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 equivalent of a single member in the monthly income band of the principal member.

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.

 

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.

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 1642 9423 3083 4783 5643 792
3,001 - 4,0002 2963 1343 5463 6943 8084 032
4,001 - 5,0002 3143 1923 5983 7663 884 4 106
5001 - 6,0002 3903 2463 6383 8303 922 4 184

Swazimed Standard Benefit Contributions (Policy 2)

Income BandM+0M+1M+2M+3M+4M5+
0 - 30001 8742 5602 8723 0083 1223 284
3,001 - 4,0001 8882 5862 9043 0303 1623 302
4,001 - 5,0001 9082 6322 9423 0903 180 3 374
5, 001 - 6,0001 9262 6482 9763 1403 1943 414
6,001 - PLUS1 9622 6702 9963 1663 2283 450

Swazimed Medium Benefit Contributions (Policy 3)

Income BandM+0M+1M+2M+3M+4M5+
0 - 4,0006001 0281 0621 1161 1861 234
4001 - 60006281 0781 1101 1641 2361 290
6001 - PLUS7141 2141 2601 3201 3981 462

Swazimed Hospital Benefit Contributions (Policy 4)

Income BandM+0M+1M+2M+3M+4M5+
0 - 1,0005809129721 0361 0981 116
1, 001 - 2,0008321 1421 3021 3481 3481 452
2, 001 - PLUS8921 2041 3521 4301 4301 578

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

Income BandM+0M+1M+2M+3M+4M5+
0 - 100068010121072113611981216
1001 - 2000103212421402144814641552
2001 - PLUS109213041452153015541678

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

Income BandM+0M+1M+2M+3M+4M5+
0 - 10007801 1121 1721 2361 2981 316
1001 - 20001 0321 3421 5051 5481 5641 652
2001 - PLUS1 0921 4041 5521 6301 6541 778

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

Income BandM+0M+1M+2M+3M+4M5+
0 - 10008801 2121 2721 3361 3981 416
1001 - 20001 1321 4421 6021 6481 6641 752
2,001 - PLUS1 1921 5041 6521 7301 7541 878

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

Income BandM+0M+1M+2M+3M+4M5+
0 -10009801 3121 3721 4361 4981 516
1001 - 20001 2321 5421 7021 7481 7641 852
2001 - PLUS1 2921 6041 7521 8301 8541 978

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

Income BandM+0M+1M+2M+3M+4 M5+
0 - 10001 0801 4121 4721 5361 5981 6 16
1001 - 20001 3321 6421 8021 8481 8641 952
2001 - PLUS1 3921 7041 8521 9301 954 2 078

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

Income BandM+0M+1M+2M+3M+4M5+
0 - 1000118015121572163616981716
1001 - 2000143217421902194819642052
2001 - PLUS149218041952203020542178

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

Income BandM+0M+1M+2M+3M+4M5+
0 - 1000128016121672173617981816
1001 - 2000153218422002204820642152
2001 - PLUS159219042052213021542278

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

Income BandM+0M+1M+2M+3M+4M5+
0 - 10001 38017121772 183618981916
1001 - 2000163219422102214821642252
2001 - PLUS169220042152223022542378

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

Income BandM+0M+1M+2M+3M+4M5+
0 - 1000138017121772183618981916
1001 - 2000163219422102214821642252
2001 - PLUS169220042152223022542378

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

Income BandM+0M+1M+2M+3M+4M5+
0 - 1000158019121972203620982116
1001 - 2000183221422302234823642452
2001 - PLUS189222042352243024542578

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