(In & Out of Hospital)

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

In Hospital: Covered 100% of scheme rate
Out of Hospital: 9 antenatal consultations, 1 postnatal consutlation, 2x 2D scans, antenatal supplements, 1x Lactation consultation

In Hospital: Unlimited. Access to Private Ward
Out of Hospital: 12 Antenatal
GP/Midwife/Gynae visits, 2 x 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,500 antenatal classes, private ward for birth

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean.
Private ward up to R2,600
Out of Hospital: 12 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2x 2D scans, R5,650 for essential registered devices (25% co-pay applies), 5 pre- or postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs. Private ward cover when available for maternity admissions. 2x 2D scans, antenatal classes R1,160, 12 ante-and/or postnatal consultations with a midwife, network GP or gynaecologist,
amniocentesis. Four postnatal midwife consultations both in-and-out of hospital
Out of Hospital: Subject to Savings, OHEB and Threshold
Additional Cover: x12 Ante- and postnatal consults, x2 2D scans, antenatal classes up to R1,160, doula benefit of R3,600 per
delivery

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

In Hospital: 3 days normal delivery, 4 days ceasarean section
Out of Hospital: 2 2D scans, 13 ante- /postnatal visits, 1 lactation consult, 1 nutrician consult, 1 NIPT, post- natal home-based care

Comprehensive

(High Cover)

BESTMED

Pace 2

BONITAS

BonClassic

DISCOVERY

-

FEDHEALTH

-

MEDIHELP

MedElite

MOMENTUM

Extender
(Associated Hospital,
Any Chronic)

PROFMED

-

In Hospital: Covered 100% of scheme rate
Out of Hospital: 9 antenatal consultations, 1 postnatal consutlation, 2x 2D scans, antenatal supplements, 1x Lactation consultation

In Hospital: Unlimited
Out of Hospital: 12 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,500 antenatal classes

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

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

In Hospital: Covered 100% of scheme rate
Out of Hospital: 9 antenatal consultations, 1 postnatal consutlation, 2x 2D scans, antenatal supplements, 1x Lactation consultation

In Hospital: Unlimited
Out of Hospital: 12 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,500 antenatal classes

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

In Hospital: 3 days normal delivery, 4 days ceasarean section
Out of Hospital: 2 2D scans, 13 ante- /postnatal visits, 1 lactation consult, 1 nutrician consult, 1 NIPT, post- natal home-based care

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

In Hospital: Unlimited
Out of Hospital: 12 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,500 antenatal classes

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: x12 Ante- and postnatal consults, x2 2D scans, doula benefit of R3,600 per deliver, antenatal classes up to R1,160. Thereafter paid from Savings or self-funded

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

In Hospital: 3 days normal delivery, 4 days ceasarean section
Out of Hospital: 2 2D scans, 13 ante- /postnatal visits, 1 lactation consult, 1 nutrician consult, 1 NIPT, post- natal home-based care

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)

In Hospital: Unlimited
Out of Hospital: 12 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,500 antenatal classes

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: x12 Ante- and postnatal consults, x2 2D scans, doula benefit of R3,600 per deliver, antenatal classes up to R1,160. Thereafter paid from Savings or self-funded

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

In Hospital: 3 days normal delivery, 4 days ceasarean section
Out of Hospital: 2 2D scans, 13 ante- /postnatal visits, 1 lactation consult, 1 nutrician consult, 1 NIPT, post- natal home-based care

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

-

In Hospital: Covered 100% of scheme rate
Out of Hospital: 9 antenatal consultations, 1 postnatal consultation, 2x 2D scans, antenatal supplements, 1x Lactation consultation

In Hospital: Unlimited
Out of Hospital: 12 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,500 antenatal classes

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or
postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: x12 Ante- and postnatal consults, x2 2D scans, doula benefit of R3,600 per deliver, antenatal classes up to R1,160. Thereafter paid from Savings or self-funded

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

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

In Hospital: Covered 100% of scheme rate
Out of Hospital: 6 antenatal consultations, 2x 2D ultrasound scans, 1x Lactation consultation

In Hospital: Unlimited
Out of Hospital: 6 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or
postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: x8 Ante- and postnatal consults, x2 2D scans, doula benefit of R3,600 per deliver, antenatal classes up to R1,160. Thereafter paid from Savings or self-funded

In Hospital: Unlimited. R15,600 for home births, pre-auth req.
Out of Hospital: 2 x 2D sonars & 2 consult at dietician, ante-natal classes. Pre- & postnatal care: 10 consultations with midwife, GP, gynae. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

In Hospital: 3 days normal delivery, 4 days ceasarean section
Out of Hospital: 2 2D scans, 6 ante- /postnatal consults

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)

In Hospital: Covered 100% of scheme rate
Out of Hospital: 6 antenatal consultations, 2x 2D ultrasound scans, 1x Lactation consultation

In Hospital: Unlimited
Out of Hospital: 6 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or
postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: x4 postnatal visits with midwife, x8 ante- and postnatal visits, x2 2D scans, doula benefit up to R3,000 per delivery, antenatal classes up to R1,160. Thereafter paid from Savings or self-funded

