Comprehensive

(High Cover)

BESTMED

Pace 3

BONITAS

Bon
Comprehensive

DISCOVERY

Classic Comprehensive

FEDHEALTH

Maxima Exec

MEDIHELP

MedPlus

MOMENTUM

Extender
(Any Hospital,
Any Chronic)

PROFMED

ProPinnacle

Subject to PPN Provider. Consultation 1 pb. Frame R1,040 covered AND 100% of cost of std lenses (single vision OR bifocal OR multifocal) AND lens enhancement R750 OR Contact lenses R2,010. Non-network Provider Consultation R365, Frame R780, Single vision lenses R215 OR Bifocal lenses
R460 OR Multifocal lenses R982.50 In lieu of glasses

Subject to Savings and ATB. Limit to R3,860
per beneficiary. PPN. Sub-limit per
beneficiary: 1 eye test or R380 at a non-DSP. Lenses covered 100% at networkrates or R215 (single vision), R460 (bifocal), R860 (multifocal) per lens at non-DSP

Subject to available Savings and Threshold.
DEB limit of R6,950 per beneficiary before and after Threshold

Subject to Savings and Threshold. R3,740 pbpa, R11,400 pfpa. Limits apply before and after Threshold. Optical Screening for children age 5 – 8 years – 1 per lifetime is covered from risk

Benefits pb per 24 months and subject to PPN Network. 1 consultation, single vision/bi-focal/multi-focal lenses, limit of
R1,080 (PPN frames) and/or lens enhancements OR R1,780 contact lenses

Subject to available Savings & Threshold (Extender Cover limit of R5,030 pb, sub-limit of R2,740 for frames)

Subject to day-to-day benefit. Sub-limit for Frames R1,437 or Contact lenses R3,389

Comprehensive

(High Cover)

BESTMED

Pace 2

BONITAS

BonClassic

DISCOVERY

-

FEDHEALTH

-

MEDIHELP

MedElite

MOMENTUM

Extender
(Associated Hospital,
Any Chronic)

PROFMED

-

Subject to PPN Provider. Consultation 1 pb. Frame R1,040 covered AND 100% of cost of std lenses (single vision OR bifocal OR multifocal) AND lens enhancement R750 OR Contact lenses R2,010. Non-network Provider Consultation R365, Frame R780, Single vision lenses R215 OR Bifocal lenses
R460 OR Multifocal lenses R982.50 In lieu of glasses

R6,440 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary:
1 eye test or R380 at a non-DSP. Lenses covered 100% at network rates or R215 (single vision), R460 (bifocal), R860
(multifocal) per lens at non-DSP. Frames R1,280 at DSP, R960 at non-DSP. Contact
lenses R2,065

Benefits pb per 24 months and subject to PPN Network. 1 consultation, single vision/bi-focal/multi-focal lenses, limit of
R1,080 (PPN frames) and/or lens enhancements OR R1,780 contact lenses

Subject to available Savings & Threshold (Extender Cover limit of R5,030 pb, sub-limit of R2,740 for frames)

Comprehensive

(Medium to High Cover)

BESTMED

Pace 1

BONITAS

BonComplete

DISCOVERY

Classic Priority

FEDHEALTH

-

MEDIHELP

MedPrime

MOMENTUM

Incentive
(Any Hospital,
Any Chronic + Health Saver)

PROFMED

ProSecure Plus

Subject to PPN Provider. Consultation 1 pb. Frame R1,000 covered AND 100% of cost of std lenses (single vision OR bifocal OR multifocal) OR Contact lenses R1,840. Nonnetwork Provider Consultation R365, Frame R750, Single vision lenses R215 OR Bifocal lenses R460 OR Multifocal lenses R982.50
In lieu of glasses

Subject to Savings and ATB: PPN. Sub-limit per beneficiary: 1 eye test or R380 at a non-DSP. Lenses covered 100% at network rates or R215 (single vision), R460 (bifocal), R860 (multifocal) per lens at non-DSP. Frames R945 at DSP. Contact lenses R2,320

Subject to available Savings and Threshold .
DEB limit of R6,300 per beneficiary before and after Threshold

Benefits pb per 24 months and subject to PPN Network. 1 consultation, signle vision/bi-focal/multi-focal lenses, limit of
R865 (PPN frames) and/or lens
enhancements OR R1,270 contact lenses

Subject to Savings, if available

Subject to day-to-day benefit. Sub-limit for Frames R1,027 or Contact lenses R2,054

Comprehensive

(Medium to High Cover)

BESTMED

-

BONITAS

Standard

DISCOVERY

Classic Priority

FEDHEALTH

FlexiFed 4
(Any Hospital)

MEDIHELP

MedPrime

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProSecure

R7,385 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary:
1 eye test or R380 at a non-DSP. Lenses covered 100% at network rates or R215 (single vision), R460 (bifocal), R860
(multifocal) per lens at non-DSP. Frames R1,340 at DSP, R1,005 at non-DSP. Contact lenses R2,060

