(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

Limited to
M: R3,550 |
M+1: R4,600 |
M+2: R5,750 |
M+3+: R6,900.
Subject to Day-to- Day Benefits after Savings is depleted

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

Limit of
M:R2,400 |
M+:R3,750
for physiotheraphy treatment and materia

Limited to Prescribed Minimum Benefits at State facilities