Major medical cover Guardian plan

Guardian plan

  • State hospital admissions

    The DSP is State hospitals

    Paid at Transmed rate

    100% cover at a State hospital, subject to the UPFS for PMB and non-PMB admissions

    100 %

    UPFS rate

  • Private hospital admissions

    Only PMB conditions for major medical events and selected knee and hip replacements through ICPS

    No benefit for non-PMB conditions

    If a State hospital is not accessible in terms of the set criteria for PMB treatment, authorisation will be considered for admission to a hospital on the Transmed private hospital network as the secondary DSP and payable at the Transmed rate

    The co-payment for the voluntary use of a non-DSP will be the amount equal to the difference between the total cost incurred in respect of the hospital services, including all related medical services, and the cost that would have been payable to the State hospital (DSP) or secondary DSP - whichever is applicable

    Pre-authorisation required
    Please call 0800 225 151

    Paid according to Pre-authorisation

  • In-hospital dentistry

    Provided through DENIS

    Subject to protocols and limitations

    Only PMB conditions and certain surgical procedures (fistula closure)

    Paid at the Transmed rate

    The fee for the hospitalisation and anaesthetist are paid from the major medical benefit

    Dental treatment /procedures are subject to the availability of funds in the specialised dentistry limit of
    R5 090 per family per year

    Pre-authorisation required
    Please call 0800 225 151

    Paid according to Pre-authorisation

  • In-hospital services
    info Including GP and specialist services, pathology and radiology

    100% cover for PMB and non-PMB admissions at a State hospital
    Subject to the UPFS

    Paid at Transmed rate

    Advance radiology (MRI and CT scans)
    Subject to case management and clinical protocols

    Pre-authorisation required
    Please call 0800 225 151

    100 %

    UPFS rate

  • Internal Prostheses - combined annual-sub-limit prostheses - reimbursed for PMB conditions

    Only PMB conditions and selected knee and hip replacements

    Subject to individual prosthesis limits

    Medical motivation may be required

    R77 000 per beneficiary per year

    Pre-authorisation required
    Please call 0800 225 151

    Pacemaker and leads Limited to R44 000
    Cervical and lumbar disc replacement Limited to R30 000
    Partial hip replacement Limited to R36 000
    Hip revision Limited to R50 000
    Total hip replacement Limited to R67 760
    Total knee replacement Limited to R61 300
    Partial knee replacement Limited to R30 000
    Total shoulder replacement Limited to R57 200
    Total knee revision Limited to R45 000
    Spinal fusion Limited to R55 660
    Cardiac stents (per stent) to a maximum of 3 Limited to R25 650
    Grafts (per graft) Limited to R28 500
    Cardiac valves (per valve) Limited to R37 500
    Hernia Mesh Limited to R11 000
    Non-specified items Limited to R25 000

    Below internal prostheses does not form part of the combined limit

    Endovascular aneurysm repair (EVAR), Anaconda and equivalents R280 000 Per beneficiary per year
    Pacemaker (double chamber) R120 000 per beneficiary per year
    Pacemaker plus defibrillator R280 000 Per beneficiary per year
    Brain stimulator R200 000 Per beneficiary per year
    Transcatheter Aortic Valve Implantation (TAVI) R280 000 Per beneficiary per year

    100 %

    at cost

  • Orthopaedic, surgical and medical appliances

    Subject to individual appliance limits

    Medical motivation may be required

    Pre-authorisation required
    Please call 0800 225 151

    Wheelchairs (subject to clinical criteria)

    Non-motorised wheelchair
    OR
    Motorised wheelchair
    R9 900
    (per beneficiary once every five years)
    Hand prothesis R10 000 per beneficiary once every two years)
    Arm prosthesis - Below elbow R26 000 (per beneficiary once every two years)
    Arm prosthesis - Above elbow R120 000 (per beneficiary once every two years)
    Above knee prosthesis R150 000 (per beneficiary once every two years)
    Below knee prosthesis R120 000 (per beneficiary once every two years)
    Silicone sleeve replacements for artificial limbs R20 000 (per beneficiary once every year)
    Back brace following surgical procedures R25 000 (per beneficiary per year)
    Walking aids R2 660 (per beneficiary per year)
    Hearing aids Per beneficiary once every three years
    Per ear R9 284
    Hearing aid repairs Part of the hearing aid limit

