Is prescribed medicine covered?

There is a limit for prescribed medicine. For example, the individual limit is R8 520. If a member has already spent R5 000 according to the ceiling prices given in the Medicine Price List when they reach the threshold level, then they will only have R3 520 available to spend from the Threshold Benefit for prescribed medicine. When they are in the Threshold Benefit, they get cover for prescribed medicine only at the ceiling price of the Medicine Price List. They are responsible for paying the difference.