Optical

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

Subject to Savings and ATB. Limit to R3,330 per beneficiary. PPN. Sub-limits apply

Subject to PPN Provider. Consultation R350, Frame R598, Single vision lenses R210 / bifocal lenses R445 /multifocal lenses R770, Contacts R1,565

Subject to available Savings and Threshold. DEB limit of R6,180 per beneficiary before and after threshold

Subject to Savings/ Wallet or self-funded and Threshold. R3,600 pbpa, R11,000 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 R1,000 (PPN frames) and/or lens enhancements OR R1,680 contact lenses

Subject to available Savings & Threshold (Extender Cover limit of R4,300 pb, sub-limit of R2,350 for frames)

HIGH COVER LEVEL 2

BONITAS

2021
BonClassic

BESTMED

2021
Page

DISCOVERY

2021
Essential Comprehensive

FEDHEALTH

MEDIHELP

2021
Elite

MOMENTUM

2021
Extender: Any (Chronic: Any)

R5,845 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary: 1 eye test or R350 at a non-DSP. Lenses covered 100% at network rates or R185 (single vision), R445 (bifocal), R770 (multifocal) per lens at non-DSP. Frames R1,110 at DSP, R805 at non-DSP. Contact lenses R1,880

Subject to PPN Provider. Consultation R350, Frame R598, Single vision lenses R210 / bifocal lenses R445 /multifocal lenses R770, Contacts R1,565

Subject to available Savings and Threshold. DEB limit of R6,180 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 R1,000 (PPN frames) and/or lens enhancements OR R1,680 contact lenses

Subject to available Savings & Threshold (Extender Cover limit of R4,300 pb, sub-limit of R2,350 for frames)

MEDIUM-HIGH LEVEL 1 COVER

BONITAS

2021
BonComplete

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

MEDIHELP

MOMENTUM

Subject to PPN Provider. Consultation R350, Frame R598, Single vision lenses R210 / bifocal lenses R445 /multifocal lenses R770, Contacts R1,565

Subject to Savings and ATB: PPN. Sub- limits apply

Subject to available Savings and Threshold . DEB limit of R5,610 per beneficiary before and after threshold

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

R6,430 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary: 1 eye test or R350 at a non-DSP. Lenses covered 100% at network rates or R210 (single vision), R445 (bifocal), R770 (multifocal) per lens at non-DSP. Frames R1,275 at DSP, R924 at non-DSP. Contact lenses R1,965

Subject to PPN Provider. Consultation R350, Frame R598, Single vision lenses R210 / bifocal lenses R445 /multifocal lenses R770, Contacts R1,565

Subject to available Savings and Threshold . DEB limit of R5,610 per beneficiary before and after threshold

Subject to Savings/ Wallet or self-funded and Threshold. R3,600 pbpa, R11,000 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 R800 (PPN frames) and/or lens enhancements OR R1,200 contact lenses

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

R6,430 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary: 1 eye test or R350 at a non-DSP. Lenses covered 100% at network rates or R210 (single vision), R445 (bifocal), R770 (multifocal) per lens at non-DSP. Frames R1,275 at DSP, R924 at non-DSP. Contact lenses R1,965

Subject to PPN Provider. Consultation R350, Frame R598, Single vision lenses R210 / bifocal lenses R445 /multifocal lenses R770, Contacts R1,565

Subject to available Savings and Threshold. DEB limit of R6,180 per beneficiary before and after threshold

Subject to Savings/ Wallet or self-funded and Threshold. R3,600 pbpa, R11,000 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 R800 (PPN frames) and/or lens enhancements OR R1,200 contact lenses

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

Subject to Savings. PPN

Subject to PPN Provider. Consultation R350, Frame R598, Single vision lenses R210 / bifocal lenses R445 /multifocal lenses R770, Contacts R1,565

Subject to available Savings

Subject to Savings/ Wallet or self-funded. Benefits directly from risk up to the value of R1,860 pb every 2yrs: 1 consultation, 1 pair of single vision or bifocal lenses

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

R4,955 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary: 1 eye test or R350 at a non-DSP. Lenses covered 100% at network rates or R210 (single vision), R445 (bifocal), R770 (multifocal) per lens at non-DSP. Frames R525 at DSP, R381 at non-DSP. Contact lenses R1,295

Subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded

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

R4,955 per family (every 2 years). Subject to the use of a PPN. Sub-limit per beneficiary: 1 eye test or R350 at a non-DSP. Lenses covered 100% at network rates or R210 (single vision), R445 (bifocal), R770 (multifocal) per lens at non-DSP. Frames R525 at DSP, R381 at non-DSP. Contact lenses R1,295

Subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded

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 PPN Provider. Consultation R350, Frame R598, Single vision lenses R210 / bifocal lenses R445 /multifocal lenses R770, Contacts R1,565

Subject to available Savings

Subject to Savings/ Wallet or self-funded. Benefits directly from risk up to the value of R1,860 pb every 2yrs: 1 consultation, 1 pair of single vision or bifocal lenses

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 Benefit

No Benefit

No Benefit

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

No Benefit

No Benefit

No Benefit

Subject to Day-to-Day 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

No Benefit

No Benefit

No Benefit

Subject to Savings/ Wallet or self-funded

No Benefit

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 the use of a PPN. Managed Care protocols apply. 1 eye test or R350 per beneficiary at a non-DSP. Lenses covered 100% at network rates or R210 (single vision), R445 (bifocal), R770 (multifocal) per lens for out of network. Frames R225 pb at network provider, R163 at non-network provider. Contact lenses R1,140 pb

Subject to PPN Provider. 1 Consultation, Frame R225, Single vision lenses R210 / bifocal lenses R445, contact lenses R630, 100% cost of standard lenses at network provider

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 ISO Leso. 1 consultation. Frame limit of R220 or R220 of any other frame. 1 pair of single vision clear CR39 lenses or 1 pair of bifocal clear CR39 lenses. Benefit available pb every 2yrs

Benefits pb per 24 months and subject to use of PPN Network: 1 eye test, 1 pair clear single vision/ bifocal/ multifocal lenses, R550 (PPN frame) and/or lens enhancements, OR R750 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)