(Homeopaths, Dieticians, Clinical psychologists, Speech therapists, Physiotherapy, Chiropractors & Occupational therapists)
Comprehensive
(High Cover)
BESTMED
Pace 3
BONITAS
Bon
Comprehensive
DISCOVERY
Classic Comprehensive
FEDHEALTH
Maxima Exec
MEDIHELP
MedPlus
MOMENTUM
Extender
(Any Hospital,
Any Chronic)
PROFMED
ProPinnacle
Subject to Savings first, then limit of M=R2,956 | M1+R6,212. Subject to overall day-to-day limit
Subject to Savings and ATB
Subject to available Savings and Threshold.
DEB limits: M-R23,500 | M+1-R31,950 | M+2-R38,900 | M+3-R45,150 before and after threshold
Subject to Savings. Limit of R19,400 pfpa once Threshold is reached
R4,300 per person (pooled per family)
Subject to Savings, if available. (Unlimited once Threshold is reached)
Limit of R3,183 per beneficiary, R5,545 per family
Subject to day-to-day limit and PMB
Comprehensive
(High Cover)
BESTMED
Pace 2
BONITAS
BonClassic
DISCOVERY
-
FEDHEALTH
-
MEDIHELP
MedElite
MOMENTUM
Extender
(Associated Hospital,
Any Chronic)
PROFMED
-
Subject to Savings first, then limit of M=R3,500 | M1+R7,000. Subject to overall day-to-day limit
Subject to Savings
–
–
Subject to Savings, if available. (Unlimited once Threshold is reached)
–
Comprehensive
(Medium to High Cover)
BESTMED
Pace 1
BONITAS
BonComplete
DISCOVERY
Classic Priority
FEDHEALTH
-
MEDIHELP
MedPrime
MOMENTUM
Incentive
(Any Hospital,
Any Chronic + Health Saver)
PROFMED
ProSecure Plus
Subject to Savings first, then limit of M=R4,852 | M1+R10,071. Subject to overall day-to-day limit
Subject to Savings and ATB
Subject to available Savings and Threshold.
DEB limits: M-R14,050 | M+1-R19,850 | M+2-R25,700 | M+3-R30,350 before and after threshold
–
Subjec to Savings and Day-to-Day Benefits, after Savings is depleted
Subject to Savings, if available
Limit of R2,978 per beneficiary, R4,929 per family
Subject to day-to-day limit and PMB
Comprehensive
(Medium to High Cover)
BESTMED
-
BONITAS
Standard
DISCOVERY
Classic Priority
FEDHEALTH
FlexiFed 4
(Any Hospital)
MEDIHELP
MedPrime
MOMENTUM
Incentive
(Associated Hospital,
Associated Chronic)
PROFMED
ProSecure
–
Subject to Day-to-Day Benefits. Sub-limits:
Limits: M=R3,200 | M+1=R4,790 |
M+2=R5,330 | M+3+=R6,390
Subject to available Savings and Threshold.
DEB limits: M-R14,050 | M+1-R19,850 | M+2-R25,700 | M+3-R30,350 before and after threshold
Subject to Savings or self-funded
Subjec to Savings and Day-to-Day Benefits, after Savings is depleted
Subject to Savings, if available
Limit of R2,978 per beneficiary, R4,929 per family
Subject to day-to-day limit and PMB
Comprehensive
(Medium to High Cover)
BESTMED
-
BONITAS
Standard Select
(Network)
DISCOVERY
Essential Priority
FEDHEALTH
FlexiFed 4
(GRID)
MEDIHELP
MedPrime Elect
(Network)
MOMENTUM
Incentive
(Associated Hospital,
Associated Chronic)
PROFMED
ProSecure Savvy
(Network)
–
Subject to Day-to-Day Benefits. Sub-limits:
Limits: M=R3,200 | M+1=R4,790 |
M+2=R5,330 | M+3+=R6,390
Subject to available Savings and Threshold.
