Maternity Benefits

Maternity Benefits

(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