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

In Hospital: 3 days normal delivery, 4 days ceasarean section
Out of Hospital: 2 2D scans, 6 ante- /postnatal consults

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)

– 

In Hospital: Unlimited
Out of Hospital: 6 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or
postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: x4 postnatal visits with midwife, x8 ante- and postnatal visits, x2 2D scans, doula benefit up to R3,000 per delivery, antenatal classes up to R1,160. Thereafter paid from Savings or self-funded

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in baby’s first year, 1 nurse home visit 1st day after discharge, 2 weeks and 6 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

In Hospital: 3 days normal delivery, 4 days ceasarean section
Out of Hospital: 2 2D scans, 6 ante- /postnatal consults

Capitation

(Low Cover)

BESTMED

-

BONITAS

BonStart Plus
(Network)

DISCOVERY

Classic Smart
(Network)

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

Evolve
(Network)

PROFMED

-

In Hospital: Unlimited on the BonStart Plus Hospital Network. Neonatal care limited to R52,360 per family, emergency approved Csections
only – Mananged Care protocols
apply
Out of Hospital: 6 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for emergency caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes subject to GP Smart Network only (refer to member guide for all listed benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in babys first year, 1 nurse home visit 1st day after discharge and 2 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

Capitation

(Low Cover)

BESTMED

-

BONITAS

BonStart
(Network)

DISCOVERY

Essential Smart
(Network)

FEDHEALTH

-

MEDIHELP

MedMove
(Network)

MOMENTUM

Evolve
(Network)

PROFMED

-

In Hospital: Unlimited on the BonStart Hospital Network. Neonatal care limited to
R52,360 per family, emergency approved Csections only – Mananged Care protocols apply
Out of Hospital: No Benefit

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for emergency caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes subject to GP Smart Network only (refer to member guide for all listed benefits)

In Hospital: Unlimited. R51,000 for neonatal admission. Emegency C-section only, preauth req.
Out of Hospital: No Benefits (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in babys first year, 1 nurse home visit 1st day after discharge and 2 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

Hospital Plan

(Hospitalization Cover)

BESTMED

-

BONITAS

Hospital Standard

DISCOVERY

Classic Core

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

-

PROFMED

-

In Hospital: Unlimited
Out of Hospital: 6 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes (refer to member guide for all listed benefits)

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

-

In Hospital: Covered 100% of scheme rate
Out of Hospital: 6 antenatal consultations, 2x 2D ultrasound scans, 1x Lactation consultation

In Hospital: Unlimited
Out of Hospital: 6 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: Doula benefit of R3,600 per delivery. Postnatal midwifery benefit

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in babys first year, 1 nurse home visit 1st day after discharge and 2 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

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)

In Hospital: Covered 100% of scheme rate
Out of Hospital: 6 antenatal consultations, 2x 2D ultrasound scans, 1x Lactation consultation

In Hospital: Unlimited
Out of Hospital: 6 Antenatal
GP/Midwife/Gynae visits, 2 2D scans, 1 amniocentesis, 4 post natal visits with a midwife

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: Doula benefit of R3,600 per delivery. Postnatal midwifery benefit

In Hospital: Unlimited. Home Delivery limit of R15,600
Out of Hospital: 10 pregnancy
consultations (pro-rata) & 2 x 2D scans per family & 2 paediatrician visits in baby first year. (refer to member guide for full benefits)

In Hospital: Unlimited
Out of Hospital: 12 antenatal visits, 2 scans, 2 paediatric visits in babys first year, 1 nurse home visit 1st day after discharge and 2 weeks after initial visit – subject to registration on maternity programme (refer to member guide)

In Hospital: 3 days normal delivery, 4 days ceasarean section
Out of Hospital: No Benefit, subject to PMB

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

-

In Hospital: Covered 100% of scheme rate
Out of Hospital: Subject to Provider Network. 6 antenatal consultations, 2x 2D scans

In Hospital: Neonatal care limited to R52,960 per family
Out of Hospital: Antenatal Consultations subject to GP and Specialist consultation benefits (includes 2 2D scans). 4 Visits with a midwife after delivery

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for emergency caesarean
Out of Hospital: 8 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2 ultrasound scans, 5 pre- or postnatal classes (refer to member guide for all listed benefits) (refer to member guide for all listed benefits)

In Hospital: Unlimited at cost with network specialists and GPs. Non-network GPs and Specialists limited to R2,500 pfpa
Out of Hospital: Subject to Savings or self-funded

In Hospital: Unlimited. R15,600 for home births, pre-auth req.
Out of Hospital: 2 x 2D sonars & 2 consult at dietician, ante-natal classes. Pre- & postnatal care: 10 consultations with midwife, GP, gynae. (refer to member guide for full benefits)

In Hospital: Unlimited. Caesarean sections: Emergency cover only
Out of Hospital: 7 antenatal visits, 1 nurse home visit after discharge, 2 growth scans, 2 paediatric visits in baby’s first year, subject to registration on maternity programme