Compare other benefits, by cost of plan

To view plans for other contribution levels, click here.

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Makoti Primary A 2017: Other Benefits
In brief:
1. General Appliances:
Overall Annual Limit (OAL):
PMBs only, in state hospitals
Contributions:
Main: Adult: Child:
Total Cost: R225 R225 R147
Children: Pay for all children
Income limit: R0-R3,000 (other limits)
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
1.2. Wheelchairs:
2. Dialysis:
3. HIV:
4. Emergency Transport:
5. International Coverage:
6. Other:

View this plan

Makoti Primary B 2017: Other Benefits
In brief:
1. General Appliances:
Overall Annual Limit (OAL):
PMBs only, in state hospitals
Contributions:
Main: Adult: Child:
Total Cost: R239 R239 R159
Children: Pay for all children
Income limit: R3,001-R6,450 (other limits)
Day-to-Day Benefit:
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
1.2. Wheelchairs:
2. Dialysis:
3. HIV:
4. Emergency Transport:
5. International Coverage:
6. Other:

View this plan

Compcare Networx ED Plus A 2017: Other Benefits
In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
1. General Appliances:
Overall Annual Limit (OAL):
R1,100,000 per family
Contributions:
Main: Adult: Child:
Total Cost: R283 R279 R154
Children: Pay for all children
Income limit: R0-R500 (other limits)
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-
Extended Fund: R2,800 (main) R4,170 (family) R

Compare with these plans:

1.1. Hearing Aids:
1.2. Wheelchairs:
2. Dialysis:
3. HIV:
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport:
5. International Coverage:
  • International benefit: subject to benefits per individual benefit category. Paid at South African rates
    6. Other:
    • Oxygen home ventilation:
    • PMBs only
    • Wound care in lieu of hospitalisation: subject to protocols
    • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

    View this plan

    Topmed Network A 2017: Other Benefits
    In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.
    1. General Appliances:
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R319 R319 R319
    Children: Pay for all children
    Income limit: R0-R1,000 (other limits)
    Day-to-Day Benefit:
    Out-of-hospital, scheme pays for some: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-

    Compare with these plans:

    1.1. Hearing Aids:
    • No benefit
    1.2. Wheelchairs:
    • No benefit
    2. Dialysis:
    3. HIV:
    • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
    4. Emergency Transport: v
    5. International Coverage:
    6. Other:

    View this plan

    Compcare Networx ED A 2017: Other Benefits
    In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
    1. General Appliances:
    Overall Annual Limit (OAL):
    R1,100,000 per family
    Contributions:
    Main: Adult: Child:
    Total Cost: R330 R330 R330
    Children: Pay for all children
    Income limit: R0-R500 (other limits)
    Day-to-Day Benefit:
    Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
    Main: Adult: Child:
    (S) Savings: R0- R0- R0-
    Extended Fund: R2,800 (main) R4,170 (family) R

    Compare with these plans:

    1.1. Hearing Aids:
    1.2. Wheelchairs:
    2. Dialysis:
    3. HIV:
    • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
    4. Emergency Transport:
    5. International Coverage:
    • International benefit: subject to benefits per individual benefit category. Paid at South African rates
      6. Other:
      • Oxygen home ventilation:
      • PMBs only
      • Wound care in lieu of hospitalisation: subject to protocols
      • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

      View this plan

      Momentum Ingwe A 2017: Other Benefits
      In brief: 100% scheme rate for specialists. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
      1. General Appliances:
      • In-hospital: R4,650 per family
      • Out-of-hospital: no benefit
      Overall Annual Limit (OAL):
      R1,190,000 per family
      Contributions:
      Main: Adult: Child:
      Total Cost: R335 R335 R210
      Children: Pay for all children
      Income limit: R0-R650 (other limits)
      Day-to-Day Benefit:
      Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
      Main: Adult: Child:
      (S) Savings: R0- R0- R0-

      Compare with these plans:

      1.1. Hearing Aids:
      • No benefit
      1.2. Wheelchairs:
      • No benefit
      2. Dialysis:
      • PMBs only, at state facilities
      3. HIV:
      • Anti-retroviral treatment: R30,200 per family
      • HIV related admissions: R32,200 per family
      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
      4. Emergency Transport: Netcare 911
      5. International Coverage:
      • No benefit
      6. Other:

      View this plan | Sign up for this plan

      Momentum Ingwe Network A 2017: Other Benefits
      In brief: 100% scheme rate for specialists. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
      1. General Appliances:
      • In-hospital: R4,650 per family
      • Out-of-hospital: no benefit
      Overall Annual Limit (OAL):
      R1,190,000 per family
      Contributions:
      Main: Adult: Child:
      Total Cost: R335 R335 R210
      Children: Pay for all children
      Income limit: R0-R650 (other limits)
      Day-to-Day Benefit:
      Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
      Main: Adult: Child:
      (S) Savings: R0- R0- R0-

      Compare with these plans:

      1.1. Hearing Aids:
      • No benefit
      1.2. Wheelchairs:
      • No benefit
      2. Dialysis:
      • PMBs only, at state facilities
      3. HIV:
      • Anti-retroviral treatment: R30,200 per family
      • HIV related admissions: R32,200 per family
      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
      4. Emergency Transport: Netcare 911
      5. International Coverage:
      • No benefit
      6. Other:

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      Momentum Ingwe State A 2017: Other Benefits
      In brief: 100% scheme rate for specialists. State hospitals. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
      1. General Appliances:
      • In-hospital: R4,650 per family
      • Out-of-hospital: no benefit
      Overall Annual Limit (OAL):
      R1,190,000 per family
      Contributions:
      Main: Adult: Child:
      Total Cost: R335 R335 R210
      Children: Pay for all children
      Income limit: R0-R650 (other limits)
      Day-to-Day Benefit:
      Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
      Main: Adult: Child:
      (S) Savings: R0- R0- R0-

      Compare with these plans:

      1.1. Hearing Aids:
      • No benefit
      1.2. Wheelchairs:
      • No benefit
      2. Dialysis:
      • PMBs only, at state facilities
      3. HIV:
      • Anti-retroviral treatment: R30,200 per family
      • HIV related admissions: R32,200 per family
      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
      4. Emergency Transport: Netcare 911
      5. International Coverage:
      • No benefit
      6. Other:

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      Sizwe Primary Care A 2017: Other Benefits
      In brief:
      1. General Appliances:
      • M =R960 and M1+ = R1,550
      Overall Annual Limit (OAL):
      Unlimited overall, with sub-limits
      Contributions:
      Main: Adult: Child:
      Total Cost: R407 R407 R407
      Children: Pay for all children
      Income limit: R0-R530 (other limits)
      Day-to-Day Benefit:
      Main: Adult: Child:
      (S) Savings: R0- R0- R0-

      Compare with these plans:

      1.1. Hearing Aids:
      • R5,500 per family
      1.2. Wheelchairs:
      • R1,790 per family
      2. Dialysis:
      3. HIV:
      • Subject to treatment protocols
      4. Emergency Transport: Europ Assist
      5. International Coverage:
      6. Other:

      View this plan

      Compcare Networx ED Plus B 2017: Other Benefits
      In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
      1. General Appliances:
      Overall Annual Limit (OAL):
      R1,100,000 per family
      Contributions:
      Main: Adult: Child:
      Total Cost: R413 R405 R204
      Children: Pay for all children
      Income limit: R501-R4,000 (other limits)
      Day-to-Day Benefit:
      Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
      Main: Adult: Child:
      (S) Savings: R0- R0- R0-
      Extended Fund: R2,800 (main) R4,170 (family) R

      Compare with these plans:

      1.1. Hearing Aids:
      1.2. Wheelchairs:
      2. Dialysis:
      3. HIV:
      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
      4. Emergency Transport:
      5. International Coverage:
      • International benefit: subject to benefits per individual benefit category. Paid at South African rates
        6. Other:
        • Oxygen home ventilation:
        • PMBs only
        • Wound care in lieu of hospitalisation: subject to protocols
        • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

        View this plan

        Medihelp Necesse A 2017: Other Benefits
        In brief: 100% scheme rate for specialists. Plan aimed at students. Network hospitals only. Income based plan. Scheme pays out-of-hospital claims for: 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.
        1. General Appliances:
        • Medical, surgical and orthopaedic appliances: R8,550 per family
        • CPAP: R8,400 per person every 24 months
        Overall Annual Limit (OAL):
        Unlimited overall, with sub-limits
        Contributions:
        Main: Adult: Child:
        Total Cost: R438 R438 R438
        Children: Pay for all children
        Income limit: R0-R400 (other limits)
        Day-to-Day Benefit:
        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.
        Main: Adult: Child:
        (S) Savings: R0- R0- R0-

        Compare with these plans:

        1.1. Hearing Aids:
        • No benefit
        1.2. Wheelchairs:
        • No benefit
        2. Dialysis:
        3. HIV:
        • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
        • Paid by scheme
        • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
        4. Emergency Transport:
        • Netcare 911
        5. International Coverage:
        6. Other:
        • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

        View this plan | Sign up for this plan

        Compcare Networx ED Plus D 2017: Other Benefits
        In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
        1. General Appliances:
        Overall Annual Limit (OAL):
        R1,100,000 per family
        Contributions:
        Main: Adult: Child:
        Total Cost: R529 R502 R251
        Children: Pay for all children
        Income limit: R5,001-R6,000 (other limits)
        Day-to-Day Benefit:
        Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
        Main: Adult: Child:
        (S) Savings: R0- R0- R0-
        Extended Fund: R2,800 (main) R4,170 (family) R

        Compare with these plans:

        1.1. Hearing Aids:
        1.2. Wheelchairs:
        2. Dialysis:
        3. HIV:
        • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
        4. Emergency Transport:
        5. International Coverage:
        • International benefit: subject to benefits per individual benefit category. Paid at South African rates
          6. Other:
          • Oxygen home ventilation:
          • PMBs only
          • Wound care in lieu of hospitalisation: subject to protocols
          • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

