Post Hospitalisation Benefit

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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R15,000 per month, over 3 months. Total benefit limited to R45,000. Subject to pre-auth

Subject to PMB else available Savings and Threshold

Up to 30 days after discharge, subject to protocols, and pre-authorisation

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R57,000 per family for medical rehabilitation, step-down facilities, Hospice and private nursing. Protocols apply

HIGH COVER LEVEL 2

BONITAS

2021
BonClassic

BESTMED

2021
Page

DISCOVERY

2021
Essential Comprehensive

FEDHEALTH

MEDIHELP

2021
Elite

MOMENTUM

2021
Extender: Any (Chronic: Any)

Subject to PMB else available Savings and Threshold

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R15,000 per month, over 3 months. Total benefit limited to R45,000. Subject to pre-auth

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R57,000 per family for medical rehabilitation, step-down facilities, Hospice and private nursing. Protocols apply

MEDIUM-HIGH LEVEL 1 COVER

BONITAS

2021
BonComplete

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

MEDIHELP

MOMENTUM

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Subject to PMB else available Savings and Threshold

Subject to PMB else available Savings and 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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R10,000 per month, over 3 months. Total benefit limited to R30,000. Subject to pre-auth

Subject to PMB else available Savings and Threshold

Up to 30 days after discharge, subject to protocols, and pre-authorisation

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R55,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R10,000 per month, over 3 months. Total benefit limited to R30,000. Subject to pre-auth

Subject to PMB else available Savings and Threshold

Up to 30 days after discharge, subject to protocols, and pre-authorisation

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R55,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R8,000 per month, over 3 months. Total benefit limited to R24,000. Subject to pre-auth

Subject to PMB else available Savings

Up to 30 days after discharge, subject to protocols, and pre-authorisation

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R55,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R8,000 per month, over 3 months. Total benefit limited to R24,000. Subject to pre-auth

Subject to PMB else available Savings

Up to 30 days after discharge, subject to protocols, and pre-authorisation

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R55,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R8,000 per month, over 3 months. Total benefit limited to R24,000. Subject to pre-auth

Subject to PMB else available Savings

Up to 30 days after discharge, subject to protocols, and pre-authorisation

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R55,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R8,000 per month, over 3 months. Total benefit limited to R24,000. Subject to pre-auth

Subject to PMB else available Savings

Up to 30 days after discharge, subject to protocols, and pre-authorisation

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R55,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

HOSPITAL COVER 1

BONITAS

2021
Hospital Standard

BESTMED

2021
Beat 1

DISCOVERY

2021
Essential Core

FEDHEALTH

MEDIHELP

MOMENTUM

2021
Custom – Any Hospital, Associated Chronic

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R8,000 per month, over 3 months. Total benefit limited to R24,000. Subject to pre-auth

Subject to PMB else for your own pocket

R53,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R8,000 per month, over 3 months. Total benefit limited to R24,000. Subject to pre-auth

Subject to PMB else for your own pocket

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R53,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

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

R52,320 per family for physical rehabilitation. R17,450 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R8,000 per month, over 3 months. Total benefit limited to R24,000. Subject to pre-auth

Subject to PMB else for your own pocket

Up to 30 days after discharge, subject to protocols, and pre-authorisation

Unlimited sub-acute care and private nursing services as an alternative to hospitalisation. Speech therapy, occupational therapy & physiotherapy covered up to 30 days after discharge, limited to R1,870 single member or R2,600 per family

R53,000 per family for medical rehabilitation, step-down facilities, private nursing and Hospice. Protocols apply

Primary Care Network

BONITAS

2021
BonCap

BESTMED

2021
Pulse 1

DISCOVERY

2021
KeyCare Plus

FEDHEALTH

MyFed

MEDIHELP

Ingwe Network

MOMENTUM

2021
Necesse Network

R52,320 per family for physical rehabilitation. R15,070 per family for hospice/step-down facilities. Subject to pre- authorisation

Palliative care and Home-based care in lieu of hospitalisation: Limited to R8,000 per month, over 3 months. Total benefit limited to R24,000. Subject to pre-auth

Subject to PMB else for your own pocket

No Benefit

No Benefit

R13,660 per beneficiary for medical rehabilitation and step-down facilities. No benefit for private nursing and Hospice