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