Liberty Medical Scheme (LMS)

2013 Brief Overview

Options 2013

Day-to-Day Extender paid from MMB

Private Option

Complete Options Saver options Hospital OptionsNetwork Option

PrestigePlatinum Complete

TitanTitan

SelectPlatinum

SaverGold Saver

Gold SaverSelect

Platinum Focus

Gold Focus

Gold Focus Select

Bona Plus

Disease Management

Chronic Benefit

Other Major Medical Benefits

Hospitalisation

Major Medical Benefits (MMB)

Casualty

Day Procedures

MRI/CT Scan

Crime Trauma

Preventative Care

Day-to-Day Benefits

Self-Fund

Threshold Benefit

Medical Savings Facility Medical Savings Facility

Day-to-Day Benefits

•Consultations•Basic Dentistry•Pathology•Basic Radiology

•Routine Medication•Specialised Dentistry•Optometry•Therapies•External Appliances•Mental Health

PrestigePlatinum Complete

TitanTitan

SelectPlatinum

SaverGold Saver

Gold SaverSelect

Platinum Focus

Gold Focus

Gold Focus Select

R 19 000 per beneficiary

Sub-limits apply to certain benefits

Medical Savings Facility

Self-Funded

15% 15% 10% 15%

M: R6 252A: R4 644C: R1 800

M: R 3 396A: R 2 712C: R 912

M: R 2 436A: R 2196C: R 792

M: R 2 760A: R 2 256C: R 1008

Self-Payment GAP

M: R 2 123A: R 1 621C: R 703

M: R 919A: R 679C: R 319

Threshold Level

Above Threshold Benefit

Unlimited Benefits

M: R 3 290A: R 1 940C: R 850

Limited Benefits

Basic & Special DENTISTRY paid

from RISK

LMS Network GP’s will be re-imbursed @ 115% of the LMS Rate

Claims are paid at the LMS Rate on all options

Complementary Products to

Liberty Medical Scheme

Complementary Products to Liberty Medical Scheme