Maternity Benefits

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

In Hospital: Unlimited. Access to Private Ward
Out of Hospital: 12 Antenatal visits, 2 x 2D scans, 1 amniocentesis, 4 postnatal visits with a midwife, R1,280 antenatal classes

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

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean. Private ward up to R2,220
Out of Hospital: 12 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2x 2D scans, R5,350 for essential registered devices (25% co-pay applies), 5 pre- or postnatal classes

In Hospital: Unlimited at cost with network specialists and GPs. Private ward cover when available for maternity admissions. 2x 2D scans, antenatal classes R1,120, 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: Doula benefit up to R3,000 per delivery, 1 newborn hearing screening test. One consultation per beneficiary with network paediatrician up to 24 months of age

In Hospital: Unlimited. Home Delivery limit of R13,500
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)

HIGH COVER LEVEL 2

BONITAS

2021
BonClassic

BESTMED

2021
Page

DISCOVERY

2021
Essential Comprehensive

FEDHEALTH

MEDIHELP

2021
Elite

MOMENTUM

2021
Extender: Any (Chronic: Any)

In Hospital: Unlimited
Out of Hospital: 12 Antenatal visits, 2 x 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,280 antenatal classes

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

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean. Private ward up to R2,220
Out of Hospital: 12 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2x 2D scans, R5,350 for essential registered devices (25% co-pay applies), 5 pre- or postnatal classes

In Hospital: Unlimited. Home Delivery limit of R13,500
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)

MEDIUM-HIGH LEVEL 1 COVER

BONITAS

2021
BonComplete

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

MEDIHELP

MOMENTUM

In Hospital: Unlimited
Out of Hospital: 6 Antenatal visits, 2 x 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,280 antenatal classes

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

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

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

In Hospital: Unlimited
Out of Hospital: 12 Antenatal visits, 2 x 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,280 antenatal classes

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

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

In Hospital: Unlimited at cost with network specialists and GPs. Private ward for delivery
Out of Hospital: x4 postnatal visits with midwife, x12 ante- and postnatal visits, x2 2D scans, doula benefit up to R3,000 per delivery, antenatal classes up to R1,120. Thereafter paid from Savings / Wallet or self-funded

In Hospital: Unlimited. Home Delivery limit of R13,500
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)

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

In Hospital: Unlimited
Out of Hospital: 12 Antenatal visits, 2 x 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,280 antenatal classes

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

In Hospital: 3 days & 2 nights for natural birth / 4 days & 3 nights for caesarean. Private ward up to R2,220

Out of Hospital: 12 Antenatal visit (GP/Gynae/Midwife), 1 NIPT test, selected blood tests, 2x 2D scans, R5,350 for essential registered devices (25% co-pay applies), 5 pre- or postnatal classes

In Hospital: Unlimited at cost with network specialists and GPs. Private ward for delivery
Out of Hospital: x4 postnatal visits with midwife, x12 ante- and postnatal visits, x2 2D scans, doula benefit up to R3,000 per delivery, antenatal classes up to R1,120. Thereafter paid from Savings / Wallet or self-funded

In Hospital: Unlimited. Home Delivery limit of R13,500
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)

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

In Hospital: Unlimited
Out of Hospital: 6 Antenatal visits, 2 x 2D scans, 1 amniocentesis, 4 post natal visits with a midwife, R1,280 antenatal classes

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

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

In Hospital: Unlimited at cost with network specialists and GPs. Private ward for delivery
Out of Hospital: x4 postnatal visits with midwife, x12 ante- and postnatal visits, x2 2D scans, doula benefit up to R3,000 per delivery, antenatal classes up to R1,120. Thereafter paid from Savings / Wallet or self-funded

In Hospital: Unlimited. Home Delivery limit of R13,500
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)

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

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

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

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

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 R1,120.
Thereafter paid from Savings / Wallet or self-funded

In Hospital: Unlimited. Home Delivery limit of R13,500
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)

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

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

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

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

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 R1,120.
Thereafter paid from Savings / Wallet or self-funded

In Hospital: Unlimited. Home Delivery limit of R13,500
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)

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

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

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

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

In Hospital: Unlimited at cost with network specialists and GPs. Private ward for delivery
Out of Hospital: x4 postnatal visits with midwife, x12 ante- and postnatal visits, x2 2D scans, doula benefit up to R3,000 per delivery, antenatal classes up to R1,120. Thereafter paid from Savings / Wallet or self-funded

In Hospital: Unlimited. Home Delivery limit of R13,500
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 COVER 1

BONITAS

2021
Hospital Standard

BESTMED

2021
Beat 1

DISCOVERY

2021
Essential Core

FEDHEALTH

MEDIHELP

MOMENTUM

2021
Custom – Any Hospital, Associated Chronic

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

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

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

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 COVER 2 

BONITAS

2021
Bon-Essential

BESTMED

2021
Beat 1

DISCOVERY

2021
Essential Core

FEDHEALTH

MEDIHELP

Custom – Any Hospital, Associated Chronic

MOMENTUM

2021
Prime

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

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

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

In Hospital: Unlimited. Home Delivery limit of R13,500
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 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

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

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

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

In Hospital: Unlimited at cost with network specialists and GPs
Out of Hospital: Subject to Savings / Wallet or self-funded

In Hospital: Unlimited. Home Delivery limit of R13,500
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)

Primary Care Network

BONITAS

2021
BonCap

BESTMED

2021
Pulse 1

DISCOVERY

2021
KeyCare Plus

FEDHEALTH

MyFed

MEDIHELP

Ingwe Network

MOMENTUM

2021
Necesse Network

In Hospital: Neonatal care limited to R47,860 per family
Out of Hospital:Subject to GP and Specialist consultation benefits. 4 visits with a midwife after delivery

In Hospital: Covered 100% of scheme rate Out of Hospital: Subject to Provider Network. 9 antenatal consultations, 1 postnatal consutlation, 2x 2D scans, antenatal supplements

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

In Hospital: Unlimited at cost at PMB level of care. Elective caesarean subject to R12,500 co-payment
Out of Hospital: 2x 2D scans by either Network GP or Network Gynaecologist

In Hospital: Unlimited. R27,300 for elective caesarean. R13,500 for home births, pre- auth req.
Out of Hospital: 2 x 2D sonars & 2 consult at dietician, ante-natal classes. Pre- & post- natal 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: 4 antenatal visits, 1 nurse home visit after discharge, 2 growth scans, subject to registration on maternity programme