    100 %

    at cost

  • Organ transplants

    Subject to case management and clinical protocols

    Harvesting cost of organs (both live and cadavers) is subject to PMB legislation

    International donors
    The cost of international donor search and harvesting shall be limited to R225 000 (irrespective of the rand/dollar/euro exchange rate)

    In all cases, special approval is required from the Principal Officer or his delegate before an international donor search can be funded and a confirmation of the non-availability of a suitable local donor is required

    The recipient must be a Transmed member

    Pre-authorisation required
    Please call 0800 225 151

    100 %

    at the Transmed rate

  • Ambulance services

    Transfer protocols apply

    Paid at Transmed rate

    Pre-authorisation required
    Please call 0800 115 750

    100 %

    at the Transmed rate

  • Emergency visits in hospital casualties

    Paid at Transmed rate if life-threatening

    Authorisation is required within 1 working day of the emergency treatment

    If no authorisation is obtained, services will be paid from general day-to-day benefits, subject to the availability of funds

    Please call 0800 225 151


    100 %

    at the Transmed rate

  • Dialysis

    The DSP is State hospitals
    100% cover at a State hospital, subject to the UPFS

    Paid at the Transmed rate

    If a State hospital is not accessible in terms of the set criteria, authorisation can be obtained for admission to a hospital on the Transmed private hospital network as secondary DSP or approved dialysis centres

    Pre-authorisation required
    Please call 0800 225 151


    100 %

    at the Transmed rate

  • Oncology (cancer) treatment

    The Independent Clinical Oncology Network (ICON) of private oncologists and State hospitals are DSPs

    Paid at the Transmed rate

    Benefits are restricted to tier 1 of the South African Oncology Consortium (SAOC) guidelines

    Limited to 1 PET scan per beneficiary per year

    A 20% co-payment applies for using a provider other than an ICON service provider or the State

    Oncology (cancer) medication to be obtained through the Transmed oncology network and is subject to evidence-based clinical protocols.

    Reference pricing applies to oncology (cancer) medication

    Pre-authorisation required
    Please call 0800 225 151

    100 %

    at the Transmed rate

  • HIV and AIDS benefit

    Members are encouraged to register on the HIV YourLife programme

    Obtain medicine from a Transmed pharmacy network or courier pharmacy, as selected during enrolment

    Members may be liable for a co-payment if a pharmacy outside of the Transmed pharmacy network is used

    Reference pricing applies

    Pre-authorisation required
    Please call 0860 109 793 (all calls are handled confidentially)

    100 %

    at the Transmed rate

  • Cataract surgery

    The Ophthalmology Management Group (OMG) network and State hospitals are DSPs

    Paid at the Transmed rate

    A 20% co-payment on the total hospital and associated provider costs applies for using a provider other than an OMG provider or the State

    In addition to cataract surgery, the following services will be covered, subject to pre-authorisation:

    • the consultation during which the diagnosis is made and confirmed
    • the relevant tests performed to make the diagnosis as per the applicable algorithm
    • medication administered as part of the prosedure, as per the applicable algorithm
    • any other medical services, as per the applicable algorithm

    Pre-authorisation required
    Please call 0800 225 151

    100 %

    at the Transmed rate

  • Terminal care benefit

    Subject to pre-authorisation (home assessment if indicated)

    Once-off limit of R25 000 per beneficiary (this is an additional benefit and the financial limit is not applicable to any services rendered which qualify for payment in terms of the PMB legislation)

    Only applicable for treatment provided in an accredited facility (hospice/sub-acute/homecare by registered nurse)

    Pre-authorisation required
    Please call 0800 225 151

    100 %

    at the Transmed rate