PLAN PROFILE

BESTMED

BONITAS

DISCOVERY

FEDHEALTH

MEDIHELP

MOMENTUM

PROFMED

Comprehensive

High Cover

R 8 280

R 9 853

R 8 381

R 9 419

R 12 792

R 9 456

R 11 883

Comprehensive

High Cover

-

-

-

Price From

R 7 212

R 6 732

-

R 7 368

R 8 315

-

Comprehensive

Medium to High Cover 

-

Price From

R 5 061

R 5 359

R 5 272

R 4 782

R 4 970

R 6 531

Comprehensive

Medium to High Cover 

-

Price From

-

R 4 922

R 5 272

R 5 081

R 4 782

R 3 932

R 5 349

Comprehensive

Medium to High Cover 

-

Price From

-

R 4 448

R 4 531

R 4 552

R 3 918

R 3 932

R 4 816

Hospital & Savings

Medium to low cover

-

Price From

R 3 352

R 3 447

R 3 342

R 3 404

R 3 516

R 4 279

Hospital & Savings

Medium to low cover

Price From

R 2 545

R 2 993

R 3 351

R 3 328

R 2 820

R 3 932

R 3 026

Hospital & Savings

Medium to low cover

Price From

R 2 289

R 2 619

R 2 673

R 2 984

R 2 676

R 3 932

R 2 723

Hospital & Savings

Medium to low cover

-

Price From

-

R 2 295

R 2 673

R 2 984

R 2 676

R 3 932

R 2 723

Capitation

Low Cover

-

-

-

-

Price From

-

R 1 754

R 2 627

-

-

R 1 687

-

Capitation

Low Cover

-

-

-

Price From

-

R 1 378

R 1 881

-

R 1 476

R 1 687

-

Hospital Plan

-

-

-

-

-

Price From

-

R 2 964

R 3 322

-

-

-

-

Hospital Plan

-

Price From

R 2 082

R 2 287

R 2 855

R 2 201

R 2 256

R 3 284

-

Hospital Plan

Price From

R 1 873

R 1 998

R 2 281

R 1 716

R 2 022

R 2 775

R 2 197

Primary Care

Network & Income Based

-

Price From

R 1 432

R 1 430

R 1 652

R 965

R 894

R 942

-

Last Update: 11/2023

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

Ambulance 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)