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 Savings first, then limited to Acute:

M=R2,000 | M1+R4,500 and  OTC: R1,057 pfpa.

Subject to overall day-to-day limit

Subject to Savings and ATB. Limit of R16,970 pf in ATB

Subject to available Savings and Threshold. DEB limits (schedule 3 and above):
MR40,150 |
M+1-R47,050 |
M+2-R54,650 |
M+3-R62,300
before and after threshold. OTC medication subject to available Savings only

Subject to Savings and Threshold. Limited to R7,940 per beneficiary and R14,700 per family before and after Threshold

Limited to R7,850 per beneficiary per year, pooled per family

Subject to available Savings & Threshold (Extender Cover limit of R21,100 pb and
R407,000 pf). OTC meds subject to available Savings (does not accumulate to
Threshold)

Subject to day-to-day benefit. Limits apply.
OTC meds limit of R2,156 per family. 20% co-pay applies

Comprehensive

(High Cover)

BESTMED

Pace 2

BONITAS

BonClassic

DISCOVERY

-

FEDHEALTH

-

MEDIHELP

MedElite

MOMENTUM

Extender
(Associated Hospital,
Any Chronic)

PROFMED

-

Subject to Savings first, then limited to Acute:

M=R3,000 | M1+R6,000 and  OTC: R1,057 pfpa.

Subject to overall day-to-day limit

Subject to Savings

Limited to
M: R4,600 |
M+1: R5,750 |
M+2: R6,900 |
M+3+: R8,050 Subject to Day-to- Day Benefits after Savings is depleted

Subject to available Savings & Threshold (Extender Cover limit of R21,100 pb and
R407,000 pf). OTC meds subject to available Savings (does not accumulate to Threshold)

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 Savings first, then limited to Acute:

M=R2,591 | M1+R5,363 and  OTC: R1,057 pfpa.

Subject to overall day-to-day limit

Subject to Savings and ATB

Subject to available Savings and Threshold. DEB limits (schedule 3 and above):
MR25,650 |
M+1-R31,100 |
M+2-R37,450 |
M+3-R40,800
before and after threshold. OTC medication subject to available Savings only

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

Subject to day-to-day benefit. Limits apply.
OTC meds limit of R1,745 per family. 20% co-pay applies

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

Subject to Day-to-Day Benefits. Sub-limits:
M=R3,200 | M+1=R4,790 | M+2=R5,330 |
M+3+=R6,390. DSP and formulary (else 20% co-pay applies). OTC Meds limit:
M=R850 | M+=R2,660

Subject to available Savings and Threshold. DEB limits (schedule 3 and above):
MR25,650 |
M+1-R31,100 |
M+2-R37,450 |
M+3-R40,800
before and after threshold. OTC medication subject to available Savings only

Subject to Savings or self-funded and Threshold. Limited to R6,330 pbpa and R12,770 pfpa before and after Threshold

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

Subject to day-to-day benefit. Limits apply.
OTC meds limit of R1,745 per family. 20% co-pay applies

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)

Subject to Day-to-Day Benefits. Sub-limits:
M=R3,200 | M+1=R4,790 | M+2=R5,330 |
M+3+=R6,390. DSP and formulary (else 20% co-pay applies). OTC Meds limit:
M=R850 | M+=R2,660

Subject to available Savings and Threshold. DEB limits (schedule 3 and above):
MR18,150 |
M+1-R21,500 |
M+2-R25,500 |
M+3-R31,050
before and after threshold. OTC medication subject to available Savings only

Subject to Savings or self-funded and Threshold. Limited to R6,330 pbpa and R12,770 pfpa before and after Threshold

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

Subject to day-to-day benefit. Limits apply.
OTC meds limit of R1,745 per family. 20% co-pay applies

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

Subject to available Savings

Subject to Savings/ Wallet 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

Subject to Day-to-Day Benefits. Sub-limits:
M=R1,600 | M+1=R2,660 | M+2+=R3,200.
DSP and formulary (else 20% co-pay applies). OTC Meds limit: M=R535 |
M+=R2,130

Subject to available Savings

Subject to Savings/ Wallet or self-funded

Subject to Day-to-Day Benefits. Selfmedication limit of R560 pbpa and R1,650 pfpa

Subject to Savings, if available

80% Single Exit Price plus dispensing fee.
Limits apply

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

Subject to Day-to-Day Benefits. Sub-limits:
M=R1,600 | M+1=R2,660 | M+2+=R3,200.
DSP and formulary (else 20% co-pay applies). OTC Meds limit: M=R535 |
M+=R2,130

Subject to available Savings

Subject to Savings/ Wallet or self-funded

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

80% Single Exit Price plus dispensing fee.
Limits apply

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

Subject to available Savings

Subject to Savings/ Wallet or self-funded

Subject to Savings and Day-to-Day Benefits, once savings is depleted

Subject to Savings, if available

80% Single Exit Price plus dispensing fee.
Limits apply

Capitation

(Low Cover)

BESTMED

-

BONITAS

BonStart Plus
(Network)

DISCOVERY

Classic Smart
(Network)

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

Evolve
(Network)

PROFMED

-

Limited to R3,160 per family per annum.
Cover for acute medicine (20% co-payment applies), x-rays and blood tests. Subject to GP referral and medicine formulary (else 40% co-pay applies)
OTC meds limit R785 pfpa (R165 per script)

Limit of R1,820 pbpa and R3,030 pfpa for schedule 3 and above. Subject to network formulary and use of a network pharmacy (Clicks and Dis-Chem). OCT meds limit of R835 pfpa

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

-

Limited to R1,690 per family per annum.
Cover for acute medicine (20% co-payment applies), x-rays and blood tests. Subject to GP referral and medicine formulary (else 40% co-pay applies)
OTC meds limit R520 pfpa (R105 per script)

OTC meds ONLY. Limit of R560 pfpa, subject to network pharmacy

Limited to R1,575 per family per year. OTC meds: R100 per event, R475 per family per year.

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

Subject to BENEFIT BOOSTER

No Benefit

Subject to Savings/ Wallet or self-funded

Subject to Day-to-Day Benefits

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

Subject to BENEFIT BOOSTER

No Benefit

Subject to Savings/ Wallet or self-funded

Subject to Day-to-Day Benefits

Subject to Health Saver, 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

-

Unlimited. Subject to Provider Network formulary (prescribed by Network GP)

Limits: M=R2,190 | M+1=R3,650 |
M+2=R4,370 | M+3=R4,770 | M+4=R5,290.
Cover for acute medicine, x-rays and blood tests. Subject to GP referral, DSP and medicine formulary OTC meds limit R315 pbpa (R110 per script)

Unlimited. Subject to the Network Acute Medicine Formulary prescribed by KeyCare Network GP

Subject to Savings or self-funded

Subject to Day-to-Day Benefits. Self-medication limit of R560 pbpa and R1,650 pfpa

Subject to prescribed formulary. OTC medication not covered