2026 Rules Active

2026 Strategy Validated
Sizwe Gold: MRI/CT Non-PMB Co-Pay
Gold "Ascend": Non-PMB MRI/CT Copay Manager strategy verified
Covering 0 family members
2026 rates applied
Compare Alternatives
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": Non-PMB MRI/CT Copay Manager?
Imaging expected cost includes plan limit-sharing plus an additional non-PMB MRI/CT co-pay percentage where applicable. (Verified via Actuarial Strategy Logic 2026) [Strategy: pay-2026]
What are the hospital rules for Gold "Ascend": Non-PMB MRI/CT Copay Manager on Gold Ascend?
Gold "Ascend": Non-PMB MRI/CT Copay Manager 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 Diagnostics members?
Yes. Gold "Ascend": Non-PMB MRI/CT Copay Manager receives a separate 'Risk Benefit' covering 10 antenatal visits. (Verified via Actuarial Strategy Logic 2026)
