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