          View this plan

          Makoti Primary C 2017: Other Benefits
          In brief:
          1. General Appliances:
          Overall Annual Limit (OAL):
          PMBs only, in state hospitals
          Contributions:
          Main: Adult: Child:
          Total Cost: R530 R438 R195
          Children: Pay for all children
          Income limit: R6,451-R9,000 (other limits)
          Day-to-Day Benefit:
          Main: Adult: Child:
          (S) Savings: R0- R0- R0-

          Compare with these plans:

          1.1. Hearing Aids:
          1.2. Wheelchairs:
          2. Dialysis:
          3. HIV:
          4. Emergency Transport:
          5. International Coverage:
          6. Other:

          View this plan

          Momentum Ingwe State B 2017: Other Benefits
          In brief: 100% scheme rate for specialists. State hospitals. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
          1. General Appliances:
          • In-hospital: R4,650 per family
          • Out-of-hospital: no benefit
          Overall Annual Limit (OAL):
          R1,190,000 per family
          Contributions:
          Main: Adult: Child:
          Total Cost: R560 R560 R302
          Children: Pay for all children
          Income limit: R651-R6,100 (other limits)
          Day-to-Day Benefit:
          Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
          Main: Adult: Child:
          (S) Savings: R0- R0- R0-

          Compare with these plans:

          1.1. Hearing Aids:
          • No benefit
          1.2. Wheelchairs:
          • No benefit
          2. Dialysis:
          • PMBs only, at state facilities
          3. HIV:
          • Anti-retroviral treatment: R30,200 per family
          • HIV related admissions: R32,200 per family
          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
          4. Emergency Transport: Netcare 911
          5. International Coverage:
          • No benefit
          6. Other:

          View this plan | Sign up for this plan

          Makoti Primary D 2017: Other Benefits
          In brief:
          1. General Appliances:
          Overall Annual Limit (OAL):
          PMBs only, in state hospitals
          Contributions:
          Main: Adult: Child:
          Total Cost: R569 R461 R210
          Children: Pay for all children
          Income limit: R9,001-R12,000 (other limits)
          Day-to-Day Benefit:
          Main: Adult: Child:
          (S) Savings: R0- R0- R0-

          Compare with these plans:

          1.1. Hearing Aids:
          1.2. Wheelchairs:
          2. Dialysis:
          3. HIV:
          4. Emergency Transport:
          5. International Coverage:
          6. Other:

          View this plan

          Makoti Primary E 2017: Other Benefits
          In brief:
          1. General Appliances:
          Overall Annual Limit (OAL):
          PMBs only, in state hospitals
          Contributions:
          Main: Adult: Child:
          Total Cost: R611 R490 R223
          Children: Pay for all children
          Income limit: R12,001-R16,000 (other limits)
          Day-to-Day Benefit:
          Main: Adult: Child:
          (S) Savings: R0- R0- R0-

          Compare with these plans:

          1.1. Hearing Aids:
          1.2. Wheelchairs:
          2. Dialysis:
          3. HIV:
          4. Emergency Transport:
          5. International Coverage:
          6. Other:

          View this plan

          Compcare Networx ED Plus F 2017: Other Benefits
          In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
          1. General Appliances:
          Overall Annual Limit (OAL):
          R1,100,000 per family
          Contributions:
          Main: Adult: Child:
          Total Cost: R631 R599 R300
          Children: Pay for all children
          Income limit: R8,001-R9,000 (other limits)
          Day-to-Day Benefit:
          Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
          Main: Adult: Child:
          (S) Savings: R0- R0- R0-
          Extended Fund: R2,800 (main) R4,170 (family) R

          Compare with these plans:

          1.1. Hearing Aids:
          1.2. Wheelchairs:
          2. Dialysis:
          3. HIV:
          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
          4. Emergency Transport:
          5. International Coverage:
          • International benefit: subject to benefits per individual benefit category. Paid at South African rates
            6. Other:
            • Oxygen home ventilation:
            • PMBs only
            • Wound care in lieu of hospitalisation: subject to protocols
            • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

            View this plan

            Momentum Ingwe State C 2017: Other Benefits
            In brief: 100% scheme rate for specialists. State hospitals. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
            1. General Appliances:
            • In-hospital: R4,650 per family
            • Out-of-hospital: no benefit
            Overall Annual Limit (OAL):
            R1,190,000 per family
            Contributions:
            Main: Adult: Child:
            Total Cost: R641 R1,282 R950
            Children: Pay for all children
            Income limit: R6,101-R8,200 (other limits)
            Day-to-Day Benefit:
            Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
            Main: Adult: Child:
            (S) Savings: R0- R0- R0-

            Compare with these plans:

            1.1. Hearing Aids:
            • No benefit
            1.2. Wheelchairs:
            • No benefit
            2. Dialysis:
            • PMBs only, at state facilities
            3. HIV:
            • Anti-retroviral treatment: R30,200 per family
            • HIV related admissions: R32,200 per family
            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
            4. Emergency Transport: Netcare 911
            5. International Coverage:
            • No benefit
            6. Other:

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            Discovery KeyCare Access A 2017: Other Benefits
            In brief: Unlimited cover in state facilities, or Access network for some procedures. Scheme pays out-of-hospital claims for: maternity, specialists. All else paid from out of pocket, unless PMB.
            1. General Appliances:
            • R5,200 per family
            Overall Annual Limit (OAL):
            Unlimited overall, with sub-limits
            Contributions:
            Main: Adult: Child:
            Total Cost: R644 R644 R281
            Children: Pay for maximum 3 children
            Income limit: R0-R5,050 (other limits)
            Day-to-Day Benefit:
            Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
            Main: Adult: Child:
            (S) Savings: R0- R0- R0-

            Compare with these plans:

            1.1. Hearing Aids:
            • See "General Appliances" limit
            1.2. Wheelchairs:
            • See "General Appliances" limit
            2. Dialysis:
            • Covered in full if you use network provider
            3. HIV:
            • Covered if on the HIV Care program
            4. Emergency Transport: Discovery 911
            5. International Coverage:
            • No benefit
            6. Other:
            • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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            Makoti Primary F 2017: Other Benefits
            In brief:
            1. General Appliances:
            Overall Annual Limit (OAL):
            PMBs only, in state hospitals
            Contributions:
            Main: Adult: Child:
            Total Cost: R656 R510 R235
            Children: Pay for all children
            Income limit: R16,001+ (other limits)
            Day-to-Day Benefit:
            Main: Adult: Child:
            (S) Savings: R0- R0- R0-

            Compare with these plans:

            1.1. Hearing Aids:
            1.2. Wheelchairs:
            2. Dialysis:
            3. HIV:
            4. Emergency Transport:
            5. International Coverage:
            6. Other:

            View this plan

            Compcare Networx ED B 2017: Other Benefits
            In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
            1. General Appliances:
            Overall Annual Limit (OAL):
            R1,100,000 per family
            Contributions:
            Main: Adult: Child:
            Total Cost: R665 R632 R233
            Children: Pay for all children
            Income limit: R501-R4,000 (other limits)
            Day-to-Day Benefit:
            Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
            Main: Adult: Child:
            (S) Savings: R0- R0- R0-
            Extended Fund: R2,800 (main) R4,170 (family) R

            Compare with these plans:

            1.1. Hearing Aids:
            1.2. Wheelchairs:
            2. Dialysis:
            3. HIV:
            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
            4. Emergency Transport:
            5. International Coverage:
            • International benefit: subject to benefits per individual benefit category. Paid at South African rates
              6. Other:
              • Oxygen home ventilation:
              • PMBs only
              • Wound care in lieu of hospitalisation: subject to protocols
              • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

              View this plan

              Compcare Networx ED Plus G 2017: Other Benefits
              In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
              1. General Appliances:
              Overall Annual Limit (OAL):
              R1,100,000 per family
              Contributions:
              Main: Adult: Child:
              Total Cost: R668 R636 R318
              Children: Pay for all children
              Income limit: R9,001-R10,000 (other limits)
              Day-to-Day Benefit:
              Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
              Main: Adult: Child:
              (S) Savings: R0- R0- R0-
              Extended Fund: R2,800 (main) R4,170 (family) R

              Compare with these plans:

              1.1. Hearing Aids:
              1.2. Wheelchairs:
              2. Dialysis:
              3. HIV:
              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
              4. Emergency Transport:
              5. International Coverage:
              • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                6. Other:
                • Oxygen home ventilation:
                • PMBs only
                • Wound care in lieu of hospitalisation: subject to protocols
                • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                View this plan

                Compcare Networx ED C 2017: Other Benefits
                In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
                1. General Appliances:
                Overall Annual Limit (OAL):
                R1,100,000 per family
                Contributions:
                Main: Adult: Child:
                Total Cost: R687 R652 R240
                Children: Pay for all children
                Income limit: R4,001-R5,000 (other limits)
                Day-to-Day Benefit:
                Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
                Main: Adult: Child:
                (S) Savings: R0- R0- R0-
                Extended Fund: R2,800 (main) R4,170 (family) R

                Compare with these plans:

                1.1. Hearing Aids:
                1.2. Wheelchairs:
                2. Dialysis:
                3. HIV:
                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                4. Emergency Transport:
                5. International Coverage:
                • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                  6. Other:
                  • Oxygen home ventilation:
                  • PMBs only
                  • Wound care in lieu of hospitalisation: subject to protocols
                  • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                  View this plan

                  Momentum Ingwe Network B 2017: Other Benefits
                  In brief: 100% scheme rate for specialists. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                  1. General Appliances:
                  • In-hospital: R4,650 per family
                  • Out-of-hospital: no benefit
                  Overall Annual Limit (OAL):
                  R1,190,000 per family
                  Contributions:
                  Main: Adult: Child:
                  Total Cost: R701 R701 R321
                  Children: Pay for all children
                  Income limit: R651-R6,100 (other limits)
                  Day-to-Day Benefit:
                  Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                  Main: Adult: Child:
                  (S) Savings: R0- R0- R0-

