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07 July 2011

What are day-to-day limits?

Knowing the limits of you medical schemes and hospital plans are very important. Here's what you need to know.

What are limits?

On low-cost medical schemes these day-to-day limits are often not very high, but the hospital cover is quite sufficient. This is how that particular option within a medical scheme can afford to keep the monthly contributions low. On some options within a medical scheme, the day-to-day limits could be high, but this will then be reflected in the higher monthly contribution. If a medical scheme covers 80% of the NRPL rate of a visit to the GP, the remainder of 20% will have to be paid by the member. If the GP charges more than NRPL rate, the difference will be for the member's own account.

 
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