paid at CBT rate. Additionally, screening benefits (melanoma, PSA, pap smear,
mammogram) and certain vaccines are covered under this benefit.
Post-Hospital Cover Post-hospital cover for a period of 90 days.
Other Benefits
Not subject to an annual overall benefit limit - paid at CBT* rate. Generous
external appliance benefit of R86 203 per beneficiary with specific sub-limits (on
referral from a nominated network GP or a specialist for Double Network).
MSA Used as a "top up" or to extend benefits - see "MEDICAL SAVINGS ACCOUNT"