                  Compare with these plans:

                  1.1. Hearing Aids:
                  • No benefit
                  1.2. Wheelchairs:
                  • No benefit
                  2. Dialysis:
                  • PMBs only, at state facilities
                  3. HIV:
                  • Anti-retroviral treatment: R30,200 per family
                  • HIV related admissions: R32,200 per family
                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                  4. Emergency Transport: Netcare 911
                  5. International Coverage:
                  • No benefit
                  6. Other:

                  View this plan | Sign up for this plan

                  Discovery KeyCare Core A 2017: Other Benefits
                  In brief: Unlimited cover in KeyCare networks. Scheme pays out-of-hospital claims for: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                  1. General Appliances:
                  • No benefit
                  Overall Annual Limit (OAL):
                  Unlimited overall, with sub-limits
                  Contributions:
                  Main: Adult: Child:
                  Total Cost: R731 R731 R190
                  Children: Pay for maximum 3 children
                  Income limit: R0-R8,100 (other limits)
                  Day-to-Day Benefit:
                  Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                  Main: Adult: Child:
                  (S) Savings: R0- R0- R0-

                  Compare with these plans:

                  1.1. Hearing Aids:
                  • No benefit
                  1.2. Wheelchairs:
                  • No benefit
                  2. Dialysis:
                  • Covered in full if you use network provider
                  3. HIV:
                  • Covered if on the HIV Care program
                  4. Emergency Transport: Discovery 911
                  5. International Coverage:
                  • No benefit
                  6. Other:
                  • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

                  View this plan | Sign up for this plan

                  Momentum Ingwe State D 2017: Other Benefits
                  In brief: 100% scheme rate for specialists. State hospitals. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                  1. General Appliances:
                  • In-hospital: R4,650 per family
                  • Out-of-hospital: no benefit
                  Overall Annual Limit (OAL):
                  R1,190,000 per family
                  Contributions:
                  Main: Adult: Child:
                  Total Cost: R748 R748 R324
                  Children: Pay for all children
                  Income limit: R8,201-R11,000 (other limits)
                  Day-to-Day Benefit:
                  Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                  Main: Adult: Child:
                  (S) Savings: R0- R0- R0-

                  Compare with these plans:

                  1.1. Hearing Aids:
                  • No benefit
                  1.2. Wheelchairs:
                  • No benefit
                  2. Dialysis:
                  • PMBs only, at state facilities
                  3. HIV:
                  • Anti-retroviral treatment: R30,200 per family
                  • HIV related admissions: R32,200 per family
                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                  4. Emergency Transport: Netcare 911
                  5. International Coverage:
                  • No benefit
                  6. Other:

                  View this plan | Sign up for this plan

                  Fedhealth Blue Door A: Other Benefits
                  In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                  1. General Appliances:
                  • No benefit
                  Overall Annual Limit (OAL):
                  Unlimited overall, with sub-limits
                  Contributions:
                  Main: Adult: Child:
                  Total Cost: R776 R644 R369
                  Children: Pay for all children
                  Income limit: R0-R5,200 (other limits)
                  Day-to-Day Benefit:
                  Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                  Main: Adult: Child:
                  (S) Savings: R0- R0- R0-

                  Compare with these plans:

                  1.1. Hearing Aids:
                  • No benefit
                  1.2. Wheelchairs:
                  • No benefit
                  2. Dialysis:
                  • PMBs only, at state facilities
                  3. HIV:
                  • Covered if on the management program
                  4. Emergency Transport: Europ Assistance
                  5. International Coverage:
                  6. Other:

                  View this plan

                  Compcare Networx ED D 2017: Other Benefits
                  In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
                  1. General Appliances:
                  Overall Annual Limit (OAL):
                  R1,100,000 per family
                  Contributions:
                  Main: Adult: Child:
                  Total Cost: R821 R779 R289
                  Children: Pay for all children
                  Income limit: R5,001-R6,000 (other limits)
                  Day-to-Day Benefit:
                  Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
                  Main: Adult: Child:
                  (S) Savings: R0- R0- R0-
                  Extended Fund: R2,800 (main) R4,170 (family) R

                  Compare with these plans:

                  1.1. Hearing Aids:
                  1.2. Wheelchairs:
                  2. Dialysis:
                  3. HIV:
                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                  4. Emergency Transport:
                  5. International Coverage:
                  • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                    6. Other:
                    • Oxygen home ventilation:
                    • PMBs only
                    • Wound care in lieu of hospitalisation: subject to protocols
                    • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                    View this plan

                    Commed Roots A 2017: Other Benefits
                    In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R400k per person and R800k per family. Scheme pays out-of-hospital claims for:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB.
                    1. General Appliances:
                    • R8,000 per family
                    • Stoma care: from day-to-day benefit
                    Overall Annual Limit (OAL):
                    R400k per person, R800k per family
                    Contributions:
                    Main: Adult: Child:
                    Total Cost: R822 R822 R342
                    Children: Pay for all children
                    Income limit: R0-R6,000 (other limits)
                    Day-to-Day Benefit:
                    Out-of-hospital, scheme pays for some:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB.
                    Main: Adult: Child:
                    (S) Savings: R0- R0- R0-

                    Compare with these plans:

                    1.1. Hearing Aids:
                    • Paid from day-to-day benefit every 2 years
                    1.2. Wheelchairs:
                    • Every 3 years, subject to above limit
                    2. Dialysis:
                    3. HIV:
                    4. Emergency Transport: ER24
                    5. International Coverage:
                    • Emergency cover in SADC countries
                    6. Other:

                    View this plan

                    Selfmed Selfnet Essential 2017: Other Benefits
                    In brief:
                    1. General Appliances:
                    Overall Annual Limit (OAL):
                    Unlimited overall, with sub-limits
                    Contributions:
                    Main: Adult: Child:
                    Total Cost: R850 R850 R300
                    Children: Pay for maximum 3 children
                    Day-to-Day Benefit:
                    Main: Adult: Child:
                    (S) Savings: R0- R0- R0-

                    Compare with these plans:

                    1.1. Hearing Aids:
                    • No benefit
                    1.2. Wheelchairs:
                    2. Dialysis:
                    • Unlimited
                    3. HIV:
                    • Covered if part of Disease management Programme
                    4. Emergency Transport: ER24
                    5. International Coverage:
                    6. Other:

                    View this plan

                    Compcare Networx ED E 2017: Other Benefits
                    In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
                    1. General Appliances:
                    Overall Annual Limit (OAL):
                    R1,100,000 per family
                    Contributions:
                    Main: Adult: Child:
                    Total Cost: R859 R817 R301
                    Children: Pay for all children
                    Income limit: R6,001-R8,000 (other limits)
                    Day-to-Day Benefit:
                    Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
                    Main: Adult: Child:
                    (S) Savings: R0- R0- R0-
                    Extended Fund: R2,800 (main) R4,170 (family) R

                    Compare with these plans:

                    1.1. Hearing Aids:
                    1.2. Wheelchairs:
                    2. Dialysis:
                    3. HIV:
                    • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                    4. Emergency Transport:
                    5. International Coverage:
                    • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                      6. Other:
                      • Oxygen home ventilation:
                      • PMBs only
                      • Wound care in lieu of hospitalisation: subject to protocols
                      • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                      View this plan

                      Discovery KeyCare Access B 2017: Other Benefits
                      In brief: Unlimited cover in state facilities, or Access network for some procedures. Scheme pays out-of-hospital claims for: maternity, specialists. All else paid from out of pocket, unless PMB.
                      1. General Appliances:
                      • R5,200 per family
                      Overall Annual Limit (OAL):
                      Unlimited overall, with sub-limits
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R859 R859 R309
                      Children: Pay for maximum 3 children
                      Income limit: R5,051-R8,100 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      • See "General Appliances" limit
                      1.2. Wheelchairs:
                      • See "General Appliances" limit
                      2. Dialysis:
                      • Covered in full if you use network provider
                      3. HIV:
                      • Covered if on the HIV Care program
                      4. Emergency Transport: Discovery 911
                      5. International Coverage:
                      • No benefit
                      6. Other:
                      • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

                      View this plan | Sign up for this plan

                      Suremed Explorer A 2017: Other Benefits
                      In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                      1. General Appliances:
                      • R3,700 per family, at preferred provider in and out of hospital
                      Overall Annual Limit (OAL):
                      Unlimited overall, with sub-limits
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R860 R770 R400
                      Children: Pay for all children
                      Income limit: R0-R7,500 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      • See "General Appliances" limit
                      1.2. Wheelchairs:
                      • See "General Appliances" limit
                      2. Dialysis:
                      3. HIV:
                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                      4. Emergency Transport: ER24
                      5. International Coverage:
                      6. Other:

                      View this plan

                      Momentum Ingwe Network C 2017: Other Benefits
                      In brief: 100% scheme rate for specialists. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                      1. General Appliances:
                      • In-hospital: R4,650 per family
                      • Out-of-hospital: no benefit
                      Overall Annual Limit (OAL):
                      R1,190,000 per family
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R892 R892 R334
                      Children: Pay for all children
                      Income limit: R6,101-R8,200 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      • No benefit
                      1.2. Wheelchairs:
                      • No benefit
                      2. Dialysis:
                      • PMBs only, at state facilities
                      3. HIV:
                      • Anti-retroviral treatment: R30,200 per family
                      • HIV related admissions: R32,200 per family
                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                      4. Emergency Transport: Netcare 911
                      5. International Coverage:
                      • No benefit
                      6. Other:

