Dialysis

HIGH COVER LEVEL 1

BONITAS

2021
BonComprehensive

BESTMED

2021
Pace 3

DISCOVERY

2021
Classic Comprehensive

FEDHEALTH

2021
MaximaExec

MEDIHELP

2021
Plus

MOMENTUM

2021
Extender –
Any Hospital, Any Chronic

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Unlimited. Subject to pre-authorisation. Protocols apply

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Limited to R600,600 per family at DSP

Unlimited. Subject to pre-authorisation and clinical protocols

Unlimited, subject to Management Programme

HIGH COVER LEVEL 2

BONITAS

2021
BonClassic

BESTMED

2021
Page

DISCOVERY

2021
Essential Comprehensive

FEDHEALTH

MEDIHELP

2021
Elite

MOMENTUM

2021
Extender: Any (Chronic: Any)

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Unlimited. Subject to pre-authorisation. Protocols apply

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Unlimited. Subject to pre-authorisation and clinical protocols

Unlimited, subject to Management Programme

MEDIUM-HIGH LEVEL 1 COVER

BONITAS

2021
BonComplete

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

MEDIHELP

MOMENTUM

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

MEDIUM-HIGH LEVEL 2 COVER

BONITAS

2021
Standard

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

2021
FlexiFed 4 Any Hospital

MEDIHELP

2021
Prime 3

MOMENTUM

2021
Incentive:
Any Hospital, Any Chronic

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Limited to R480,400 at 100% of Fedhealth Rate

Unlimited. Subject to pre-authorisation and clinical protocols

Unlimited, subject to Management Programme

MEDIUM-HIGH LEVEL 3 COVER

BONITAS

2021
Standard Select

BESTMED

2021
Pace 1

DISCOVERY

2021
Essential Delta Comprehensive

FEDHEALTH

2021
FlexiFed 4 GRID

MEDIHELP

2021
Prime 3 Network

MOMENTUM

2021
Incentive – Associated Hospital, Associated Chronic

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Limited to R480,400 at 100% of Fedhealth Rate

Unlimited. Subject to pre-authorisation and clinical protocols

Unlimited, subject to Management Programme

MEDIUM-LOW COVER 1

BONITAS

2021
BonSave

BESTMED

2021
Beat 3

DISCOVERY

2021
Classic Saver, Coastal Saver & Classic Delta Saver

FEDHEALTH

2021
Unify

MEDIHELP

2021
Prime 3 (Network)

MOMENTUM

2021
Incentive – Any Hospital, Associated Chronic

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Limited to R300,200 at 100% of Fedhealth Rate

Unlimited. Subject to pre-authorisation and clinical protocols

Unlimited, subject to Management Programme

MEDIUM-LOW COVER 2

BONITAS

2021
Primary

BESTMED

2021
Beat 2

DISCOVERY

2021
Essential Saver

FEDHEALTH

2021
FlexiFed 2 Any Hospital

MEDIHELP

2021
Prime 2

MOMENTUM

2021
Incentive – Any Hospital, Associated Chronic

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Unlimited at cost at PMB level of care (e.g aorta stent-grafts, intraocular lenses etc.) Refer to member guide for full details

Unlimited. Acute (subject to hospital authorisation) and Chronic (subject to pre- authorisation and clinical protocols)

Unlimited, subject to Management Programme

MEDIUM-LOW COVER 3

BONITAS

2021
Primary Select

BESTMED

2021
Beat 2 Network

DISCOVERY

2021
Essential Delta Saver

FEDHEALTH

2021
FlexiFed 2 GRID

MEDIHELP

2021
Prime 2 Network

MOMENTUM

2021
Incentive – Associated Hospital, Associated Chronic

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Limited to R300,200 at 100% of Fedhealth Rate

Unlimited. Acute (subject to hospital authorisation) and Chronic (subject to pre- authorisation and clinical protocols)

Unlimited, subject to Management Programme

MEDIUM-LOW COVER 4

BONITAS

2021
BonFit Select

BESTMED

2021
Beat 3 Network

DISCOVERY

2021
Essential Delta Saver

FEDHEALTH

2021
FlexiFed 3 GRID

MEDIHELP

2021
Prime 2 Network

MOMENTUM

2021
Incentive – Associated Hospital, Associated Chronic

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Limited to R300,200 at 100% of Fedhealth Rate

Unlimited. Acute (subject to hospital authorisation) and Chronic (subject to pre- authorisation and clinical protocols)

Unlimited, subject to Management Programme

HOSPITAL COVER 1

BONITAS

2021
Hospital Standard

BESTMED

2021
Beat 1

DISCOVERY

2021
Essential Core

FEDHEALTH

MEDIHELP

MOMENTUM

2021
Custom – Any Hospital, Associated Chronic

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Subject to registration, approval of treatment plan and use of network provider, otherwise co-payments will apply

Unlimited, subject to Management Programme

HOSPITAL COVER 2 

BONITAS

2021
Bon-Essential

BESTMED

2021
Beat 1

DISCOVERY

2021
Essential Core

FEDHEALTH

MEDIHELP

Custom – Any Hospital, Associated Chronic

MOMENTUM

2021
Prime

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Subject to registration, approval of treatment plan and use of network provider, otherwise co-payments will apply

Unlimited. Acute (subject to hospital authorisation) and Chronic (subject to pre- authorisation and clinical protocols)

Unlimited, subject to Management Programme

HOSPITAL COVER 3

BONITAS

2021
Bon-Essential Select

BESTMED

2021
Beat 1 Network

DISCOVERY

2021
Essential Delta Core & Coastal Core

FEDHEALTH

FlexiFed 1 Network Hospitals

MEDIHELP

Custom – Associated Hospital, Associated Chronic

MOMENTUM

2021
Prime 1 Network

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Subject to registration, approval of treatment plan and use of network provider, otherwise co-payments will apply

Unlimited at cost at PMB level of care

Unlimited. Acute (subject to hospital authorisation) and Chronic (subject to pre- authorisation and clinical protocols)

Unlimited, subject to Management Programme

Primary Care Network

BONITAS

2021
BonCap

BESTMED

2021
Pulse 1

DISCOVERY

2021
KeyCare Plus

FEDHEALTH

MyFed

MEDIHELP

Ingwe Network

MOMENTUM

2021
Necesse Network

Unlimited at a DSP or 20% co-payment applies at a non-DSP

PMBs only. Subject to DSPs

Subject to registration, approval of treatment plan and use of network provider or state facility.

Unlimited at cost at PMB level of care at DSP. A 40% co-payment is applicable, for voluntary non-DSP utilisation

Subject to Prescribed Minimum Benefits

Limited to Prescribed Minimum Benefits at State facilities