Benefits for visits to casualty

● If your medical scheme or gap cover provider has benefits for visits to casualty, your visit will be paid up to that benefit, regardless of whether it is regarded as a PMB. Jill Larkan, head of healthcare consulting at GTC, says schemes that offer options with casualty benefits paid from risk contributions rather than your medical savings account include:

● Fedhealth: Authorisation required, paid at scheme rates after a R550 copayment for non-PMB events, depending on the option.

● KeyHealth: No co-payment, no limits. ● Makoti: R10,000 a beneficiary a year. ● Medihelp: R2,050 per family a year.

● Momentum: Impact and Ingwe options offer one visit per beneficiary per year. Maximum two per family. R100 copayment.

● Resolution: R1,680 a year.

● Selfmed: R1,000 a year.