No. The plan has a strict oncology limit of R500,000 per year. Once this limit is reached, you will be liable for a 20% co-payment on all further treatment costs. Strategy reference: nce-2026.

Yes, there is a R3,500 co-payment for MRI and CT scans, regardless of whether they are performed in or out of hospital. Strategy reference: nce-2026.

Yes, but subject to strict limits. Internal prostheses (like hips and knees) are limited to R92,200 per event (maximum 2 events per year), and a co-payment of R5,500 applies if the surgery is performed in an acute hospital. Strategy reference: nce-2026.

Only from your savings. Casualty and after-hour visits are 'Subject to Day-to-day Benefit', meaning they are paid from your savings account, not the major medical risk benefit. Strategy reference: nce-2026.

For the main member, your Annual Savings is R34,416, but your Threshold is R36,900. This creates a small 'self-payment gap' of approximately R2,484 where you must pay claims from your own pocket before the Extended Cover activates. Strategy reference: nce-2026.

Yes. Associated specialists are covered in full, and other specialists are covered up to 200% of the scheme rate. If your specialist charges more than 200%, you will have a shortfall. Strategy reference: nce-2026.

Yes, but within limits. Mental health services (psychiatry and psychology) are limited to R50,600 per beneficiary, and outpatient mental health is limited to R26,300 per family. Strategy reference: nce-2026.

On this 'Any' variant, you can use any private hospital. However, if you had chosen the 'Associated' variant, you would face a 30% co-payment for using a non-network facility. Strategy reference: nce-2026.