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