Eye Care
Eye examinations, lenses, frames, contact lenses
The Eye Care Benefit on Managed Care Plan includes Lenses, frames and refractive surgery limit of R4 230 per family per year and R470 for an eye examination per beneficiary per year.
Claims paid from the Optometry Benefit are reimbursed at the Scheme Reimbursement Rate. Should you wish to have the excess paid from your Medical Savings Account, you need to complete the "MSA Exception Form" in every instance.
As a member of Anglo Medical Scheme, you qualify for discounts on our Administrator's Optometry Network. Find out more on how you can save.
Cataract surgery
If you require cataract surgery with intra-ocular lens replacement you need to get authorisation on 0860 222 633 from the Scheme.
If you choose to be admitted to hospital, instead of a day clinic, for a cataract procedure, you are liable for a co-payment of R1 130.
The Call Centre team can advise you which day clinics you can use to avoid a co-payment.
