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 GP limit
Subject to Savings and ATB
Subject to available Savings. Unlimited after Threshold is reached (100% of Scheme Tariff for non-contracted specialists)
Subject to Savings and Threshold. Unlimited once Threshold is reached (10% co-payment for non GP referral)
R4,300 per person (pooled per family)
Subject to Savings, if available. (Unlimited once Threshold is reached)
Subject to day-to-day benefits
Comprehensive
(High Cover)
BESTMED
Pace 2
BONITAS
BonClassic
DISCOVERY
-
FEDHEALTH
-
MEDIHELP
MedElite
MOMENTUM
Extender
(Associated Hospital,
Any Chronic)
PROFMED
-
Subject to Savings first, then GP limit
Subject to Savings
–
–
Limited to M: R3,550 | M+1: R4,600 | M+2: R5,750 | M+3+: R6,900 . Subject to Day-to-Day Benefits after Savings is depleted
Subject to Savings, if available. (Unlimited once Threshold is reached)
–
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 GP limit
Subject to Savings and ATB
Subject to available Savings and Threshold (ATB limit)
–
Subject to Savings and Day-to-Day Benefits, once savings is depleted
Subject to Savings, if available
Subject to day-to-day benefits
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, GP Sublimits and referral from GP. 1 Additional Network Specialist covered from overall annual limit.
Subject to available Savings and Threshold (ATB limit)
Subject to Savings/ Wallet or self-funded and Threshold. Unlimited once Threshold is reached (20% co-payment for non GP referral)
Subject to Savings and Day-to-Day Benefits, once savings is depleted
Subject to Savings, if available
Subject to day-to-day benefits
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, GP Sublimits and referral from GP. 1 Additional Network Specialist covered from overall annual limit.
Subject to available Savings and Threshold (ATB limit)
Subject to Savings/ Wallet or self-funded and Threshold. Unlimited once Threshold is reached (20% co-payment for non GP referral)
Subject to Savings and Day-to-Day Benefits, once savings is depleted
Subject to Savings, if available
Subject to day-to-day benefits
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, GP Sublimits and referral from GP. 1 Additional Network Specialist covered from overall annual limit
Subject to available Savings
Subject to Savings/ Wallet or self-funded
Subject to Day-to-Day Benefits, and referral by Network GP
Subject to Savings, if available
Subject to day-to-day benefits
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, GP Sublimits and referral from GP. 1 Additional Network Specialist covered from overall annual limit
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
Subject to day-to-day benefits
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
Subject to day-to-day benefits
Capitation
(Low Cover)
BESTMED
-
BONITAS
BonStart Plus
(Network)
DISCOVERY
Classic Smart
(Network)
FEDHEALTH
-
MEDIHELP
-
MOMENTUM
Evolve
(Network)
PROFMED
-
–
2 Visits per family limited to R2,260. R120 co-payment per visit. Subject to referral from a network GP
Sport Injuries: 2 specialist visits per beneficiary. Subject to referral of Smart Network GP
–
–
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
-
–
1 Visits per family limited to R1,250. R250 co-payment per visit. Subject to referral from a network GP
No Benefit
–
Unlimited. For certain listed chronic conditions only – on referral by network GP
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 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
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
-
Limited to 2 consultations at a max of R2,325 per family per year. Subject to referral by a Rhythm Network Provider and Rhythm Specialist Network
Network Specialist – 3 visits or R3,710 pbpa | 5 visits or R5,510 pfpa. Subject to referral from a network GP (incl prescribed meds,
radiology, pathology etc)
R5,300 per beneficiary. Subject to referral by your chosen KeyCare GP and preauthorisation
Subject to Savings or self-funded
Subject to Day-to-Day Benefits, and referral by Network GP
Limit of 2 visits pfpa, limited to R1,290 per visit and up to max R2,580 pfpa. Subject to referral by Primary Care Netowrk GP and
pre-authorisation
–