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
Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Anti- retroviral treatment, R87,900 per family for HIV related admissions
Benefits through the HIV Programme (Lifesense)
Comprehensive
(High Cover)
BESTMED
Pace 2
BONITAS
BonClassic
DISCOVERY
-
FEDHEALTH
-
MEDIHELP
MedElite
MOMENTUM
Extender
(Associated Hospital,
Any Chronic)
PROFMED
-
Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
–
–
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Anti- retroviral treatment, R87,900 per family for HIV related admissions
–
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
Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
–
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Antiretroviral treatment, R87,900 per family for HIV related admissions
Benefits through the HIV Programme (Lifesense)
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
–
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Anti- retroviral treatment, R87,900 per family for HIV related admissions
Benefits through the HIV Programme (Lifesense)
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)
–
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Anti- retroviral treatment, R87,900 per family for HIV related admissions
Benefits through the HIV Programme (Lifesense)
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
-
Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Anti- retroviral treatment, R87,900 per family for HIV related admissions
–
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
Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Anti- retroviral treatment, R87,900 per family for HIV related admissions
Benefits through the HIV Programme (Lifesense)
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)
Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Anti- retroviral treatment, R87,900 per family for HIV related admissions
Benefits through the HIV Programme (Lifesense)
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)
–
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Anti- retroviral treatment, R87,900 per family for HIV related admissions
Benefits through the HIV Programme (Lifesense)
Capitation
(Low Cover)
BESTMED
-
BONITAS
BonStart Plus
(Network)
DISCOVERY
Classic Smart
(Network)
FEDHEALTH
-
MEDIHELP
-
MOMENTUM
Evolve
(Network)
PROFMED
-
–
Subject to PMB and registration on the HIV/AIDS programme (Aid for AIDS). Chronic meds must be obtained from the DSP (30% co-payment for use of non-DSP)
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
–
–
At chosen network provider: Unlimited Anti- retroviral treatment, R45,900 per family for HIV related admissions
–
Capitation
(Low Cover)
BESTMED
-
BONITAS
BonStart
(Network)
DISCOVERY
Essential Smart
(Network)
FEDHEALTH
-
MEDIHELP
MedMove
(Network)
MOMENTUM
Evolve
(Network)
PROFMED
-
–
Subject to PMB and registration on the HIV/AIDS programme (Aid for AIDS). Chronic meds must be obtained from the DSP (30% co-payment for use of non-DSP)
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
–
Subject to Prescribed Minimum Benefits. Listed essential cases – clinical guidelines and pre-authorisation apply
At chosen network provider: Unlimited Anti- retroviral treatment, R45,900 per family for HIV related admissions
–
Hospital Plan
(Hospitalization Cover)
BESTMED
-
BONITAS
Hospital Standard
DISCOVERY
Classic Core
FEDHEALTH
-
MEDIHELP
-
MOMENTUM
-
PROFMED
-
–
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
–
–
–
–
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
-
Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply
Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Antiretroviral treatment, R81,300 per family for HIV related admissions
–
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)
Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply
Subject to PMB and registration on the HIV/AIDS programme (Aid for AIDS). Chronic meds must be obtained from the DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited at cost at PMB level of care. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: Unlimited Antiretroviral
treatment, R81,300 per family for
HIV related admissions
Benefits through the HIV Programme (Lifesense)
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
-
Approved PMBs at DSPs
Subject to PMB and registration on the HIV/AIDS programme (Aid for AIDS). Chronic meds must be obtained from the DSP
Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP
Unlimited. Medication must be obtained from Pharmacy Direct or 40% co-payment will apply
LifeSense Disease Management is the managed healthcare partner for HIV/Aids. DSP for HIV/Aids medicine: Dis-Chem Direct and Medipost
At chosen network provider: R38,500 per family for Anti-retroviral treatment, R39,000 per family for HIV related admissions
–