                      View this plan | Sign up for this plan

                      Resolution Fundation A 2017: Other Benefits
                      In brief:
                      1. General Appliances:
                      Overall Annual Limit (OAL):
                      Unlimited overall, with sub-limits
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R907 R907 R273
                      Children: Pay for all children
                      Income limit: R0-R4,600 (other limits)
                      Day-to-Day Benefit:
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      1.2. Wheelchairs:
                      2. Dialysis:
                      • PMBs only, at network providers
                      3. HIV:
                      • Covered at network hospitals if on HIV Management Programme
                      4. Emergency Transport: Netcare 911
                      5. International Coverage:
                      • No benefit
                      6. Other:
                      • Cochlear implants: no benefit

                      View this plan

                      Momentum Ingwe B 2017: Other Benefits
                      In brief: 100% scheme rate for specialists. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                      1. General Appliances:
                      • In-hospital: R4,650 per family
                      • Out-of-hospital: no benefit
                      Overall Annual Limit (OAL):
                      R1,190,000 per family
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R911 R911 R342
                      Children: Pay for all children
                      Income limit: R651-R6,100 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      • No benefit
                      1.2. Wheelchairs:
                      • No benefit
                      2. Dialysis:
                      • PMBs only, at state facilities
                      3. HIV:
                      • Anti-retroviral treatment: R30,200 per family
                      • HIV related admissions: R32,200 per family
                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                      4. Emergency Transport: Netcare 911
                      5. International Coverage:
                      • No benefit
                      6. Other:

                      View this plan | Sign up for this plan

                      Discovery KeyCare Core B 2017: Other Benefits
                      In brief: Unlimited cover in KeyCare networks. Scheme pays out-of-hospital claims for: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                      1. General Appliances:
                      • No benefit
                      Overall Annual Limit (OAL):
                      Unlimited overall, with sub-limits
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R912 R912 R224
                      Children: Pay for maximum 3 children
                      Income limit: R8,101-R11,550 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      • No benefit
                      1.2. Wheelchairs:
                      • No benefit
                      2. Dialysis:
                      • Covered in full if you use network provider
                      3. HIV:
                      • Covered if on the HIV Care program
                      4. Emergency Transport: Discovery 911
                      5. International Coverage:
                      • No benefit
                      6. Other:
                      • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

                      View this plan | Sign up for this plan

                      Discovery KeyCare Plus A 2017: Other Benefits
                      In brief: Unlimited cover in KeyCare networks. Scheme pays out-of-hospital claims for: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                      1. General Appliances:
                      • R5,200 per family
                      Overall Annual Limit (OAL):
                      Unlimited overall, with sub-limits
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R914 R914 R331
                      Children: Pay for maximum 3 children
                      Income limit: R0-R8,100 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      • See "General Appliances" limit
                      1.2. Wheelchairs:
                      • See "General Appliances" limit
                      2. Dialysis:
                      • Covered in full if you use network provider
                      3. HIV:
                      • Covered if on the HIV Care program
                      4. Emergency Transport: Discovery 911
                      5. International Coverage:
                      • No benefit
                      6. Other:
                      • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

                      View this plan | Sign up for this plan

                      Topmed Network B 2017: Other Benefits
                      In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.
                      1. General Appliances:
                      Overall Annual Limit (OAL):
                      Unlimited overall, with sub-limits
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R915 R915 R331
                      Children: Pay for all children
                      Income limit: R1,000-R8,000 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      • No benefit
                      1.2. Wheelchairs:
                      • No benefit
                      2. Dialysis:
                      3. HIV:
                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                      4. Emergency Transport: v
                      5. International Coverage:
                      6. Other:

                      View this plan

                      Commed Roots B 2017: Other Benefits
                      In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R400k per person and R800k per family. Scheme pays out-of-hospital claims for:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB.
                      1. General Appliances:
                      • R8,000 per family
                      • Stoma care: from day-to-day benefit
                      Overall Annual Limit (OAL):
                      R400k per person, R800k per family
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R950 R950 R458
                      Children: Pay for all children
                      Income limit: R6,001-R18,000 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-

                      Compare with these plans:

                      1.1. Hearing Aids:
                      • Paid from day-to-day benefit every 2 years
                      1.2. Wheelchairs:
                      • Every 3 years, subject to above limit
                      2. Dialysis:
                      3. HIV:
                      4. Emergency Transport: ER24
                      5. International Coverage:
                      • Emergency cover in SADC countries
                      6. Other:

                      View this plan

                      Compcare Networx ED F 2017: Other Benefits
                      In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
                      1. General Appliances:
                      Overall Annual Limit (OAL):
                      R1,100,000 per family
                      Contributions:
                      Main: Adult: Child:
                      Total Cost: R978 R931 R343
                      Children: Pay for all children
                      Income limit: R8,001-R9,000 (other limits)
                      Day-to-Day Benefit:
                      Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
                      Main: Adult: Child:
                      (S) Savings: R0- R0- R0-
                      Extended Fund: R2,800 (main) R4,170 (family) R

                      Compare with these plans:

                      1.1. Hearing Aids:
                      1.2. Wheelchairs:
                      2. Dialysis:
                      3. HIV:
                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                      4. Emergency Transport:
                      5. International Coverage:
                      • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                        6. Other:
                        • Oxygen home ventilation:
                        • PMBs only
                        • Wound care in lieu of hospitalisation: subject to protocols
                        • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                        View this plan

                        Fedhealth Blue Door B: Other Benefits
                        In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                        1. General Appliances:
                        • No benefit
                        Overall Annual Limit (OAL):
                        Unlimited overall, with sub-limits
                        Contributions:
                        Main: Adult: Child:
                        Total Cost: R984 R813 R475
                        Children: Pay for all children
                        Income limit: R5,201-R8,500 (other limits)
                        Day-to-Day Benefit:
                        Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                        Main: Adult: Child:
                        (S) Savings: R0- R0- R0-

                        Compare with these plans:

                        1.1. Hearing Aids:
                        • No benefit
                        1.2. Wheelchairs:
                        • No benefit
                        2. Dialysis:
                        • PMBs only, at state facilities
                        3. HIV:
                        • Covered if on the management program
                        4. Emergency Transport: Europ Assistance
                        5. International Coverage:
                        6. Other:

                        View this plan

                        Genesis Private Choice 2017: Other Benefits
                        In brief: 100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry. Limits apply. All else paid out of pocket, unless PMB.
                        1. General Appliances:
                        • No benefit
                        Overall Annual Limit (OAL):
                        Unlimited overall, with sub-limits
                        Contributions:
                        Main: Adult: Child:
                        Total Cost: R1,000 R1,000 R325
                        Children: Pay for all children
                        Day-to-Day Benefit:
                        Out-of-hospital, scheme pays for some: dentistry. Limits apply. All else paid from out of pocket, unless PMB.
                        Main: Adult: Child:
                        (S) Savings: R0- R0- R0-

                        Compare with these plans:

                        1.1. Hearing Aids:
                        • No benefit
                        1.2. Wheelchairs:
                        • No benefit
                        2. Dialysis:
                        • PMB only
                        3. HIV:
                        • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                        4. Emergency Transport: ER24
                        5. International Coverage:
                        • No benefit
                        6. Other:

                        View this plan

                        Medimed Alpha 2017: Other Benefits
                        In brief: 100% scheme rate for specialists. Scheme pays in and out of hospital benefits, but with a 25% or 40% co-payment from member for most claims. Limits apply. All else paid from out of pocket, unless PMB.
                        1. General Appliances:
                        • R4,000 per family
                        • Nebulisers and glucometers: R500
                        • 60% scheme rate, member pays balance
                        Overall Annual Limit (OAL):
                        Unlimited overall, with sub-limits
                        Contributions:
                        Main: Adult: Child:
                        Total Cost: R1,020 R1,020 R400
                        Children: Pay for all children
                        Day-to-Day Benefit:
                        Out-of-hospital, scheme pays for some: out-of-hospital claims but with a 25% or 40% co-payment from member. All else paid from out of pocket, unless PMB.
                        Main: Adult: Child:
                        (S) Savings: R0- R0- R0-

                        Compare with these plans:

                        1.1. Hearing Aids:
                        • See "General Appliances" limit
                        1.2. Wheelchairs:
                        • See "General Appliances" limit
                        2. Dialysis:
                        • R100,000 per family
                        • Benefit is shared with Organ Transplant Benefit
                        3. HIV:
                        • Unlimited, subject to protocols
                        4. Emergency Transport: ER 24
                        5. International Coverage:
                        6. Other:

                        View this plan

                        Compcare Networx ED G 2017: Other Benefits
                        In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
                        1. General Appliances:
                        Overall Annual Limit (OAL):
                        R1,100,000 per family
                        Contributions:
                        Main: Adult: Child:
                        Total Cost: R1,037 R987 R364
                        Children: Pay for all children
                        Income limit: R9,001-R10,000 (other limits)
                        Day-to-Day Benefit:
                        Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
                        Main: Adult: Child:
                        (S) Savings: R0- R0- R0-
                        Extended Fund: R2,800 (main) R4,170 (family) R

                        Compare with these plans:

                        1.1. Hearing Aids:
                        1.2. Wheelchairs:
                        2. Dialysis:
                        3. HIV:
                        • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                        4. Emergency Transport:
                        5. International Coverage:
                        • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                          6. Other:
                          • Oxygen home ventilation:
                          • PMBs only
                          • Wound care in lieu of hospitalisation: subject to protocols
                          • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                          View this plan

                          Medshield MediPhila 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. R1,000,000 per family limit. Scheme pays out-of-hospital claims for: specialised radiology, maternity, optometry, some non-surgical procedures including scopes, preventative benefits. Limits apply. All else paid from extended fund or out of pocket, unless PMB.
                          1. General Appliances:
                          Overall Annual Limit (OAL):
                          R500,000 per person, R1 million per family for non-PMB
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,041 R1.041 R261
                          Children: Pay for three children only
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: specialised radiology, maternity, optometry, preventative benefits. Limits apply. All else paid from extended fund or out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-
                          Extended Fund: R2,500 per family R R

