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Contributions

Ordinary Members

The total monthly contributions, based in the income of the member and dependants registered is payable by the member and employer in accordance with the contributions as set out in the tables above.

Contributions must be paid to the fund not later than the seventh day of the month, following the month, following the month to which contribution payments apply.

Contributions for second wife

Contributions payable for the second wife (after the first wife) shall be the normal dependant rate equivalent of a single member in the monthly income band of the principal member on the contribution table.

Individual Members

Members categorised as individuals pay in the last income band and contributes 3 months in advance.

Pensioners/surviving spouses

The contributions shall be in accordance with the first income band (0-3000) of the applicable contribution table and the number of registered dependants. Only applicable to Swazimed members with minimum 5 year membership.

Aged Parents (Registration as a member)

The Contribution payable for aged parents shall be an equivalent rate of a single member in the income band of a principal member. Aged parents contribute 3 months in advance. (Applicable to direct paying aged parents)..

Student Members

One year contributions upfront on a monthly subscriptions of E406 and enjoy medium option benefits.

No incentive bonus for students.

NB:

Members on the new generations plan will be allowed to change option during the year only if they attain the age of 40.

Swazimed High Benefit Contributions (Policy 1)

Income BandM+0M+1M+2M+3M+4M+5
0 - 3,0002 4703 3583 7743 9704 0684 328
3,001 - 4,0002 6203 5784 0484 2164 3464 602
4,001 - 5,0002 6423 6444 1064 2984 432 4 684
5001 - 6,0002 7283 7044 1524 3704 476 4 776
Optinal savings (E100)300+300+300+300+300+300+

Swazimed Standard Benefit Contributions (Policy 2)

Income BandM+0M+1M+2M+3M+4M5+
0 - 30002 1402 9703 2783 4323 5643 748
3,001 - 4,0002 1542 9483 3143 4583 6083 768
4,001 - 5,0002 1783 0043 3563 5283 630 3 854
5, 001 - 6,0002 2003 0223 3983 5843 6443 898
6,001 - PLUS2 2383 0483 4183 6143 6863 936

Swazimed Medium Benefit Contributions (Policy 3)

Income BandM+0M+1M+2M+3M+4M5+
0 - 4,0006841 1741 2121 2761 3541 408
4001 - 60007181 2321 2661 3301 4121 474
6001 - PLUS8161 3861 4361 5081 5961668

Swazimed Hospital Benefit Contributions (Policy 4)

Income BandM+0M+1M+2M+3M+4M5+
0 - 1,00066210401 1121 1821 2521 276
1, 001 - 2,0009521 3021 4841 5381 5581 656
2, 001 - PLUS1 0181 3741 5421 6341 6601 800

Swazimed Savings Plan Contributions – Level 1 – E1,200 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 - 10007621 1401212128213521376
1001 - 20001 0521 4021 5841 6381 6581 756
2001 - PLUS1 1181 4741 6421 7341 7601 900

Swazimed Savings Plan Contributions – Level 2 – E2, 400 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 - 100086212401 3121 3821 4521 476
1001 - 20001 15215021 6841 7381 7581 856
2001 - PLUS1 2181 5741 7421 8341 8602 000

Swazimed Savings Plan Contributions – Level 3 – E3, 600 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 - 10009621 3401 4121 4821 5521 576
1001 - 20001 2521 6021 7841 8381 8581 956
2,001 - PLUS1 3181 6741 8421 9341 9602 100

Swazimed Savings Plan Contributions – Level 4 – E4 800 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 -10001 0621 4401 5121 5821 6521 676
1001 - 20001 3521 7021 8841 9381 9582 056
2001 - PLUS1 4181 7741 9422 0342 0602 200

Swazimed Savings Plan Contributions – Level 5 – E6000 (Policy 5)

Income BandM+0M+1M+2M+3M+4 M5+
0 - 10001 16215401 6121 6821 7521 776
1001 - 20001 4521 8021 9842 0382 0582 156
2001 - PLUS1 5181 8742 0422 1342 160 2 300

Swazimed Savings Plan Contributions – Level 6 – E7200 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 - 10001 1621 6401 1711 7821 8521 876
1001 - 20001 5521 9022 0842 1382 1582 256
2001 - PLUS1 6181 9742 1422 2342 2602 400

