Optometry Benefits 2026

SHARE:

SAMWUMED members on both Option A and Option B qualify for optical (eye) cover.

OPTION A

Paid from Capitation Benefits.

Option A Benefits

One composite eye test per beneficiary per benefit cycle is limited to R755 at a Network Provider and R400 at a Non-Network Provider.
One pair of clear single-vision spectacle lenses limited to R225 at a Non-Network Provider or clear flat top bifocal spectacle lenses limited to R480 at a Non-Network Provider or clear multifocal spectacle lenses limited to R810 at a Non-Network Provider.
Lenses are covered in full at PPN Network Provider.
Frame and or lens enhancements per beneficiary are limited to R1,136 at a non-network provider and R1,420 at a PPN Network Provider.
There is no benefit for reading glasses or contact lenses.

OPTION B

Paid from Capitation Benefits.

Option B Benefits

One composite eye test per beneficiary per benefit cycle limited to R800 at Network Provider and R420 at Non-Network Provider.
One pair of clear single vision spectacle lenses limited to R225 (two hundred and twenty five rand only) per lens; or One pair of clear flat top bifocal spectacle lenses limited to R485 (four hundred and eight five rand only) per lens.
One pair of clear multifocal spectacle lenses including branded lens add-on limited to R850 (eight hundred and fifty rand only) per lens.
Lenses are covered in full at a PPN Network Provider.
Frame and or lens enhancements per beneficiary are limited to R1,480 at non-network provider and R1,850 at a PPN Network Provider.
Contact lenses are limited to R3,000 per beneficiary.
There is no benefit for reading glasses.

Conditions:

Optical benefits are subject to Scheme protocols and the PPN Network.
Optical benefits are subject to a 2-Year cycle.
To access benefits members must check their claim status.
To lodge a claim, locate the closest PPN Network Optician, or register a query, members must visit ppn.co.za or Contact PPN at:
Email: info@ppn.co.za or Tel: 041 065 0650.

Optometry Network

SHARE:

HEALTHCARE BENEFITS

Doctor
Benefits

Medication
Benefits

Hospital
Benefits

Maternity
Benefits

Optometry Benefits

Dentistry
Benefits

Radiology Benefits

Appliances Beneﬁts

Pathology & Medical Technology

Physiotherapy & Biokinetics Beneﬁts

(CANCER TREATMENT)

Mental Health & Substance Dependency

Auxillary Beneﬁts

Prostheses Beneﬁts

Ambulance Services

Infertility Services