PLAN PROFILE

DESCRIPTION

DISCOVERY

BONITAS

BESTMED

FEDHEALTH

MEDIHELP

MOMENTUM

High Cover

Hospital
Savings
Threshold Benefit

Price From

R 5 954

R 7 715

R 6 658

R 6 816

R 9 714

R 7 419

High Cover

Hospital
Savings
Threshold Benefit

             

Price From

        R 5 003
        R 5 330
       R 5 800
             
        R 5 610
        R 7 419

Medium/ High Cover

Hospital
Savings
Threshold Benefit

             
  
 

Price From

         R 3 814

R 4 291

R 4 083

 

Medium/ High Cover

Hospital
Savings
Threshold Benefit

Price From

       R 3 814

        R 4 044

 R 4 083

R 3 747

R 3 828

R 3 899

Medium/ High Cover

Hospital
Savings
Threshold Benefit

Price From

        R 4 507

         R 3 589

R 4 083

R 3 326

R 3 138

        R 3 113

Medium/ Low Cover 

Hospital
Savings

Price From

        R 3 290

        R 2 847

R 3 117

R 2 825

R 2 748

R 3 388

Medium/ Low Cover 

Hospital
Savings

Price From

       R 2 615

        R 2 537

R 2 053

R 2 500

R 2 934

R 3 388

Medium/ Low Cover 

Hospital
Savings

Price From

R 2 085

R 2 180

R 1 847

R 2 222

R 2 286

R 3 113

Medium/ Low Cover 

Hospital
Savings

Price From

R 2 085

R 2 152

R 2 805

R 2 511

R 2 286

R 3 113

Hospital Cover

Hospital Cover



Price From

R 2 104

R 2 434

R 1 680

 

R 2 601

Hospital Cover

   Hospital Cover
              

Price From

 

R 2 104

R 1 962

R 1 680

R 2 202

R 2 601

Hospital Cover

Hospital Cover

Price From

 

R 1 681

R 1 675

R 1 511

R 1 788

R 1 722

R 2 194

Primary Care Network

Hospital
certain day-to-day cover included

Price From (Based on Gross Income)


     R 0 - R 8 550 
        = R 1 207
      R 0 - R 8 900 
         = R 1 212
     R 0 - R 5 500 
       = R 1 694

      R 0 - R 6 251
         = R 1 128

   R 601 - R 11 000
         = R 2 334

   R 751 - R 7 450
        = R 940

IN-HOSPITAL BENEFITS

In hospital Benefits

Rate of Cover for Specialist  fees during  hospitalisation Hospitals that may be utilized (Pre-authorisation is required before treatment starts, or in case of an emergency within the next two business days) Overall limits &  Deductibles

Oncology/Cancer

(In & Out of Hospital)

Listed Procedures

Procedures normally performed in hospital, performed in Doctor's room/Day Ward e.g.Gastroscopy, etc.

MRI & CAT Scans

(In & Out of Hospital)

HIV/Aids

Sub limits on Medicine might apply

Ambulances Services/Administrators used by the Scheme

(In case of an Emergency any service can be used)

Discharge Medicine

(Take Home Medicine)

Emergency Ward Treatment

which does not result in Hospitalisation

Post Hospitalisation Benefit

(Treatment after discharge pertaining to hospitalisation paid from Risk benefits)

Internally Implanted Prostheses

(Limits apply only on Prostheses)

Dialysis

Unlimited. Subject to approval of treatment plan and use of network provider, otherwise co-payment will apply

Chronic Benefits

All Schemes provide unlimited Prescribed Minimum Benefits (PMB) for the treatment of Conditions (Chronic Disease List)

Maternity Benefits

(In & Out of Hospital)

OUT-OF-HOSPITAL BENEFITS

Basic dentistry

(Consultations, Oral hygiene, Extractions & Fillings)

Specialised/Advanced Dentistry

(Consultations, Oral hygiene, Extractions & Fillings)

Mental Health

Out of Hospital

Auxiliary Services

(Homeopaths, Dieticians, Clinical psychologists, Speech therapists, Physiotherapy, Chiropractors & Occupational therapists)