2026 Rules Active
2026 Strategy Validated
Sizwe Gold: Oncology Limit Guardrail
Gold "Ascend": Oncology Limit Guardrail strategy verified
Covering 1 family members
2026 rates applied
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Actuarial Strategy Reference
This strategy is generated based on the 2026 Council for Medical Schemes (CMS) registered rules and actuarial pricing matrices.
VERIFIED: 2025-12-20 | SOURCE: SCHEME_BENEFIT_GUIDE_2026
Similar Situations
Key Terms Explained
Key Terms for this Strategy
- PMB (Prescribed Minimum Benefits)
- By law, this plan must cover the costs of 27 specific chronic conditions and emergency treatments. [Source: Council for Medical Schemes Official Benefit Rules]
Common Questions
Why is Gold Ascend the best match for Gold "Ascend": Oncology Limit Guardrail?
Expected oncology shortfall = max(0, oncology_cost - annual_limit) * 20% (non-PMB usage above limit). (Verified via Actuarial Strategy Logic 2026) [Strategy: ail-2026]
What are the hospital rules for Gold "Ascend": Oncology Limit Guardrail on Gold Ascend?
Gold "Ascend": Oncology Limit Guardrail can use any private hospital in South Africa without penalty on this plan. (Verified via Actuarial Strategy Logic 2026)
Does Gold Ascend cover maternity for Cancer risk members?
Yes. Gold "Ascend": Oncology Limit Guardrail receives a separate 'Risk Benefit' covering 10 antenatal visits. (Verified via Actuarial Strategy Logic 2026)