HIV/Aids

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R75,600 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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 Anti- retroviral treatment, R75,600 per family for HIV related admissions

MEDIUM-HIGH LEVEL 1 COVER

BONITAS

2021
BonComplete

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

MEDIHELP

MOMENTUM

Unlimited, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

Subject to registration on HIVCare Programme and use of Network Providers. 20% co-pay applies for use of non DSP

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R75,600 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R75,600 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R75,600 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R75,600 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R75,600 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R75,600 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R69,900 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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 Anti- retroviral treatment, R69,900 per family for HIV related admissions

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, subject to registration on the HIV/AIDS programme (Aid for Aids). Chronic medication must be be obtained by a DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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, R69,900 per family for HIV related admissions

Primary Care Network

BONITAS

2021
BonCap

BESTMED

2021
Pulse 1

DISCOVERY

2021
KeyCare Plus

FEDHEALTH

MyFed

MEDIHELP

Ingwe Network

MOMENTUM

2021
Necesse Network

Subject to PMB and registration on the HIV/AIDS programme (Aid for AIDS). Chronic meds must be obtained from the DSP

Unlimited. Subject to registration on the HIV/AID programme. DSP and protocols apply

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: R33,200 per family for Anit-retroviral treatment, R34,000 per family for HIV related admissions