PLAN PROFILE | DESCRIPTION | DISCOVERY | BONITAS | BESTMED | FEDHEALTH | MEDIHELP | MOMENTUM |
High Cover | Hospital | ||||||
Price From | R 5 954 | R 7 715 | R 6 658 | R 6 816 | R 9 714 | R 7 419 | |
High Cover | Hospital | ||||||
Price From | R 5 003 | R 5 330 | R 5 800 | R 5 610 | R 7 419 | ||
Medium/ High Cover | Hospital | ||||||
Price From | R 3 814 | R 4 291 | R 4 083 | ||||
Medium/ High Cover | Hospital | ||||||
Price From | R 3 814 | R 4 044 | R 4 083 | R 3 747 | R 3 828 | R 3 899 | |
Medium/ High Cover | Hospital | ||||||
Price From | R 4 507 | R 3 589 | R 4 083 | R 3 326 | R 3 138 | R 3 113 | |
Medium/ Low Cover | Hospital | ||||||
Price From | R 3 290 | R 2 847 | R 3 117 | R 2 825 | R 2 748 | R 3 388 | |
Medium/ Low Cover | Hospital | ||||||
Price From | R 2 615 | R 2 537 | R 2 053 | R 2 500 | R 2 934 | R 3 388 | |
Medium/ Low Cover | Hospital | ||||||
Price From | R 2 085 | R 2 180 | R 1 847 | R 2 222 | R 2 286 | R 3 113 | |
Medium/ Low Cover | Hospital | ||||||
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 | ||||||
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 601 - R 11 000 | R 751 - R 7 450 |
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.
Psychiatric & Psychological Treatment
In Hospital
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)