No. The plan has a strict oncology limit of R500,000 per year. Once this limit is reached, you will be liable for a 20% co-payment on all further treatment costs.

Yes, there is a R3,500 co-payment for MRI and CT scans, regardless of whether they are performed in or out of hospital.

Yes, but subject to strict limits. Internal prostheses (like hips and knees) are limited to R92,200 per event (maximum 2 events per year), and a co-payment of R5,500 applies if the surgery is performed in an acute hospital.

Only from your savings. Casualty and after-hour visits are 'Subject to Day-to-day Benefit', meaning they are paid from your savings account, not the major medical risk benefit.

For the main member, your Annual Savings is R34,416, but your Threshold is R36,900. This creates a small 'self-payment gap' of approximately R2,484 where you must pay claims from your own pocket before the Extended Cover activates.

Yes. Associated specialists are covered in full, and other specialists are covered up to 200% of the scheme rate. If your specialist charges more than 200%, you will have a shortfall.

Yes, but within limits. Mental health services (psychiatry and psychology) are limited to R50,600 per beneficiary, and outpatient mental health is limited to R26,300 per family.

On this 'Any' variant, you can use any private hospital. However, if you had chosen the 'Associated' variant, you would face a 30% co-payment for using a non-network facility.