All the Hospital plans

Below are all the South African Hospital plans offered by open medical aid schemes. These plans offer in-hospital cover with very limited out-of-hospital benefits.

Also see:

Extended Hospital Plans: offer in-hospital cover as well as some out-of-hospital cover paid by the scheme.
Savings Plans: offer a savings account for out-of-hospital claims
Extended Savings Plans: offer a savings account for out-of-hospital claims. In addition, the scheme pays for some out-of-hospitals claims too.
Comprehensive Plans: offer near to full-coverage for all out-of-hospital expenses, with a possible self payment gap (SPG).
Income based Plans: plans whose premiums are calculated based on your income level (low income pays lower premiums for same benefits)

Sizwe Primary Care A 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R407 pm
Savings: R0- yr
Premium: R407 pm
Savings: R0- yr
Premium: R407 pm
Savings: R0- yr
Pay for all children 100% Unlimited

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Medihelp Necesse Student 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R438 pm
Savings: R0- yr
Premium: R438 pm
Savings: R0- yr
Premium: R438 pm
Savings: R0- yr
Pay for all children 100% Network
Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB.
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Selfmed Selfnet Essential 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R850 pm
Savings: R0- yr
Premium: R850 pm
Savings: R0- yr
Premium: R300 pm
Savings: R0- yr
Pay for maximum 3 children 100% Network

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Resolution Fundation A 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R907 pm
Savings: R0- yr
Premium: R907 pm
Savings: R0- yr
Premium: R273 pm
Savings: R0- yr
Pay for all children 100% Network

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Resolution Fundation B 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,056 pm
Savings: R0- yr
Premium: R1,056 pm
Savings: R0- yr
Premium: R364 pm
Savings: R0- yr
Pay for all children 100% Network

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Bestmed Beat 1 Network 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,131 pm
Savings: R0- yr
Premium: R879 pm
Savings: R0- yr
Premium: R476 pm
Savings: R0- yr
Pay for maximum 4 children 100% Network, except: oncology at state facilities
Out-of-hospital, scheme pays for some: Wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Hosmed Essential A 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,196 pm
Savings: R0- yr
Premium: R1,092 pm
Savings: R0- yr
Premium: R410 pm
Savings: R0- yr
Pay for maximum 3 children 100% Netcare
Out-of-hospital, scheme pays for some: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, maternity benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Spectramed Aqua 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,208 pm
Savings: R0- yr
Premium: R1,099 pm
Savings: R0- yr
Premium: R427 pm
Savings: R0- yr
Pay for all children 100% Unlimited, PMBS at DSPs only
Out-of-hospital, scheme pays for some:maternity consults and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Bestmed Beat 1 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,257 pm
Savings: R0- yr
Premium: R976 pm
Savings: R0- yr
Premium: R529 pm
Savings: R0- yr
Pay for maximum 4 children 100% Unlimited, except: oncology at state facilities
Out-of-hospital, scheme pays for some: Wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Compcare Axis ED 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,260 pm
Savings: R0- yr
Premium: R1,260 pm
Savings: R0- yr
Premium: R396 pm
Savings: R0- yr
Pay for all children 100% Netcare
Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid out of pocket, unless PMB.
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Discovery Essential Delta Core 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,317 pm
Savings: R0- yr
Premium: R989 pm
Savings: R0- yr
Premium: R528 pm
Savings: R0- yr
Pay for maximum 3 children Specialists with arrangement: full cover, otherwise 100% Network
Scheme pays for maternity consults and scans. Most other out-of-hospital claims paid from out of pocket, unless PMB.
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Suremed Shuttle 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,320 pm
Savings: R0- yr
Premium: R980 pm
Savings: R0- yr
Premium: R540 pm
Savings: R0- yr
Pay for all children 100% Unlimited
Scheme pays out-of-hospital claims for: specialised radiology, preventative care, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
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Resolution Fundation C 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,338 pm
Savings: R0- yr
Premium: R1,338 pm
Savings: R0- yr
Premium: R427 pm
Savings: R0- yr
Pay for all children 100% Network

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Medihelp Necesse B 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,404 pm
Savings: R0- yr
Premium: R1,110 pm
Savings: R0- yr
Premium: R600 pm
Savings: R0- yr
Pay for all children 100% Network
Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB.
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Hosmed Essential B 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,460 pm
Savings: R0- yr
Premium: R1,333 pm
Savings: R0- yr
Premium: R368 pm
Savings: R0- yr
Pay for maximum 3 children 100% Netcare
Out-of-hospital, scheme pays for some: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, maternity benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Medihelp Necesse C 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,464 pm
Savings: R0- yr
Premium: R1,170 pm
Savings: R0- yr
Premium: R660 pm
Savings: R0- yr
Pay for all children 100% Network
Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB.
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Bonitas Essential 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,473 pm
Savings: R0- yr
Premium: R1,127 pm
Savings: R0- yr
Premium: R432 pm
Savings: R0- yr
Pay for maximum 3 children Network specialists full cover, otherwise 100% Unlimited
Out-of-hospital, scheme pays for some: maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Discovery Coastal Core 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,496 pm
Savings: R0- yr
Premium: R1,122 pm
Savings: R0- yr
Premium: R596 pm
Savings: R0- yr
Pay for maximum 3 children Specialists with arrangement: full cover, otherwise 100% Coastal
Scheme pays for maternity consults and scans. Most other out-of-hospital claims paid from out of pocket, unless PMB.
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Discovery Classic Delta Core 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,535 pm
Savings: R0- yr
Premium: R1,209 pm
Savings: R0- yr
Premium: R612 pm
Savings: R0- yr
Pay for maximum 3 children Specialists with arrangement: full cover, otherwise 200% Network
Scheme pays for maternity consults and scans. Most other out-of-hospital claims paid from out of pocket, unless PMB.
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Cape Medical Premium 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,548 pm
Savings: R0- yr
Premium: R1,548 pm
Savings: R0- yr
Premium: R271 pm
Savings: R0- yr
Pay for all children 200% PMBs at state or similar facilities

