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