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 limited to

M=R4,840, M1+R9,8909.

Subject to overall
day-to-day limit

Subject to Savings and Above Threshold Benefit

Subject to Savings. Extender Benefit (DEB):
Covers unlimited pharmacy clinic consultations (DSP Dischem and MediCare) and pharmacy clinic referred GP
consultations per year up to the DHR.
Network GP needs to meet digital criteria (in Self Payment Gap). Unlimited after Threshold is reached

Subject to Savings then unlimited from Risk at Fedhealth Network GPs

R4,300 per person (pooled per family)

Subject to Savings, if available.

(Unlimited once Threshold is reached)

Subject to day-to-day benefits

Comprehensive

(High Cover)

BESTMED

Pace 2

BONITAS

BonClassic

DISCOVERY

-

FEDHEALTH

-

MEDIHELP

MedElite

MOMENTUM

Extender
(Associated Hospital,
Any Chronic)

PROFMED

-

Subject to Savings first, then limited to

M=R4,579, M1+R9,280.

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 limited to

M=R2,472, M1+R4,970.

Subject to overall
day-to-day limit

Subject to Savings and Above Threshold Benefit

Subject to Savings. Extender Benefit (DEB):
Covers unlimited pharmacy clinic consultations (DSP Dischem and MediCare) and pharmacy clinic referred GP
consultations per year up to the DHR.
Network GP needs to meet digital criteria

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

Subject to day-to-day benefits

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:
M=R3,200 | M+1=R4,790 | M+2=R5,330 | M+3+=R6,390

Subject to Savings. Extender Benefit (DEB):
Covers unlimited pharmacy clinic consultations (DSP Dischem and MediCare) and pharmacy clinic referred GP
consultations per year up to the DHR.
Network GP needs to meet digital criteria

Unlimited consultations at nominated Network GP. Non-network GP paid from Savings/ Wallet or self-funded and Threshold

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

Subject to day-to-day benefits

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)

Nominate 2 Network GPs. Subject to Day-to-
Day Benefits.

Sub-limits: M=R3,200 | M+1=R4,790 | M+2=R5,330 | M+3+=R6,390 2 non-nominated GP visits pfpa. Nonnetwork GPs subject to PMBs only

Subject to Savings. Extender Benefit (DEB):
Covers unlimited pharmacy clinic consultations (DSP Dischem and MediCare) and pharmacy clinic referred GP
consultations per year up to the DHR.
Network GP needs to meet digital criteria

Unlimited consultations at nominated Network GP. Non-network GP paid from Savings/ Wallet or self-funded and Threshold

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

Subject to day-to-day benefits

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 Savings. Extender Benefit (DEB):
Covers up to 6 pharmacy clinic consultations (DSP Dischem and MediCare) and pharmacy clinic referred GP consultations
per year up to the DHR. Network GP needs to meet digital criteria

Subject to Savings/ Wallet or self-funded. Unlimited consultations at nominated Network GP, once Benefit Maximizer Threshold Level is reached

Subject to Savings
CHILD CARE BENEFITS:

Limited to R1,200
for GP consults for children 2 to 12yrs, once savings is depleted

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:
M=R2,130 | M+1=R3,730 | M+2+=R4,790

Subject to Savings. Extender Benefit (DEB):
Covers up to 4 pharmacy clinic consultations (DSP Dischem and MediCare) and pharmacy clinic referred GP consultations
per year up to the DHR. Network GP needs to meet digital criteria

Subject to Savings/ Wallet or self-funded. Unlimited consultations at nominated Network GP, once Benefit Maximizer Threshold Level is reached

Limit of M:R2,200 | M+1:R4,050 |
M+2:R4,750 | M+1:R5,100 | M+1:R5,700

Subject to Savings, if available

Subject to day-to-day benefits

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

Nominate 2 Network GPs. Subject to Day-to-Day Benefits. Sub-limits: M=R2,130 | M+1=R3,730 | M+2+=R4,790 2 non-nominated GP visits pfpa. Nonnetwork GPs subject to PMBs only

Subject to Savings. Extender Benefit (DEB):
Covers up to 4 pharmacy clinic consultations (DSP Dischem and MediCare) and pharmacy clinic referred GP consultations
per year up to the DHR. Network GP needs to meet digital criteria

Subject to Savings/ Wallet or self-funded. Unlimited consultations at nominated Network GP, once Benefit Maximizer Threshold Level is reached

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

Subject to day-to-day benefits

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 Savings. Extender Benefit (DEB):
Covers up to 4 pharmacy clinic consultations (DSP Dischem and MediCare) and pharmacy clinic referred GP consultations
per year up to the DHR. Network GP needs to meet digital criteria

Subject to Savings/ Wallet or self-funded. Unlimited consultations at nominated Network GP, once Benefit Maximizer Threshold Level is reached

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

Subject to day-to-day benefits

Capitation

(Low Cover)

BESTMED

-

BONITAS

BonStart Plus
(Network)

DISCOVERY

Classic Smart
(Network)

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

Evolve
(Network)

PROFMED

-

Unlimited network GP consultations. 2 Nonnetwork
GP consults. R65 co-payment per visit. Authorisation required after the 10th visit.. Unlimited virtual care consult. with no co-payment

Unlimited visits at a Smart Network GP. R65 co-payment is applicable. Video consults with your Smart Network GP covered in full

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

-

Unlimited network GP consultations. 2 Nonnetwork
GP consults. R120 co-payment per visit. Authorisation required after the 6th visit. Unlimited virtual care consult. with no co-payment

Unlimited visits at a Smart Network GP. R120 co-payment is applicable. Video consults with your Smart Network GP covered in full

Virtual Network GP: Unlimited. R126 copayment per visit (no co-pay for nurse visits).
Network GP: Unlimited. R126 co-payment per visit (1-10). 11th visit onwards, only listed conditions (no co-payment).
Authorisation after 6th visit and clinical guidelines apply

Subject to Health Saver, if available

Hospital Plan

(Hospitalization Cover)

BESTMED

-

BONITAS

Hospital Standard

DISCOVERY

Classic Core

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

-

PROFMED

-

No Benefit

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. Unlimited consultations at nominated Network GP, once Threshold Level is reached

Subject to Day-to-Day 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. Unlimited consultations at nominated Network GP, once Threshold Level is reached

Subject to Day-to-Day Benefits

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

-

Unlimited GP visits, subject to Bestmed Rhythm Network. Subject to preauthorisation
after the 10th visit. Nurse consultations: Unlimited medically necessary consults for basic primary care.

Unlimited consultations (max 2 Network GPs). Pre-auth required from 8th visit. 1 Out-of-Network visit pb (max 2 pf) limited to R400 per visit (30% co-pay applies)

Unlimited at chosen KeyCare Network GP.
Second GP can be nominated.
Authorisation required after the 15th visit. 4 Out-of-Network GP visit per beneficiary

Unlimited virtual GP consults and 3 face-toface
consults at Network GP. Non-Network GPs limited to 2 Consults per family, subject to 3 in-person consults. Further consults subject to Savings or self-funded

Limit of M:R2,200 | M+1:R4,050 |
M+2:R4,750 | M+1:R5,100 | M+1:R5,700

Unlimited at Primary Care Network GP. Pre- auth required from 11th visit. Subject to out- of-network GP, casualty OR after-hours visits: 1 visit pbpa, max of 2 visits pfpa.
R100 co-payment applies per visit. Subject to authorisation within 72 hours else 30% co-payment applies