                          Compare with these plans:

                          1.1. Hearing Aids:
                          1.2. Wheelchairs:
                          2. Dialysis:
                          3. HIV:
                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                          4. Emergency Transport:
                          5. International Coverage:
                          6. Other:

                          View this plan

                          Resolution Fundation B 2017: Other Benefits
                          In brief:
                          1. General Appliances:
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,056 R1,056 R364
                          Children: Pay for all children
                          Income limit: R4,601-R7,100 (other limits)
                          Day-to-Day Benefit:
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          1.2. Wheelchairs:
                          2. Dialysis:
                          • PMBs only, at network providers
                          3. HIV:
                          • Covered at network hospitals if on HIV Management Programme
                          4. Emergency Transport: Netcare 911
                          5. International Coverage:
                          • No benefit
                          6. Other:
                          • Cochlear implants: no benefit

                          View this plan

                          Suremed Explorer B 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                          1. General Appliances:
                          • R3,700 per family, at preferred provider in and out of hospital
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,080 R960 R480
                          Children: Pay for all children
                          Income limit: R7,501-R11,000 (other limits)
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • See "General Appliances" limit
                          1.2. Wheelchairs:
                          • See "General Appliances" limit
                          2. Dialysis:
                          3. HIV:
                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                          4. Emergency Transport: ER24
                          5. International Coverage:
                          6. Other:

                          View this plan

                          Discovery Essential Smart 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: GP consults, eye and dental check up. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                          1. General Appliances:
                          • No benefit
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,100 R1,100 R1,100
                          Children: Pay for maximum 3 children
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: GP consults, eye and dental check up. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • No benefit
                          1.2. Wheelchairs:
                          • No benefit
                          2. Dialysis:
                          • Covered in full if you use network provider
                          3. HIV:
                          • Covered if on the HIV Care program
                          4. Emergency Transport: Discovery 911
                          5. International Coverage:
                          • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                          • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                          • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                          6. Other:
                          • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

                          View this plan | Sign up for this plan

                          Medimed Essential A 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Network hospitals. Income based plan. Over and above the savings, scheme pays out-of-hospital claims for: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                          1. General Appliances:
                          • Paid from day-to-day benefit
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,110 R1,110 R380
                          Children: Pay for all children
                          Income limit: R0-R7,000 (other limits)
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R1,332 R1,332 R456

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • See "General Appliances" limit
                          1.2. Wheelchairs:
                          • See "General Appliances" limit
                          2. Dialysis:
                          • R50,000 per family, shared with organ transplant and oncology benefits
                          3. HIV:
                          • Unlimited, subject to protocols
                          4. Emergency Transport: ER 24
                          5. International Coverage:
                          6. Other:

                          View this plan

                          Bestmed Beat 1 Network 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                          1. General Appliances:
                          • No benefit out of hospital
                          Overall Annual Limit (OAL):
                          Unlimited overall, but sub-limits can apply
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,131 R879 R476
                          Children: Pay for maximum 4 children
                          Day-to-Day Benefit:
                          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.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • No benefit
                          1.2. Wheelchairs:
                          • No benefit
                          2. Dialysis:
                          3. HIV:
                          • Managed care programme
                          4. Emergency Transport: ER24
                          5. International Coverage:
                          6. Other:
                          • Wound care: R2,750 per family, paid by scheme

                          View this plan

                          Bestmed Pulse 1 A 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: GP and specialist consults, dentistry, optometry, maternity, radiology and pathology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                          1. General Appliances:
                          • No benefit
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,131 R1,075 R679
                          Children: Pay for maximum 4 children
                          Income limit: R0-R6,000 (other limits)
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: GP and specialist consults, dentistry, optometry, maternity, radiology and pathology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • No benefit
                          1.2. Wheelchairs:
                          • No benefit
                          2. Dialysis:
                          3. HIV:
                          • Managed care programme
                          4. Emergency Transport: ER24
                          5. International Coverage:
                          6. Other:
                          • No benefit

                          View this plan

                          Selfmed Selfnet 2017: Other Benefits
                          In brief:
                          1. General Appliances:
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,185 R1,185 R418
                          Children: Pay for maximum 3 children
                          Day-to-Day Benefit:
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • No benefit
                          1.2. Wheelchairs:
                          2. Dialysis:
                          • Unlimited
                          3. HIV:
                          • Covered if part of Disease management Programme
                          4. Emergency Transport: ER24
                          5. International Coverage:
                          6. Other:

                          View this plan

                          Hosmed Essential A 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. In-hospital, PMBs only. Scheme pays out-of-hospital claims for: 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.
                          1. General Appliances:
                          • R2,500 per family, PMBs only
                          Overall Annual Limit (OAL):
                          PMBs only
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,196 R1,092 R410
                          Children: Pay for maximum 3 children
                          Day-to-Day Benefit:
                          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.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • See "General Appliances" limit
                          1.2. Wheelchairs:
                          • See "General Appliances" limit
                          2. Dialysis: -
                          3. HIV:
                          • 100% scheme rate
                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                          4. Emergency Transport: Netcare911
                          5. International Coverage: -
                          6. Other: -

                          View this plan

                          Medimed Essential B 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Network hospitals. Income based plan. Over and above the savings, scheme pays out-of-hospital claims for: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                          1. General Appliances:
                          • Paid from day-to-day benefit
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,200 R1,200 R390
                          Children: Pay for all children
                          Income limit: R7,001-R8,500 (other limits)
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R1,440 R1,440 R468

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • See "General Appliances" limit
                          1.2. Wheelchairs:
                          • See "General Appliances" limit
                          2. Dialysis:
                          • R50,000 per family, shared with organ transplant and oncology benefits
                          3. HIV:
                          • Unlimited, subject to protocols
                          4. Emergency Transport: ER 24
                          5. International Coverage:
                          6. Other:

                          View this plan

                          Spectramed Aqua 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                          1. General Appliances:
                          • No benefit
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,208 R1,099 R427
                          Children: Pay for all children
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • No benefit
                          1.2. Wheelchairs:
                          • No benefit
                          2. Dialysis:
                          3. HIV:
                          • Includes post exposure prophylaxis and mother-to-child transmission
                          4. Emergency Transport:
                          5. International Coverage:
                          6. Other:

                          View this plan

                          Momentum Ingwe Network D 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                          1. General Appliances:
                          • In-hospital: R4,650 per family
                          • Out-of-hospital: no benefit
                          Overall Annual Limit (OAL):
                          R1,190,000 per family
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,241 R1,241 R365
                          Children: Pay for all children
                          Income limit: R8,201-R11,000 (other limits)
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • No benefit
                          1.2. Wheelchairs:
                          • No benefit
                          2. Dialysis:
                          • PMBs only, at state facilities
                          3. HIV:
                          • Anti-retroviral treatment: R30,200 per family
                          • HIV related admissions: R32,200 per family
                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                          4. Emergency Transport: Netcare 911
                          5. International Coverage:
                          • No benefit
                          6. Other:

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                          Discovery KeyCare Access C 2017: Other Benefits
                          In brief: Unlimited cover in state facilities, or Access network for some procedures. Scheme pays out-of-hospital claims for: maternity, specialists. All else paid from out of pocket, unless PMB.
                          1. General Appliances:
                          • R5,200 per family
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,241 R1,241 R348
                          Children: Pay for maximum 3 children
                          Income limit: R8,101-R11,550 (other limits)
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • See "General Appliances" limit
                          1.2. Wheelchairs:
                          • See "General Appliances" limit
                          2. Dialysis:
                          • Covered in full if you use network provider
                          3. HIV:
                          • Covered if on the HIV Care program
                          4. Emergency Transport: Discovery 911
                          5. International Coverage:
                          • No benefit
                          6. Other:
                          • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

                          View this plan | Sign up for this plan

                          Bestmed Beat 1 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                          1. General Appliances:
                          • No benefit out of hospital
                          Overall Annual Limit (OAL):
                          Unlimited overall, but sub-limits can apply
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,257 R976 R529
                          Children: Pay for maximum 4 children
                          Day-to-Day Benefit:
                          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.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • No benefit
                          1.2. Wheelchairs:
                          • No benefit
                          2. Dialysis:
                          3. HIV:
                          • Managed care programme
                          4. Emergency Transport: ER24
                          5. International Coverage:
                          6. Other:
                          • Wound care: R2,750 per family, paid by scheme

                          View this plan

                          Medihelp Dimension Prime 1 Network 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), GP, specialists, physio, medication, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.
                          1. General Appliances:
                          • Medical Appliances, hyperbaric oxygen: No benefit
                          • Stoma products and urine bags: paid by scheme
                          • CPAP apparatus: R8,400 per person every two years
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,260 R1,026 R378
                          Children: Pay for maximum 2 children under 18yrs.
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: specialised radiology (co-payment), GP, specialists, physio, medication, maternity, infant paediatrics, medical appliances. All else paid from out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          • R4,080 per family every 3 years
                          1.2. Wheelchairs:
                          • R4,080 per family every 3 years
                          2. Dialysis:
                          • Unlimited
                          3. HIV:
                          • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                          • Paid by scheme
                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                          4. Emergency Transport:
                          • Netcare 911
                          5. International Coverage:
                          6. Other:
                          • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                          Compcare Axis ED 2017: Other Benefits
                          In brief: 100% scheme rate for specialists. Netcare hospitals. Some exclusions apply. Most out-of-hospital benefits covered only if PMBs.
                          1. General Appliances:
                          Overall Annual Limit (OAL):
                          Unlimited overall, with sub-limits
                          Contributions:
                          Main: Adult: Child:
                          Total Cost: R1,260 R1,260 R396
                          Children: Pay for all children
                          Day-to-Day Benefit:
                          Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid out of pocket, unless PMB.
                          Main: Adult: Child:
                          (S) Savings: R0- R0- R0-

