Mental Health
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
R16,430 per family for consultations, combined with In Hospital Benefit
Subject to Savings first, then overall day-to- day limit
Subject to Auxillary Services
Subject to Savings and Threshold. Limited to R18,700 per family once Threshold is reached (10% co-payment for non GP referral)
Subject to Pooled Benefit
Subject to available Savings & Threshold (Extender Cover limit of R20,600)
HIGH COVER LEVEL 2
BONITAS
2021
BonClassic
BESTMED
2021
Page
DISCOVERY
2021
Essential Comprehensive
FEDHEALTH
MEDIHELP
2021
Elite
MOMENTUM
2021
Extender: Any (Chronic: Any)
R16,430 per family for consultations, combined with In Hospital Benefit
Subject to Savings first, then overall day-to- day limit
Subject to Auxillary Services
Subject to Day-to-Day Benefits
Subject to available Savings & Threshold (Extender Cover limit of R20,600)
MEDIUM-HIGH LEVEL 1 COVER
BONITAS
2021
BonComplete
BESTMED
2021
Pace 1
DISCOVERY
2021
Classic Priority
FEDHEALTH
MEDIHELP
MOMENTUM
Subject to Savings first, then overall day-to- day limit
Subject to Savings and ATB: PPN. Sub- limits apply
Subject to Auxiliary Services Benefit
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
R16,430 per family for consultations, combined with In Hospital Benefit
Subject to Savings first, then overall day-to- day limit
Subject to Auxiliary Services Benefit
Limited to 2 consultations per beneficiary at a Network GP
Subject to Day-to-Day Benefits
Subject to Savings, if available
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
R16,430 per family for consultations, combined with In Hospital Benefit
Subject to Savings first, then overall day-to- day limit
Subject to Auxillary Services
Limited to 2 consultations per beneficiary at a Network GP
Subject to Day-to-Day Benefits
Subject to Savings, if available
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
R16,430 per family for consultations, combined with In Hospital Benefit
Subject to Savings
Subject to available Savings
Limited to 2 consultations per beneficiary at a Network GP
Subject to Savings
Subject to Savings, if available
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
R9,890 per family for consultations, combined with In Hospital Benefit
Subject to Savings
Subject to available Savings
Limited to 2 consultations per beneficiary at a Network GP
Subject to Savings
Subject to Savings, if available
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
R9,890 per family for consultations, combined with In Hospital Benefit
Subject to Savings
Subject to available Savings
Limited to 2 consultations per beneficiary at a Network GP
Subject to Savings
Subject to Savings, if available
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
Subject to Savings. PPN
Subject to Savings
Subject to available Savings
Limited to 2 consultations per beneficiary at a Network GP
Subject to Savings
Subject to Savings, if available
HOSPITAL COVER 1
BONITAS
2021
Hospital Standard
BESTMED
2021
Beat 1
DISCOVERY
2021
Essential Core
FEDHEALTH
MEDIHELP
MOMENTUM
2021
Custom – Any Hospital, Associated Chronic
No BenefitSubject to PMB
No Benefit
Refer to In-Hospital Psychiatric Benefits
Subject to Health Saver, if available
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
Subject to PMB
No Benefit
Refer to In-Hospital Psychiatric Benefits
No Benefits
Subject to Health Saver, if available
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
Subject to PMB
No Benefit
Refer to In-Hospital Psychiatric Benefits
Subject to Savings/ Wallet or self-funded
Refer to Psychiatric Benefits
Subject to Health Saver, if available
Primary Care Network
BONITAS
2021
BonCap
BESTMED
2021
Pulse 1
DISCOVERY
2021
KeyCare Plus
FEDHEALTH
MyFed
MEDIHELP
Ingwe Network
MOMENTUM
2021
Necesse Network
Subject to PMB
No Benefit
Refer to In-Hospital Psychiatric Benefits
Limited to 2 consultations per beneficiary at a nominated myFED contracted GP
Subject to Prescribed Minimum Benefits
Limited to Prescribed Minimum Benefits at State facilities