DEB limits: M-R9,300 | M+1-R14,050 | M+2- R17,450 | M+3-R21,000 before and after threshold
Subject to Savings or self-funded
Subjec to Savings and Day-to-Day Benefits, after Savings is depleted
Subject to Savings, if available
Limit of R2,978 per beneficiary, R4,929 per family
Subject to day-to-day limit and PMB
Hospital & Savings
(Low to Medium Cover)
BESTMED
Beat 3
(Network)
BONITAS
BonSave
DISCOVERY
Classic Delta Saver
(Network)
FEDHEALTH
FlexiFed 3
(GRID)
MEDIHELP
MedSaver
MOMENTUM
Incentive
(Any Hospital,
Associated Chronic)
PROFMED
-
Subject to Savings
Subject to Savings
Subject to available Savings
Subject to Savings or self-funded
Subject to Savings
Subject to Savings, if available
–
Hospital & Savings
(Low to Medium Cover)
BESTMED
Beat 2
BONITAS
Primary
DISCOVERY
Essential Saver
FEDHEALTH
FlexiFed 2
(Any Hospital)
MEDIHELP
MedElect
(Network)
MOMENTUM
Incentive
(Associated Hospital,
Associated Chronic)
PROFMED
ProActive Plus
Subject to Savings
Subject to Day-to-Day Benefits. Sub-limits:
Limits: M=R2,130 | M+1=R2,660 |
M+2+=R3,200
Subject to available Savings
Subject to Savings or self-funded
Limit of M:R2,400 | M+:R3,750 for physiotheraphy treatment and material
Subject to Savings, if available
Subject to PPS Wallet, if available
Hospital & Savings
(Low to Medium Cover)
BESTMED
Beat 2
(Network)
BONITAS
Primary Select
(Network)
DISCOVERY
Essential Delta Saver
(Network)
FEDHEALTH
FlexiFed 2
(GRID)
MEDIHELP
MedAdd Elect
(Network)
MOMENTUM
Incentive
(Associated Hospital,
Associated Chronic)
PROFMED
ProActive Plus Savvy
(Network)
Subject to Savings
Subject to Day-to-Day Benefits. Sub-limits:
Limits: M=R2,130 | M+1=R2,660 |
M+2+=R3,200
Subject to available Savings
Subject to Savings or self-funded
Subject to Savings and Day-to-Day Benefits, after Savings is depleted
Subject to Savings, if available
Subject to PPS Wallet, if available
Hospital & Savings
(Low to Medium Cover)
BESTMED
-
BONITAS
BonFit Select
DISCOVERY
Essential Delta Saver
FEDHEALTH
FlexiFed 2
(GRID)
MEDIHELP
MedAdd Elect
(Network)
MOMENTUM
Incentive
(Associated Hospital,
Associated Chronic)
PROFMED
ProActive Plus Savvy
(Network)
–
Subject to Savings
Subject to available Savings
Subject to Savings or self-funded
Subject to Savings and Day-to-Day Benefits, after Savings is depleted
Subject to Savings, if available
Subject to PPS Wallet, if available
Capitation
(Low Cover)
BESTMED
-
BONITAS
BonStart Plus
(Network)
DISCOVERY
Classic Smart
(Network)
FEDHEALTH
-
MEDIHELP
-
MOMENTUM
Evolve
(Network)
PROFMED
-
–
4 consultations for sport-related injuries at a physiotherapist only. R65 co-payment applies
Sport Injuries: 4 visits to either Physio, Bio or Chiro. Subject to referral of Smart Network GP
–
–
Subject to Health Saver, if available
–
Capitation
(Low Cover)
BESTMED
-
BONITAS
BonStart
(Network)
DISCOVERY
Essential Smart
(Network)
FEDHEALTH
-
MEDIHELP
MedMove
(Network)
MOMENTUM
Evolve
(Network)
PROFMED
-
–
2 consultations for sport-related injuries at a physiotherapist only. R120 co-payment applies
No Benefit
–
No Benefit
Subject to Health Saver, if available
–
Hospital Plan
(Hospitalization Cover)
BESTMED
-
BONITAS
Hospital Standard
DISCOVERY
Classic Core
FEDHEALTH
-
MEDIHELP
-
MOMENTUM
-
PROFMED
-
–
Subject to BENEFIT BOOSTER
No Benefit
–
–
–
–
Hospital Plan
(Hospitalization Cover)
BESTMED
Beat 1
BONITAS
BonEssential
DISCOVERY
Essential Core
FEDHEALTH
FlexiFed 1
(Network)
No Medivault
MEDIHELP
MediVital
MOMENTUM
Custom
(Any Hospital,
Associated Chronic)
PROFMED
-
No Benefit
Subject to BENEFIT BOOSTER
No Benefit
Subject to Savings or self-funded
No Benefits
Subject to Health Saver, if available
–
Hospital Plan
(Hospitalization Cover)
BESTMED
Beat 1
(Network)
BONITAS
BonEssential Select
(Network)
DISCOVERY
Essential Delta Core
(Network)
FEDHEALTH
FlexiFed 1 Elect
(Network)
No Medivault
MEDIHELP
MediVital Elect
(Network)
MOMENTUM
Custom
(Associated Hospital,
Associated Chronic)
PROFMED
ProSelect Savvy
(Network)
No Benefit
Subject to BENEFIT BOOSTER
No Benefit
Subject to Savings or self-funded
No Benefit
Subject to Health Saver, if available
Subject to PPS Wallet, if available
Primary Care
(Network & Income Based)
BESTMED
Rhythm 1
(Network)
BONITAS
BonCap
(Network)
DISCOVERY
KeyCare Plus
(Network)
FEDHEALTH
FlexiFed Savvy
(Network)
MEDIHELP
MedElect Student
(Network)
MOMENTUM
Ingwe
(Network)
PROFMED
-
No Benefit
Subject to PMB
No Benefit
Subject to Savings or self-funded
Limited to Prescribed Minimum Benefits at State facilities
–