Contributions

CONTRIBUTION TABLES

EFFECTIVE FROM 1 July 2023

IMPERIAL MOTUS MED HEALTH PLAN
Income category	Principal member	Adult dependant	Per child (max 3)
R0 - R4 090	R2 655	R2 121	R478
R4 091 - R6 130	R3 000	R2 402	R540
R6 131 - R8 150	R3 332	R2 666	R601
R8 151 - R9 280	R3 708	R2 969	R669
R9 281 - R11 120	R3 745	R2 999	R675
R11 121 - R12 950	R3 783	R3 027	R683
R12 951 - R14 820	R3 814	R3 057	R690
R14 821 - R16 700	R3 853	R3 084	R697
R16 701+	R3 893	R3 117	R702

IMPERIAL MOTUS MED BUDGET PLAN
Income category	Principal member	Adult dependant	Per child (max 3)
R0 - R14 820	R1 867	R1 497	R396
R14 821 - R16 700	R1 989	R1 591	R467
R16 701 - R18 550	R2 156	R1 723	R551
R18 551 - R20 410	R2 483	R1 986	R596
R20 411+	R3 525	R2 817	R636

*Contributions are only charged for up to a maximum of three children

Required information

The Scheme's registered name

PG Group Medical Scheme
The main member and the patient treated

The main member's name and the name of the patient treated (main member or dependant) as registered and indicated on the membership card
Membership number

The Membership number as indicated on the membership card
The doctor's practice number

Doctors registration number on the Health Professions Council of South Africa
ICD-10 code(s)

This is a diagnosis code, eg."J11.1"
Signed Proof of Payment

Proof of payment signed by the member and indicated as 'PAID' (where applicable).

Required information

Your membership number

Your Medical Aid Membership Number on your card
The name and practice details of the admitting doctor

The Doctor who is to performing the procedure should provide this
The date of admission to hospital or clinic

Date at which the patient gets admitted or Procedure Date if it occurs on the same day
The name of hospital or clinic

The Doctor, Hospital or Clinic can provide
The medical condition

The Doctor who is to performing the procedure should provide this
The diagnosis / the ICD-10/ Procedure codes / The type of procedure

The Doctor who is to perform the procedure needs to provide
The expected length of stay

How long the patient is expected to stay in the Hospital / Clinic

1Basic Contributions
2Late Joiner Penalties

person

Main Member

person_add

Dependants

Adult Dependants

Minor Dependants

Basic Contributions R{{total}} CALCULATING...

Any subsidies paid by the employer in respect of qualifying continuation members will continue. Active principal members who are part of the bargaining sector will continue to receive the employer's subsidy in terms of their current legal employment agreement. Active principal members who have converted to total cost of employment (TCoE) remuneration packages, pay full contribution indicated above.

Pensioners and retirees' income (that is used to determine their income bands and contributions) is based on 50% of their last BPSA pensionable earnings before retirement. This amount is increased by the consumer price index (CPI) every year.

Are you joining the Medical Aid on the same date you are joining the company?

			Years without Medical Aid cover
1	Main Member
{{$index + 2}}	Adult Dependant

Years Without Medical Aid Cover

Up to the age of 21, a dependants cover is regarded as years without cover. Medical Insurances not registered to the Council of Medical Schemes are not regarded as credible cover. Medical cover overseas is also not regarded as credible cover.

Basic Contributions R{{total | number: 2}}

+ Late Joiner Penalties R{{addUpTotal(0,latejoiner_total_member,latejoiner_total_dependant) | number: 2}} CALCULATING...

Total Contributions R{{addUpTotal(total,latejoiner_total_member,latejoiner_total_dependant) | number: 2}} CALCULATING...

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Imperial Motus Med

Imperial Motus Med

Contributions

CONTRIBUTION TABLES

Required information

The Scheme's registered name

The main member and the patient treated

Membership number

The doctor's practice number

ICD-10 code(s)

Signed Proof of Payment

Required information

Your membership number

The name and practice details of the admitting doctor

The date of admission to hospital or clinic

The name of hospital or clinic

The medical condition

The diagnosis / the ICD-10/ Procedure codes / The type of procedure

The expected length of stay

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