                          Compare with these plans:

                          1.1. Hearing Aids:
                          1.2. Wheelchairs:
                          2. Dialysis:
                          3. HIV:
                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                          4. Emergency Transport:
                          5. International Coverage:
                          • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                            6. Other:
                            • Oxygen home ventilation:
                            • PMBs only
                            • Wound care in lieu of hospitalisation: subject to protocols
                            • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                            View this plan

                            Momentum Custom Associate (and State provider for chronic) 2017: Other Benefits
                            In brief: 100% scheme rate for specialists. State hospitals. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                            1. General Appliances:
                            • In-hospital: R5,630 per family
                            • Out-of-hospital: No benefit
                            Overall Annual Limit (OAL):
                            Unlimited overall, with sub-limits
                            Contributions:
                            Main: Adult: Child:
                            Total Cost: R1,266 R957 R448
                            Children: Pay for maximum 3 children
                            Day-to-Day Benefit:
                            Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                            Main: Adult: Child:
                            (S) Savings: R0- R0- R0-

                            Compare with these plans:

                            1.1. Hearing Aids:
                            • No benefit
                            1.2. Wheelchairs:
                            • No benefit
                            2. Dialysis:
                            • Unlimited, at State chronic provider
                            3. HIV:
                            • HIV related admissions: R62,500 per family
                            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                            4. Emergency Transport: Netcare 911
                            5. International Coverage:
                            • R7.66 million international emergency cover
                            • R1,470 co-payment applies for each outpatient claim
                            6. Other:

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                            Momentum Ingwe C 2017: Other Benefits
                            In brief: 100% scheme rate for specialists. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                            1. General Appliances:
                            • In-hospital: R4,650 per family
                            • Out-of-hospital: no benefit
                            Overall Annual Limit (OAL):
                            R1,190,000 per family
                            Contributions:
                            Main: Adult: Child:
                            Total Cost: R1,273 R1,273 R385
                            Children: Pay for all children
                            Income limit: R6,101-R8,200 (other limits)
                            Day-to-Day Benefit:
                            Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                            Main: Adult: Child:
                            (S) Savings: R0- R0- R0-

                            Compare with these plans:

                            1.1. Hearing Aids:
                            • No benefit
                            1.2. Wheelchairs:
                            • No benefit
                            2. Dialysis:
                            • PMBs only, at state facilities
                            3. HIV:
                            • Anti-retroviral treatment: R30,200 per family
                            • HIV related admissions: R32,200 per family
                            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                            4. Emergency Transport: Netcare 911
                            5. International Coverage:
                            • No benefit
                            6. Other:

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                            Keyhealth Essence 2017: Other Benefits
                            In brief: 100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, medical appliances, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                            1. General Appliances:
                            • R6,200 per family, in and out of hospital
                            Overall Annual Limit (OAL):
                            Unlimited overall, with sub-limits
                            Contributions:
                            Main: Adult: Child:
                            Total Cost: R1,278 R1,013 R427
                            Children: Pay for all children
                            Day-to-Day Benefit:
                            Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, medical appliances, oncology, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                            Main: Adult: Child:
                            (S) Savings: R0- R0- R0-

                            Compare with these plans:

                            1.1. Hearing Aids:
                            • No benefit
                            1.2. Wheelchairs:
                            • See "General Appliances" limit
                            2. Dialysis:
                            • PMB only
                            3. HIV:
                            • Unlimited
                            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                            4. Emergency Transport: Netcare911
                            5. International Coverage:
                            6. Other:

                            View this plan

                            Discovery KeyCare Plus B 2017: Other Benefits
                            In brief: Unlimited cover in KeyCare networks. Scheme pays out-of-hospital claims for: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                            1. General Appliances:
                            • R5,200 per family
                            Overall Annual Limit (OAL):
                            Unlimited overall, with sub-limits
                            Contributions:
                            Main: Adult: Child:
                            Total Cost: R1,280 R1,280 R358
                            Children: Pay for maximum 3 children
                            Income limit: R8,101-R11,550 (other limits)
                            Day-to-Day Benefit:
                            Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                            Main: Adult: Child:
                            (S) Savings: R0- R0- R0-

                            Compare with these plans:

                            1.1. Hearing Aids:
                            • See "General Appliances" limit
                            1.2. Wheelchairs:
                            • See "General Appliances" limit
                            2. Dialysis:
                            • Covered in full if you use network provider
                            3. HIV:
                            • Covered if on the HIV Care program
                            4. Emergency Transport: Discovery 911
                            5. International Coverage:
                            • No benefit
                            6. Other:
                            • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                            Topmed Network C 2017: Other Benefits
                            In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.
                            1. General Appliances:
                            Overall Annual Limit (OAL):
                            Unlimited overall, with sub-limits
                            Contributions:
                            Main: Adult: Child:
                            Total Cost: R1,282 R1,282 R359
                            Children: Pay for all children
                            Income limit: R8,001-R11,000 (other limits)
                            Day-to-Day Benefit:
                            Out-of-hospital, scheme pays for some: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.
                            Main: Adult: Child:
                            (S) Savings: R0- R0- R0-

                            Compare with these plans:

                            1.1. Hearing Aids:
                            • No benefit
                            1.2. Wheelchairs:
                            • No benefit
                            2. Dialysis:
                            3. HIV:
                            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                            4. Emergency Transport: v
                            5. International Coverage:
                            6. Other:

                            View this plan

                            Momentum Ingwe State E 2017: Other Benefits
                            In brief: 100% scheme rate for specialists. State hospitals. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                            1. General Appliances:
                            • In-hospital: R4,650 per family
                            • Out-of-hospital: no benefit
                            Overall Annual Limit (OAL):
                            R1,190,000 per family
                            Contributions:
                            Main: Adult: Child:
                            Total Cost: R1,291 R1,291 R389
                            Children: Pay for all children
                            Income limit: R11,001+ (other limits)
                            Day-to-Day Benefit:
                            Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                            Main: Adult: Child:
                            (S) Savings: R0- R0- R0-

                            Compare with these plans:

                            1.1. Hearing Aids:
                            • No benefit
                            1.2. Wheelchairs:
                            • No benefit
                            2. Dialysis:
                            • PMBs only, at state facilities
                            3. HIV:
                            • Anti-retroviral treatment: R30,200 per family
                            • HIV related admissions: R32,200 per family
                            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                            4. Emergency Transport: Netcare 911
                            5. International Coverage:
                            • No benefit
                            6. Other:

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                            Discovery Essential Delta Core 2017: Other Benefits
                            In brief: 100% scheme rate for specialists. Network hospitals. Most day-to-day claims paid from out of pocket, unless PMB.
                            1. General Appliances:
                            • Cochlear implants: R207,000
                            • Otherwise, no benefit
                            Overall Annual Limit (OAL):
                            Unlimited overall, with sub-limits
                            Contributions:
                            Main: Adult: Child:
                            Total Cost: R1,317 R989 R528
                            Children: Pay for maximum 3 children
                            Day-to-Day Benefit:
                            Out-of-hospital, scheme pays for some: Most claims paid from out of pocket, unless PMB.
                            Main: Adult: Child:
                            (S) Savings: R0- R0- R0-

                            Compare with these plans:

                            1.1. Hearing Aids:
                            • No benefit
                            1.2. Wheelchairs:
                            • No benefit
                            2. Dialysis:
                            • Covered in full if you use network provider
                            3. HIV:
                            • Covered if on the HIV Care program
                            4. Emergency Transport: Discovery 911
                            5. International Coverage:
                            • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                            • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                            • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                            6. Other:
                            • Internal nerve stimulators: R142,200
                            • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                            Compcare Networx ED Plus H 2017: Other Benefits
                            In brief: 100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
                            1. General Appliances:
                            Overall Annual Limit (OAL):
                            R1,100,000 per family
                            Contributions:
                            Main: Adult: Child:
                            Total Cost: R1,318 R1,186 R585
                            Children: Pay for all children
                            Income limit: R10,001+ (other limits)
                            Day-to-Day Benefit:
                            Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
                            Main: Adult: Child:
                            (S) Savings: R0- R0- R0-
                            Extended Fund: R2,800 (main) R4,170 (family) R

                            Compare with these plans:

                            1.1. Hearing Aids:
                            1.2. Wheelchairs:
                            2. Dialysis:
                            3. HIV:
                            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                            4. Emergency Transport:
                            5. International Coverage:
                            • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                              6. Other:
                              • Oxygen home ventilation:
                              • PMBs only
                              • Wound care in lieu of hospitalisation: subject to protocols
                              • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                              View this plan

                              Suremed Shuttle 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: specialised radiology, preventative care, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,320 R980 R540
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Scheme pays out-of-hospital claims for: specialised radiology, preventative care, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              • No benefit
                              6. Other:

                              View this plan

                              Medshield MediValue 2017: Other Benefits
                              In brief: 100% scheme rate. Scheme pays out-of-hospital claims for: specialised radiology, maternity, alternative to hospitalisation, optometry, some non-surgical procedures including scopes,preventative benefits. Limits apply. All else paid from extended fund or out of pocket, unless PMB.
                              1. General Appliances:
                              • Overall limit: R2,140 per family, in and out of hospital
                              • Peak flow meters, nebulizers, glucometers and blood pressure monitors: R750 per person, subject to above limit
                              • Stoma products: Unlimited
                              • Oxygen therapy equipment: unlimited, PMBs only
                              • Ventilators: unlimited, PMBs only
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,521 R1,323 R414
                              Children: Pay for three children only
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: specialised radiology, maternity, alternative to hospitalisation, optometry, some non-surgical procedures including scopes,preventative benefits. Limits apply. All else paid from extended fund or out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-
                              Extended Fund: RM= R4,815
                              M1= R5,240
                              M2= R5,900
                              M3= R6,660
                              M4+ =R7,600
                              R R

