8. Internal Prosthesis

8.1 What is an Internal Prosthesis?
It is a device implanted during an operation into the body as an internal supporting mechanism and/or which for functional medical reasons are implanted as a prosthesis to replace parts of the body.

8.2 What benefits are allowed in respect of Internal Medical and Surgical accessories?
The following limits apply based on the type of accessory and prosthesis:

• Cardiac stents, limited to R30 000 and a maximum of 2 stents per Beneficiary per Year
  
• Cardiac pacemakers, limited to R35 000 per Beneficiary per Year
  
• Cardiac valves, limited to R25 000 per Beneficiary per Year
  
• Hip Replacement, limited to R35 000 (Selfmed 80% and Med Elite) per Beneficiary per Year or in the case of simultaneous bilateral
  hip replacement, limited to R70 000 (Selfmed 80% and Med Elite) per Beneficiary per year
• Total Elbow Replacement, limited to R25 000 per Beneficiary per Year (Selfmed 80% and Med Elite)
  
• Knee Replacement, limited to R35 000 (Selfmed 80% and Med Elite) per Beneficiary per Year or in the case of simultaneous bilateral
  knee replacement, limited to R70 000 (Selfmed 80% and Med Elite) per Beneficiary per year
  
• Total Shoulder Replacement, limited to R25 000 per Beneficiary per Year (Selfmed 80% and Med Elite)
  
• Total Ankle Replacement, limited to R25 000 per Beneficiary per Year (Selfmed 80% and Med Elite)
  
• Spinal Plates and Screws, limited to R30 000 (Selfmed 80% and Med Elite) per Beneficiary per Year
  
• Bone Lengthening Devices, limited to R25 000 per Beneficiary per Year
  
• Carotid Stents, limited to R12 000 per Beneficiary per Year
  
• Aorta Stent Grafts, limited to R35 000 per Beneficiary per Year
• Peripheral Arterial Stent Grafts, limited to R25 000 per Beneficiary per Year
  
• Embolic Protection Devices, limited to R30 000 per Beneficiary per Year
  
• Internal Sphincters and Stimulators, limited to R30 000 per family per Year
  
• Internal Fixation Devices for Fractures, limited to R24 000 (Selfmed 80% and Med Elite) per Beneficiary per Year
  
• Cerebral Aneurysm Coils, limited to R30 000 per Beneficiary per Year
  
• Spinal Implantable Devices, limited to R30 000 (Selfmed 80% and Med Elite) per Beneficiary per Year
  
• Intraocular lens post cataract removal, limited to R1 800 per Beneficiary per Year if procedure was performed on one eye only, or R3 600 per Beneficiary per Year for both eyes.
  
• Any other internal prosthesis not listed above, limited to R20 000 per Beneficiary per Year.