Emergency Ward Treatment
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
Subject to Savings and ATB
Wound care benefit: Savings first. Limit of R10,687 per family, subject to overall day-to- day limit
Subject to available Savings and Threshold
Unlimited at 100% of Fedhealth Rate
Subject to Pooled Benefit
Subject to available Savings & Threshold (Unlimited once Threshold is reached)
HIGH COVER LEVEL 2
BONITAS
2021
BonClassic
BESTMED
2021
Page
DISCOVERY
2021
Essential Comprehensive
FEDHEALTH
MEDIHELP
2021
Elite
MOMENTUM
2021
Extender: Any (Chronic: Any)
Subject to Savings
Wound care benefit: Savings first. Limit of R6,887per family, subject to overall day-to- day limit
Subject to available Savings and Threshold
Subject to Day-to-Day Benefits
Subject to available Savings & Threshold (Unlimited once Threshold is reached)
MEDIUM-HIGH LEVEL 1 COVER
BONITAS
2021
BonComplete
BESTMED
2021
Pace 1
DISCOVERY
2021
Classic Priority
FEDHEALTH
MEDIHELP
MOMENTUM
Subject to Savings and ATB
Wound care benefit: Savings first. Limit of R3,622 per family, subject to overall day-to- day limit
Subject to available Savings and Threshold
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
Subject to Day-to-Day Benefits
Wound care benefit: Savings first. Limit of R3,622 per family, subject to overall day-to- day limit
Subject to available Savings and Threshold
Unlimited at 100% of Fedhealth Rate. Co- payment of R630 per visit for non-PMBs
Subject to Day-to-Day Benefits
Subject to Savings, if available
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
Subject to Day-to-Day Benefits
Wound care benefit: Savings first. Limit of R3,622 per family, subject to overall day-to- day limit
Subject to available Savings and Threshold
Unlimited at 100% of Fedhealth Rate. Co- payment of R630 per visit for non-PMBs
Subject to Day-to-Day Benefits
Subject to Savings, if available
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
Subject to Savings
Wound care benefit: Limit of R3,527 per family
Subject to available Savings
Unlimited at 100% of Fedhealth Rate. Co- payment of R630 per visit for non-PMBs
Subject to Savings
Subject to Savings, if available
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
Subject to Day-to-Day Benefits
Wound care benefit: Limit of R3,527 per family
Subject to available Savings
Unlimited at 100% of Fedhealth Rate. Co- payment of R630 per visit for non-PMBs
Subject to Savings
Subject to Savings, if available
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
Subject to Day-to-Day Benefits
Wound care benefit: Limit of R3,527 per family
Subject to available Savings
Europ AssistaUnlimited at 100% of Fedhealth Rate. Co- payment of R630 per visit for non-PMBsnce
Subject to Savings
Subject to Savings, if available
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
Subject to Savings
Wound care benefit: Limit of R3,527 per family
Subject to available Savings
Unlimited at 100% of Fedhealth Rate. Co- payment of R630 per visit for non-PMBs
Subject to Savings
Subject to Savings, if available
HOSPITAL COVER 1
BONITAS
2021
Hospital Standard
BESTMED
2021
Beat 1
DISCOVERY
2021
Essential Core
FEDHEALTH
MEDIHELP
MOMENTUM
2021
Custom – Any Hospital, Associated Chronic
No Benefit
Wound care benefit: Limit of R3,527 per family
No Benefit
Subject to Health Saver, if available
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
No Benefit
ER24
No Benefit
Subject to Day-to-Day Benefits
Subject to Health Saver, if available
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
No Benefit
Wound care benefit: Limit of R3,527 per family
No Benefit
Unlimited at 100% of Fedhealth Rate. Co- payment of R630 per visit for non-PMBs
Subject to Day-to-Day Benefits
Subject to Health Saver, if available
Primary Care Network
BONITAS
2021
BonCap
BESTMED
2021
Pulse 1
DISCOVERY
2021
KeyCare Plus
FEDHEALTH
MyFed
MEDIHELP
Ingwe Network
MOMENTUM
2021
Necesse Network
No Benefit
No wound care benefit
Cover for one casualty visit at any casualty unit within Keycare Hospital Network.
Member pays first R390 of consultation
Unlimited at 100% of Fedhealth Rate. Co- payment of R630 per visit for non-PMBs
Outpatient emergency unit services, non- network consultations benefit amount (80% of the MT)
Subject to out-of-network GP, casualty OR after-hours visits: 1 visit pbpa, max of 2 visits pfpa. Subject to authorisation within 72 hours else 30% co-payment applies