Members of the Standard Care Plan have a benefit of R380 per beneficiary per year for eye examinations, to be done at an optometrist.
Lenses and frames are subject to an annual limit of R2 100 per family per year.
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.
If you require cataract surgery with intra-ocular lens replacement you need to get authorisation from the Scheme. If you choose to be admitted to hospital for a cataract procedure, you are liable for a co-payment of R1 000. The Call Centre team can advise you which day clinics you can use to avoid a co-payment. To-take-out medication can be paid from Sublimit 2 of your Out Of Hospital Family Benefit, unless the facility dispenses from their own pharmacy.
The benefit for the intra-ocular lens is subject to the internal surgical prostheses limit.