Issue link: https://www.hub.camaf.co.za/i/1530520
2025 MEMBER GUIDE - DOUBLE PLUS & DOUBLE NETWORK 12 Benefits below are subject to the overall annual limit Annual Overall Limits Adult R17 129 Child R11 887 GPs and Dentists Dental x-rays performed by dentists, consultations and procedures performed by these practitioners; basic dentistry 80% CBT Nominated Network GP for Double Network Specialists Consultations, procedures and radiology performed by these practitioners 80% CBT (on referral from a nominated network GP for Double 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 Double Network) Non-DSP Visits to Doctor's Rooms One visit per beneficiary 80% CBT for Double 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 a specialist for Double Network) Advanced Dentistry Crowns, Bridges, Orthodontics, Dentures 80% CBT limited to: M0 R16 695 M1 R24 041 M2+ R32 377 Over the Counter Medication 80% SEP plus a dispensing fee, subject to MMAP, co- payment from MSA, limited to R2 454 per beneficiary Laser K/Excimer Laser No approval for surgery where spectacles obtained in previous 12 months 80% CBT limited to R6 267 per beneficiary per eye 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. BACK TO CONTENTS PAGE