Optical benefits

  • Optical benefits
    In and out of network
    Frame and/or lens enhancements

    Beneficiaries are entitled to either the spectacle or contact lens benefits, not both
    If the beneficary chooses the spectable option, they have a choice of either single vision, bifocal or mulifocal lenses

    R1 415 per 24-month cycle
    R1 061 per beneficiary at a non-PPN provider

    100%

    of Scheme rate

    One pair of clear single vision lenses

    Beneficiaries are entitled to either the spectacle or contact lens benefits, not both
    If the beneficary chooses the spectable option, they have a choice of either single vision, bifocal or mulifocal lenses

    R210 per lens per 24-month cycle

    100%

    of Scheme rate

    One pair of clear bifocal lenses

    Beneficiaries are entitled to either the spectacle or contact lens benefits, not both
    If the beneficary chooses the spectable option, they have a choice of either single vision, bifocal or mulifocal lenses

    R445 per lens per 24-month cycle

    100%

    of Scheme rate

    One pair of multifocal lenses

    Beneficiaries are entitled to either the spectacle or contact lens benefits, not both
    If the beneficary chooses the spectable option, they have a choice of either single vision, bifocal or mulifocal lenses

    R770 per lens per 24-month cycle

    100%

    of Scheme rate

    Contact lenses

    Beneficiaries are entitled to either the spectacle or contact lens benefits, not both

    R2 015

    100%

    of Scheme rate

    Contact lens re-examination (subject to the Scheme rules and can only be claimed in six-monthly intervals)

    Beneficiaries are entitled to either the spectacle or contact lens benefits, not both

    R255 x 3

    100%

    of Scheme rate

    One composite consultation

    Inclusive of refraction, tonometry, visual field screening and artificial intelligence screening

    R730 at a PPN network

    100%

    of Scheme rate