On 1 January 2014, the Xstrata Alloys Medical Aid Scheme name will change to Glencore Medical Scheme, and all our members will receive a new membership card (as shown on the right) with their existing membership number during the first quarter of 2014.
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The Scheme has also removed the 20% co-payment from certain benefits and introduced monetary limits for acute medicines, out-of-hospital pathology and additional medical services in hospital. Set out below are some of the Scheme’s benefit limits for 2014 including the new monetary limits: Benefit |
Monetary limits |
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Acute medicines |
Member: R4,000 Member +1 dependant: R7,000 Member +2 dependants: R9,000 Member +3 or more dependants: R10,000 |
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Medicine on discharge from hospital (TTOs) subject to the Acute medicine limit |
R392 per beneficiary per admission |
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Over the counter medicine subject to the Acute medicine limit |
R 1,300 per family with a maximum of R323 per script |
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GP and Specialist consultations out-of-hospital |
Member: R4,000 Member +1 dependant: R6,000 Member +2 dependants: R8,000 Member + 3 or more dependants: R10,000 |
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Related maternity services |
R6,466 per family |
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Additional medical services |
In-hospital: R10,000 per family Out-of-hospital: R3,578 per family |
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Rehab for substance abuse |
Included in the Mental Health limit |
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Pathology |
In hospital: Subject to the overall annual limit Out-of-hospital: R7,200 |