Swazimed Savings Plan Contributions – Level 7 – E8400 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 - 100012621 7401 8121 8821 9521 976
1001 - 20001 6522 0022 1842 2382 2582 356
2001 - PLUS1 7182 0742 2422 3342 3602 500

Swazimed Savings Plan Contributions – Level 8 – E9600 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 - 10001 3621 8401 912 1 9822 0522 076
1001 - 20001 7522 1022 2842 3382 3582 456
2001 - PLUS1 8182 1742 3422 4342 4602 600

Swazimed Savings Plan Contributions – Level 9 – E10 800 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 - 10001 4621 9402 0122 0822 1522 176
1001 - 20001 8522 2022 3842 4382 4582 556
2001 - PLUS1 9182 2742 4422 5342 5602 700

Swazimed Savings Plan Contributions – Level 10 – E12000 (Policy 5)

Income BandM+0M+1M+2M+3M+4M5+
0 - 10001 5622 0402 1122 1822 2522 276
1001 - 20001 9522 3022 4842 5382 5582 656
2001 - PLUS2 0182 3742 5422 6342 6602 800

Swazimed New Generation Plan Contributions (Plan 6)

Income BandM+0M+1M+2M+3M+4M5+
All9821678n/an/an/an/a

Swazimed Low Cost Option Contributions (Policy 7)

Income BandM+0M+1M+2M+3M+4M5+
0 - 2000356612630662704734
2001 - 3000376644664696740772
30001 - 6000394678698734778812
6001 - PLUS51087090494810021048

Primary Care Option

CATEGORYPRIMARY CARE OPTION
Extra Savings Benefit (Optional)

FUNERAL POLICY
Spouse
Children: 14-21
Children: 6-13
Children: 0-5
Parents

CONSULTATIONS AND VISITS

Rooms or Home
(General Practitioners, Specialists and Nurse Practitioners)		No

E15,000
E15,000
E7 500
E3 750
E15 000


100% SPL

M0:2 614
M1:3 404
M2+:4 321
OPTOMETRYNo benefit
Frames, Lenses, Readers
One in 2 year claiming period starting from 1 January 2016 to December 2017 (12months exclusions)		No Benefit
Eye Examinations
Refractive Surgery
(Radial keratotomy/ Excimer Laser)		One per beneficiary per annum
PATHOLOGY AND MEDICAL TECHNOLOGY

Out of Hospital		E2350
RADIOLOGY AND RADIOGRAPHY
In Hospital

General and Specialised (including CT Scans, MRI Scans , etc)

Out Hospital
Within Radiology limit above PET SCAN and PET-CT Scans		No benefit


100% SPL
E1960 per family
WELNESS BENEFITS

Limited to 1 GP consultation per beneficiary per annum (see more details on the back-notes)		Limited and included in Wellness benefit.
-One GP consultaion per beneficiary per annum covering:
-One GP consultation fee per beneficiary (tariff code 07344)
-One Cholesterol for all beneficiaries aged 29-39 years and older, every year. One lipogram every 5years.
-One Blood glucose
-One Pap Smear for all beneficiaries aged 21 years and older. Limited to one test, every two years. (tariff code 4559/4566) pathology test
-One Prostate (PSA) for males aged 45years and older. Limited to one test every two years. (tariff code 4519) pathology test
-One osteoporisis Screen (bone densiotomy) for all beneficiaries aged 50 years and older every 2 years.
-One breast cancer screening (mammogram) female beneficiaries aged 50 - 74 years every 2 years.
-Annual Flu vaccine for all beneficiaries aged 6years and older.
-One pnuemococcal vaccine for beneficiaries aged 65 years and older per life time.
MEDICINES & INJECTION MATERIALM0:1 212
M1:2 414
M2+:3019
Pharmacy Advised Therapy (OTC)

Script limit
COntraceptives (oral) within acute medicine limit
M0: 559
M1:885
M2+: 1 149

E210 per script MPL
E105 per script MPL
RADIOLOGY & RADIOGRAPHY
Out of Hospital		E1960 per family