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • See "General Appliances" limit
                              1.2. Wheelchairs:
                              • See "General Appliances" limit
                              2. Dialysis:
                              3. HIV:
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport:
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Fedhealth Maxima EntryZone 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,326 R991 R446
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Covered if on the management program
                              4. Emergency Transport: Europ Assistance
                              5. International Coverage:
                              • R5 million, for under 70yrs
                              6. Other:

                              View this plan

                              Resolution Fundation C 2017: Other Benefits
                              In brief:
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,338 R1,338 R427
                              Children: Pay for all children
                              Income limit: R7,101-R9,700 (other limits)
                              Day-to-Day Benefit:
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              1.2. Wheelchairs:
                              2. Dialysis:
                              • PMBs only, at network providers
                              3. HIV:
                              • Covered at network hospitals if on HIV Management Programme
                              4. Emergency Transport: Netcare 911
                              5. International Coverage:
                              • No benefit
                              6. Other:
                              • Cochlear implants: no benefit

                              View this plan

                              Bestmed Pulse 1 B 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: GP and specialist consults, dentistry, optometry, maternity, radiology and pathology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,357 R1,290 R814
                              Children: Pay for maximum 4 children
                              Income limit: R6,001-R10,000 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: GP and specialist consults, dentistry, optometry, maternity, radiology and pathology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Managed care programme
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              6. Other:
                              • No benefit

                              View this plan

                              Fedhealth Blue Door C: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,380 R1,145 R522
                              Children: Pay for all children
                              Income limit: R8,501-R10,500 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • PMBs only, at state facilities
                              3. HIV:
                              • Covered if on the management program
                              4. Emergency Transport: Europ Assistance
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Medimed Essential C 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Income based plan. Over and above the savings, scheme pays out-of-hospital claims for: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                              1. General Appliances:
                              • Paid from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,390 R1,390 R400
                              Children: Pay for all children
                              Income limit: R8,501-R13,000 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R1,668 R1,668 R480

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • See "General Appliances" limit
                              1.2. Wheelchairs:
                              • See "General Appliances" limit
                              2. Dialysis:
                              • R50,000 per family, shared with organ transplant and oncology benefits
                              3. HIV:
                              • Unlimited, subject to protocols
                              4. Emergency Transport: ER 24
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Bestmed Beat 2 Network 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: preventative dentistry, wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • Paid from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, but sub-limits can apply
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,399 R1,087 R589
                              Children: Pay for maximum 4 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: Preventative dentistry, wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R2,856 R2,220 R1,220

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit
                              1.2. Wheelchairs:
                              • Paid from day-to-day benefit
                              2. Dialysis:
                              3. HIV:
                              • Managed care programme
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              6. Other:
                              • Wound care: R2,750 per family, paid by scheme

                              View this plan

                              Medihelp Necesse B 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals only. Income based plan. Scheme pays out-of-hospital claims for: 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.
                              1. General Appliances:
                              • Medical, surgical and orthopaedic appliances: R8,550 per family
                              • CPAP: R8,400 per person every 24 months
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,404 R1,110 R600
                              Children: Pay for all children
                              Income limit: R401-R5,000 (other limits)
                              Day-to-Day Benefit:
                              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.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                              • Paid by scheme
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport:
                              • Netcare 911
                              5. International Coverage:
                              6. Other:
                              • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                              Discovery KeyCare Core C 2017: Other Benefits
                              In brief: Unlimited cover in KeyCare networks. Scheme pays out-of-hospital claims for: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,408 R1,408 R318
                              Children: Pay for maximum 3 children
                              Income limit: R11,551+ (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Covered in full if you use network provider
                              3. HIV:
                              • Covered if on the HIV Care program
                              4. Emergency Transport: Discovery 911
                              5. International Coverage:
                              • No benefit
                              6. Other:
                              • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

                              View this plan | Sign up for this plan

                              Commed Roots C 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R400k per person and R800k per family. Scheme pays out-of-hospital claims for:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • R8,000 per family
                              • Stoma care: from day-to-day benefit
                              Overall Annual Limit (OAL):
                              R400k per person, R800k per family
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,454 R1,454 R620
                              Children: Pay for all children
                              Income limit: R18,001+ (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit every 2 years
                              1.2. Wheelchairs:
                              • Every 3 years, subject to above limit
                              2. Dialysis:
                              3. HIV:
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              • Emergency cover in SADC countries
                              6. Other:

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                              Topmed Essential 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Hospital plan. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, scopes, alternatives to hospital, extended rehab benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,458 R1,174 R592
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, scopes, alternatives to hospital, extended rehab benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              • R10 million per family per year, maximum of 90 days
                              6. Other:
                              • Post-operative benefits hip and knee replacement (trauma only), heart attack, post crime trauma, stroke

                              View this plan

                              Hosmed Essential B 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. In-hospital, PMBs only. Scheme pays out-of-hospital claims for: 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.
                              1. General Appliances:
                              • R2,500 per family, PMBs only
                              Overall Annual Limit (OAL):
                              PMBs only
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,460 R1,333 R368
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              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.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • See "General Appliances" limit
                              1.2. Wheelchairs:
                              • See "General Appliances" limit
                              2. Dialysis: -
                              3. HIV:
                              • 100% scheme rate
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: Netcare911
                              5. International Coverage: -
                              6. Other: -

                              View this plan

                              Medihelp Necesse C 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals only. Income based plan. Scheme pays out-of-hospital claims for: 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.
                              1. General Appliances:
                              • Medical, surgical and orthopaedic appliances: R8,550 per family
                              • CPAP: R8,400 per person every 24 months
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,464 R1,170 R660
                              Children: Pay for all children
                              Income limit: R5,001-R7,000 (other limits)
                              Day-to-Day Benefit:
                              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.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                              • Paid by scheme
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport:
                              • Netcare 911
                              5. International Coverage:
                              6. Other:
                              • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                              Makoti Comprehensive A 2017: Other Benefits
                              In brief:
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              PMBs only, in private hospitals
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,469 R1,266 R488
                              Children: Pay for all children
                              Income limit: R0-R9,250 (other limits)
                              Day-to-Day Benefit:
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • R2,400 per person every 4 years
                              1.2. Wheelchairs:
                              2. Dialysis:
                              3. HIV:
                              4. Emergency Transport:
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Bonitas Essential 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,473 R1,127 R432
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Unlimited (in-hospital) at DSP
                              3. HIV:
                              • In-hospital: Unlimited if you register on the HIV/AIDS programme
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport:
                              5. International Coverage:
                              • No benefit
                              6. Other:

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                              Discovery Coastal Core 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Most day-to-day claims paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • Cochlear implants: R207,000
                              • Otherwise, no benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,496 R1,122 R596
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: Most claims paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Covered in full if you use network provider
                              3. HIV:
                              • Covered if on the HIV Care program
                              4. Emergency Transport: Discovery 911
                              5. International Coverage:
                              • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                              • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                              • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                              6. Other:
                              • Internal nerve stimulators: R142,200
                              • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                              Commed Shina A 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R600,000 per person and R1,200,000 per family. Scheme pays out-of-hospital claims for: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • R8,000 per family
                              • Stoma care: from day-to-day benefit
                              Overall Annual Limit (OAL):
                              R600k per person, R1,200,000 per family
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,498 R1,274 R300
                              Children: Pay for all children
                              Income limit: R0-R6,000 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R1,798 R1,529 R360

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit every 2 years
                              1.2. Wheelchairs:
                              • Every 3 years, subject to above limit
                              2. Dialysis:
                              3. HIV:
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              • Emergency cover in SADC countries
                              6. Other:

                              View this plan

                              Genesis Private 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry. Limits apply. All else paid out of pocket, unless PMB.
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,500 R1,500 R365
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: dentistry. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              • No benefit
                              6. Other:

                              View this plan

                              Topmed Active Saver 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: maternity, scopes, extended rehab benefits, birth control, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • Paid from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,512 R1,512 R500
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: maternity, scopes, extended rehab benefits, birth control, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R2,904 R2,904 R960

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit
                              1.2. Wheelchairs:
                              • Paid from day-to-day benefit
                              2. Dialysis:
                              3. HIV:
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              • R10 million per family per year, maximum of 90 days
                              6. Other:
                              • Post-operative benefits hip and knee replacement (trauma only), heart attack, post crime trauma, stroke

                              View this plan

                              Discovery Classic Smart 2017: Other Benefits
                              In brief: 200% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: GP consults, acute meds, eye and dental check up and sport related injuries, specialised radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • Cochlear implants: R207,000
                              • Otherwise, no benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,535 R1,209 R612
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: GP consults, acute meds, eye and dental check up and sport related injuries, specialised radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Covered in full if you use network provider
                              3. HIV:
                              • Covered if on the HIV Care program
                              4. Emergency Transport: Discovery 911
                              5. International Coverage:
                              • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                              • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                              • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                              6. Other:
                              • Internal nerve stimulators: R142,200
                              • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                              • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                              Discovery Classic Delta Core 2017: Other Benefits
                              In brief: 200% scheme rate for specialists. Network hospitals. Most day-to-day claims paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • Cochlear implants: R207,000
                              • Otherwise, no benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,535 R1,209 R612
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: Most claims paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Covered in full if you use network provider
                              3. HIV:
                              • Covered if on the HIV Care program
                              4. Emergency Transport: Discovery 911
                              5. International Coverage:
                              • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                              • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                              • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                              6. Other:
                              • Internal nerve stimulators: R142,200
                              • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                              Cape Medical Premium 2017: Other Benefits
                              In brief:
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,548 R1,548 R271
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • PMB level of care criteria
                              3. HIV:
                              4. Emergency Transport:
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Bestmed Beat 2 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: preventative dentistry, wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • Paid from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, but sub-limits can apply
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,554 R1,208 R655
                              Children: Pay for maximum 4 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: Preventative dentistry, wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R3,168 R2,460 R1,332