Subject to available Savings and Threshold .
DEB limit of R6,300 per beneficiary before and after Threshold

Subject to Savings or self-funded and Threshold. R3,740 pbpa, R11,400 pfpa. Limits apply before and after Threshold. Optical Screening for children age 5 – 8 years – 1 per lifetime is covered from risk

Benefits pb per 24 months and subject to PPN Network. 1 consultation, signle vision/bi-focal/multi-focal lenses, limit of
R865 (PPN frames) and/or lens
enhancements OR R1,270 contact lenses

Subject to Savings, if available

Subject to day-to-day benefit. Sub-limit for Frames R1,027 or Contact lenses R2,054

Comprehensive

(Medium to High Cover)

BESTMED

-

BONITAS

Standard Select
(Network)

DISCOVERY

Essential Priority

FEDHEALTH

FlexiFed 4
(GRID)

MEDIHELP

MedPrime Elect
(Network)

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProSecure Savvy
(Network)

R7,385 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary:
1 eye test or R380 at a non-DSP. Lenses covered 100% at network rates or R215 (single vision), R460 (bifocal), R860
(multifocal) per lens at non-DSP. Frames R1,340 at DSP, R1,005 at non-DSP. Contact lenses R2,060

Subject to available Savings and Threshold .
DEB limit of R6,300 per beneficiary before and after Threshold

Subject to Savings or self-funded and Threshold. R3,740 pbpa, R11,400 pfpa. Limits apply before and after Threshold. Optical Screening for children age 5 – 8 years – 1 per lifetime is covered from risk

Benefits pb per 24 months and subject to PPN Network. 1 consultation, signle vision/bi-focal/multi-focal lenses, limit of
R865 (PPN frames) and/or lens
enhancements OR R1,270 contact lenses

Subject to Savings, if available

Subject to day-to-day benefit. Sub-limit for Frames R1,027 or Contact lenses R2,054

Hospital & Savings

(Low to Medium Cover)

BESTMED

Beat 3
(Network)

BONITAS

BonSave

DISCOVERY

Classic Delta Saver
(Network))

FEDHEALTH

FlexiFed 3
(GRID)

MEDIHELP

MedSaver

MOMENTUM

Incentive
(Any Hospital,
Associated Chronic)

PROFMED

-

Subject to Savings

Subject to Savings: PPN. Sub-limit per beneficiary: 1 eye test or R380 at a non-DSP. Lenses covered 100% at network
rates or R215 (single vision), R460 (bifocal), R860 (multifocal) per lens at non-DSP

Subject to available Savings

Benefits directly from risk up to the value of R1,930 pb every 2yrs: 1 consultation, 1 pair
of single vision or bifocal lenses. Thereafter subject to Savings or self-funded

Subject to Savings

Subject to Savings, if available

Hospital & Savings

(Low to Medium Cover)

BESTMED

Beat 2

BONITAS

Primary

DISCOVERY

Essential Saver

FEDHEALTH

FlexiFed 2
(Any Hospital)

MEDIHELP

MedElect
(Network)

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProActive Plus

Subject to Savings

R5,695 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary:
1 eye test or R380 at a non-DSP. Lenses covered 100% at network rates or R215 (single vision), R460 (bifocal), R860
(multifocal) per lens at non-DSP. Frames R605 at DSP, R454 at non-DSP. Contact
lenses R1,430

Subject to available Savings

Subject to Savings/ Wallet or self-funded

Benefits pb per 24 months and subject to use of PPN Network: 1 eye test, 1 pair clear single vision/ bifocal/ multifocal lenses, R595 (PPN frame) and/or lens enhancements, OR
R800 contact lenses

Subject to Savings, if available

1 Eye test every 2 years, subject day-to-day, thereafter subject to PPS Wallet, if available

Hospital & Savings

(Low to Medium Cover)

BESTMED

Beat 2
(Network)

BONITAS

Primary Select
(Network)

DISCOVERY

Essential Delta Saver
(Network)

FEDHEALTH

FlexiFed 2
(GRID)

MEDIHELP

MedAdd Elect
(Network)

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProActive Plus Savvy
(Network)

Subject to Savings

R5,695 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary:
1 eye test or R380 at a non-DSP. Lenses covered 100% at network rates or R215 (single vision), R460 (bifocal), R860
(multifocal) per lens at non-DSP. Frames R605 at DSP, R454 at non-DSP. Contact
lenses R1,430

Subject to available Savings

Subject to Savings/ Wallet or self-funded

Benefits pb per 24 months and subject to use of PPN Network: 1 eye test, 1 pair clear single vision/ bifocal/ multifocal lenses, R300 (PPN frame) and/or lens enhancements, OR
R690 contact lenses

