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