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Resolution Hospital 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,565 pm
Savings: R0- yr
Premium: R1,335 pm
Savings: R0- yr
Premium: R585 pm
Savings: R0- yr
Pay for all children 100% Network

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Selfmed MexXXI 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,599 pm
Savings: R0- yr
Premium: R1,592 pm
Savings: R0- yr
Premium: R818 pm
Savings: R0- yr
Pay for maximum 3 children 100% Network

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Fedhealth Maxima EntrySaver 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,640 pm
Savings: R3,168 yr
Premium: R1,181 pm
Savings: R2,280 yr
Premium: R524 pm
Savings: R1,008 yr
Pay for all children Network specialists covered in full, otherwise 100% Unlimited
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments or PMB level of care for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), dentistry, some GP visits, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
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Discovery Essential Core 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,648 pm
Savings: R0- yr
Premium: R1,234 pm
Savings: R0- yr
Premium: R661 pm
Savings: R0- yr
Pay for maximum 3 children Specialists with arrangement: full cover, otherwise 100% Unlimited
Scheme pays for maternity consults and scans. Most other out-of-hospital claims paid from out of pocket, unless PMB.
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Medihelp Necesse D 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,656 pm
Savings: R0- yr
Premium: R1,290 pm
Savings: R0- yr
Premium: R726 pm
Savings: R0- yr
Pay for all children 100% Network
Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB.
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Fedhealth Maxima Core Grid 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,716 pm
Savings: R0- yr
Premium: R1,454 pm
Savings: R0- yr
Premium: R600 pm
Savings: R0- yr
Pay for all children Network specialists covered in full, otherwise 100% Network
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments for certain procedures. Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Compcare Axis 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,734 pm
Savings: R0- yr
Premium: R1,734 pm
Savings: R0- yr
Premium: R534 pm
Savings: R0- yr
Pay for all children 100% Unlimited
Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid out of pocket, unless PMB.
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Hosmed Essential C 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,826 pm
Savings: R0- yr
Premium: R1,666 pm
Savings: R0- yr
Premium: R707 pm
Savings: R0- yr
Pay for maximum 3 children 100% Netcare
Out-of-hospital, scheme pays for some: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, maternity benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Sizwe Primary Care B 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,907 pm
Savings: R0- yr
Premium: R1,488 pm
Savings: R0- yr
Premium: R480 pm
Savings: R0- yr
Pay for all children 100% Unlimited

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Fedhealth Maxima Core 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,907 pm
Savings: R0- yr
Premium: R1,616 pm
Savings: R0- yr
Premium: R667 pm
Savings: R0- yr
Pay for all children Network specialists covered in full, otherwise 100% Unlimited
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Co-payments for certain procedures. Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Discovery Classic Core 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,918 pm
Savings: R0- yr
Premium: R1,510 pm
Savings: R0- yr
Premium: R767 pm
Savings: R0- yr
Pay for maximum 3 children Specialists with arrangement: full cover, otherwise 200% Unlimited
Scheme pays for maternity consults and scans. Most other out-of-hospital claims paid from out of pocket, unless PMB.
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Medihelp Necesse E 2018
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,932 pm
Savings: R0- yr
Premium: R1,506 pm
Savings: R0- yr
Premium: R834 pm
Savings: R0- yr
Pay for all children 100% Network
Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB.
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Resolution Fundation D 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R2,022 pm
Savings: R0- yr
Premium: R2,022 pm
Savings: R0- yr
Premium: R694 pm
Savings: R0- yr
Pay for all children 100% Network

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Resolution Progressive Flex 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R2,154 pm
Savings: R0- yr
Premium: R2,017 pm
Savings: R0- yr
Premium: R666 pm
Savings: R0- yr
Pay for all children 100% Network

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Sizwe Primary Care C 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R2,326 pm
Savings: R0- yr
Premium: R1,519 pm
Savings: R0- yr
Premium: R480 pm
Savings: R0- yr
Pay for all children 100% Unlimited

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Resolution Progressive Flex Plus 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R2,369 pm
Savings: R0- yr
Premium: R2,219 pm
Savings: R0- yr
Premium: R733 pm
Savings: R0- yr
Pay for all children 100% Unlimited

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Selfmed Med Elite 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R4,406 pm
Savings: R0- yr
Premium: R3,778 pm
Savings: R0- yr
Premium: R1,267 pm
Savings: R0- yr
Pay for maximum 3 children 200% Network

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Resolution Supreme 2017
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R4,565 pm
Savings: R0- yr
Premium: R4,345 pm
Savings: R0- yr
Premium: R1,130 pm
Savings: R0- yr
Pay for all children Contracted at 220% otherwise 100% Unlimited

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