Subject to Savings, if available

1 Eye test every 2 years, subject day-to-day, thereafter subject to PPS Wallet, if available

Hospital & Savings

(Low to Medium Cover)

BESTMED

-

BONITAS

BonFit Select

DISCOVERY

Essential Delta Saver

FEDHEALTH

FlexiFed 2
(GRID)

MEDIHELP

MedAdd Elect
(Network)

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProActive Plus Savvy
(Network)

Subject to Savings: PPN. Sub-limit per beneficiary: 1 eye test or R380 at a non-DSP. Lenses covered 100% at network rates or R215 (single vision), R460 (bifocal), R860 (multifocal) per lens at non-DSP

Subject to available Savings

Subject to Saving or self-funded

Benefits pb per 24 months and subject to use of PPN Network: 1 eye test, 1 pair clear single vision/ bifocal/ multifocal lenses, R300 (PPN frame) and/or lens enhancements, OR
R690 contact lenses

Subject to Savings, if available

1 Eye test every 2 years, subject day-to-day, thereafter subject to PPS Wallet, if available

Capitation

(Low Cover)

BESTMED

-

BONITAS

BonStart Plus
(Network)

DISCOVERY

Classic Smart
(Network)

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

Evolve
(Network)

PROFMED

-

Subject to the use of a PPN. Managed Care protocols apply. 1 eye test pbpa. Limited to R380 at non-network provider. R110 copayment applies

One eye test pbpa, at a Smart Network. R65 co-payment is applicable

Subject to Health Saver, if available

Capitation

(Low Cover)

BESTMED

-

BONITAS

BonStart
(Network)

DISCOVERY

Essential Smart
(Network)

FEDHEALTH

-

MEDIHELP

MedMove
(Network)

MOMENTUM

Evolve
(Network)

PROFMED

-

Subject to the use of a PPN. Managed Care protocols apply. 1 eye test pbpa. Limited to R380 at non-network provider. R110 copayment applies

One eye test pbpa, at a Smart Network. R120 co-payment is applicable

1 Consultation per person per 24-month cycle. R110 co-payment per visit

Subject to Health Saver, if available

Hospital Plan

(Hospitalization Cover)

BESTMED

-

BONITAS

Hospital Standard

DISCOVERY

Classic Core

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

-

PROFMED

-

No Benefit

No Benefit

Hospital Plan

(Hospitalization Cover)

BESTMED

Beat 1

BONITAS

BonEssential

DISCOVERY

Essential Core

FEDHEALTH

FlexiFed 1
(Network)
No Medivault

MEDIHELP

MediVital

MOMENTUM

Custom
(Any Hospital,
Associated Chronic)

PROFMED

-

No Benefit

No Benefit

No Benefit

Subject to Saving or self-funded

No Benefit

Subject to Health Saver, if available

Hospital Plan

(Hospitalization Cover)

BESTMED

Beat 1
(Network)

BONITAS

BonEssential Select
(Network)

DISCOVERY

Essential Delta Core
(Network)

FEDHEALTH

FlexiFed 1 Elect
(Network)
No Medivault

MEDIHELP

MediVital Elect
(Network)

MOMENTUM

Custom
(Associated Hospital,
Associated Chronic)

PROFMED

ProSelect Savvy
(Network)

No Benefit

No Benefit

No Benefit

Subject to Savings/ Wallet or self-funded

No Benefit

Subject to Health Saver, if available

Subject to PPS Wallet, if available

Primary Care

(Network & Income Based)

BESTMED

Rhythm 1
(Network)

BONITAS

BonCap
(Network)

DISCOVERY

KeyCare Plus
(Network)

FEDHEALTH

FlexiFed Savvy
(Network)

MEDIHELP

MedElect Student
(Network)

MOMENTUM

Ingwe
(Network)

PROFMED

-

Subject to PPN Provider. Consultation 1 per beneficiary. No benefit for frames, lenses or contact lenses

Subject to the use of a PPN. Managed Care protocols apply. 1 eye test or R380 per beneficiary at a non-DSP. Lenses covered 100% at network rates or R215 (single
vision), R460 (bifocal), R860 (multifocal) per lens for out of network. Frames R260 pb at
network provider, R195 at non-network provider. Contact lenses R1,255 pb

One eye test pbpa. A specific range of glasses to choose from, or a set of contact lenses every 2 years per beneficiary
DSP: KeyCare Optometry Network

Subject to Savings or self-funded

Benefits pb per 24 months and subject to use of PPN Network: 1 eye test, 1 pair clear single vision/ bifocal/ multifocal lenses, R595 (PPN frame) and/or lens enhancements, OR
R800 contact lenses

Primary Care Network facility: 1 eye test, 1 pair of clear standard or bi-focal lenses with standard frame pbp2a (min 0.5 refractive measurement to qualify)