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit
                              1.2. Wheelchairs:
                              • Paid from day-to-day benefit
                              2. Dialysis:
                              3. HIV:
                              • Managed care programme
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              6. Other:
                              • Wound care: R2,750 per family, paid by scheme

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                              Resolution Hospital 2017: Other Benefits
                              In brief:
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,565 R1,335 R585
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              1.2. Wheelchairs:
                              2. Dialysis:
                              • PMBs only, at network providers
                              3. HIV:
                              • Covered at network hospitals if on HIV Management Programme
                              4. Emergency Transport: Netcare 911
                              5. International Coverage:
                              • R750,000 per person per emergency incident
                              6. Other:
                              • Cochlear implants: no benefit

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                              Momentum Custom Associate (and Network provider for chronic) 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • In-hospital: R5,630 per family
                              • Out-of-hospital: No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,573 R1,219 R556
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Unlimited, at Network chronic provider
                              3. HIV:
                              • HIV related admissions: R62,500 per family
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: Netcare 911
                              5. International Coverage:
                              • R7.66 million international emergency cover
                              • R1,470 co-payment applies for each outpatient claim
                              6. Other:

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                              Selfmed MexXXI 2017: Other Benefits
                              In brief:
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,599 R1,592 R818
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Unlimited
                              3. HIV:
                              • Covered if part of Disease management Programme
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              6. Other:
                              • Cochlear implant: R30,200 per implant

                              View this plan

                              Medihelp Dimension Prime 1 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), GP, specialists, physio, medication, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • Medical Appliances, hyperbaric oxygen: No benefit
                              • Stoma products and urine bags: paid by scheme
                              • CPAP apparatus: R8,400 per person every two years
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,608 R1,320 R486
                              Children: Pay for maximum 2 children under 18yrs.
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: specialised radiology (co-payment), GP, specialists, physio, medication, maternity, infant paediatrics, medical appliances. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • R4,080 per family every 3 years
                              1.2. Wheelchairs:
                              • R4,080 per family every 3 years
                              2. Dialysis:
                              • Unlimited
                              3. HIV:
                              • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                              • Paid by scheme
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport:
                              • Netcare 911
                              5. International Coverage:
                              6. Other:
                              • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                              Momentum Custom (State for chronic) 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • In-hospital: R5,630 per family
                              • Out-of-hospital: No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,610 R1,215 R590
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Unlimited, at State chronic provider
                              3. HIV:
                              • HIV related admissions: R62,500 per family
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: Netcare 911
                              5. International Coverage:
                              • R7.66 million international emergency cover
                              • R1,470 co-payment applies for each outpatient claim
                              6. Other:

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                              Bestmed Pulse 1 C 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: GP and specialist consults, dentistry, optometry, maternity, radiology and pathology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,630 R1,466 R814
                              Children: Pay for maximum 4 children
                              Income limit: R10,001+ (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: GP and specialist consults, dentistry, optometry, maternity, radiology and pathology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Managed care programme
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              6. Other:
                              • No benefit

                              View this plan

                              Discovery Essential Delta Saver 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Over and above the savings fund, scheme pays out-of-hospital claims for: GP consults if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • Cochlear implants: R207,000
                              • Otherwise, from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,634 R1,230 R655
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: GP consults if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R2,940 R2,208 R1,176

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit
                              1.2. Wheelchairs:
                              • Paid from day-to-day benefit
                              2. Dialysis:
                              • Covered in full if you use network provider
                              3. HIV:
                              • Covered if on the HIV Care program
                              4. Emergency Transport: Discovery 911
                              5. International Coverage:
                              • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                              • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                              • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                              6. Other:
                              • Internal nerve stimulators: R142,200
                              • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                              • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                              • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                              Fedhealth Maxima EntrySaver 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • Paid from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,640 R1,181 R524
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R3,168 R2,280 R1,008

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit
                              1.2. Wheelchairs:
                              • Paid from day-to-day benefit
                              2. Dialysis:
                              3. HIV:
                              • Covered if on the management program
                              4. Emergency Transport: Europ Assistance
                              5. International Coverage:
                              • R5 million, for under 70yrs
                              6. Other:

                              View this plan

                              Discovery Essential Core 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Most day-to-day claims paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • Cochlear implants: R207,000
                              • Otherwise, no benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,648 R1,234 R661
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: Most claims paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • Covered in full if you use network provider
                              3. HIV:
                              • Covered if on the HIV Care program
                              4. Emergency Transport: Discovery 911
                              5. International Coverage:
                              • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                              • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                              • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                              6. Other:
                              • Internal nerve stimulators: R142,200
                              • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                              Medihelp Necesse D 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals only. Income based plan. Scheme pays out-of-hospital claims for: 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.
                              1. General Appliances:
                              • Medical, surgical and orthopaedic appliances: R8,550 per family
                              • CPAP: R8,400 per person every 24 months
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,656 R1,290 R726
                              Children: Pay for all children
                              Income limit: R7,001-R11,000 (other limits)
                              Day-to-Day Benefit:
                              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.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                              • Paid by scheme
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport:
                              • Netcare 911
                              5. International Coverage:
                              6. Other:
                              • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                              Medimed Essential D 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Income based plan. Over and above the savings, scheme pays out-of-hospital claims for: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                              1. General Appliances:
                              • Paid from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,660 R1,660 R420
                              Children: Pay for all children
                              Income limit: R13,001-R17,000 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R1,992 R1,992 R504

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • See "General Appliances" limit
                              1.2. Wheelchairs:
                              • See "General Appliances" limit
                              2. Dialysis:
                              • R50,000 per family, shared with organ transplant and oncology benefits
                              3. HIV:
                              • Unlimited, subject to protocols
                              4. Emergency Transport: ER 24
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Medimed Standard A 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Income based plan. Over and above the savings and extended fund, scheme pays out-of-hospital claims for: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB.
                              1. General Appliances:
                              • Paid from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,660 R1,660 R390
                              Children: Pay for all children
                              Income limit: R0-R8,500 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R9,480 R9,480 R1,170
                              Extended Fund: R4,500 pp R9,000 pf R

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • See "General Appliances" limit
                              1.2. Wheelchairs:
                              • See "General Appliances" limit
                              2. Dialysis:
                              • R100,000 per family
                              • Benefit is shared with Organ Transplant Benefit
                              3. HIV:
                              • Unlimited, subject to protocols
                              4. Emergency Transport: ER 24
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Sizwe Gomomo A 2017: Other Benefits
                              In brief: 100% scheme rate. Scheme pays out-of-hospital claims for: maternity. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,666 R1,546 R410
                              Children: Pay for all children
                              Income limit: R0-R10,112 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some:maternity. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              1.2. Wheelchairs:
                              2. Dialysis:
                              3. HIV:
                              • Subject to treatment protocols
                              4. Emergency Transport: Europ Assist
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Medihelp Dimension Prime 2 Network 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), GPs, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • Medical Appliances and CPAP apparatus: paid from day-to-day savings
                              • Hyperbaric oxygen: R550 per family
                              • Stoma products and urine bags: paid by scheme
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,668 R1,368 R498
                              Children: Pay for maximum 2 children under 18yrs.
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: specialised radiology (co-payment), GPs, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R2,448 R2,016 R720

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit
                              1.2. Wheelchairs:
                              • Paid from day-to-day benefit
                              2. Dialysis:
                              • Unlimited
                              • Paid by scheme
                              3. HIV:
                              • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                              • Paid by scheme
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport:
                              • Netcare 911
                              5. International Coverage:
                              6. Other:
                              • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                              Makoti Comprehensive B 2017: Other Benefits
                              In brief:
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              PMBs only, in private hospitals
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,699 R1,415 R554
                              Children: Pay for all children
                              Income limit: R9,251-R12,250 (other limits)
                              Day-to-Day Benefit:
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • R2,400 per person every 4 years
                              1.2. Wheelchairs:
                              2. Dialysis:
                              3. HIV:
                              4. Emergency Transport:
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Momentum Incentive Network hospital (and State provider for chronic) 2017: Other Benefits
                              In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • In-hospital: R5,630 per family
                              • Out-of-hospital: No benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,700 R1,333 R883
                              Children: Pay for maximum 3 children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R2,040 R2,040 R1,600

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • Paid from day-to-day benefit
                              1.2. Wheelchairs:
                              • Paid from day-to-day benefit
                              2. Dialysis:
                              • Unlimited, at State chronic provider
                              3. HIV:
                              • HIV related admissions: R62,500 per family
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: Netcare 911
                              5. International Coverage:
                              • R8 million international emergency cover
                              • R1,470 co-payment applies for each outpatient claim
                              6. Other:
                              • Cochlear implants: R144,500 per person
                              • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

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                              Cape Medical Silver 2017: Other Benefits
                              In brief:
                              1. General Appliances:
                              • Paid from day-to-day benefit
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,704 R1,704 R258
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Main: Adult: Child:
                              (S) Savings: R3,000 R3,000 R456

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • See "General Appliances" limit
                              1.2. Wheelchairs:
                              • See "General Appliances" limit
                              2. Dialysis:
                              • PMB level of care criteria
                              3. HIV:
                              4. Emergency Transport:
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Fedhealth Maxima Core Grid 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visit, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,716 R1,454 R600
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some:post hospitalisation treatment (30 days), casualty visits, GP visit, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              3. HIV:
                              • Covered if on the management program
                              4. Emergency Transport: Europ Assistance
                              5. International Coverage:
                              • R5 million, for under 70yrs
                              6. Other:

                              View this plan

                              Suremed Explorer C 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                              1. General Appliances:
                              • R3,700 per family, at preferred provider in and out of hospital
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,720 R1,720 R500
                              Children: Pay for all children
                              Income limit: R11,001-R15,000 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • See "General Appliances" limit
                              1.2. Wheelchairs:
                              • See "General Appliances" limit
                              2. Dialysis:
                              3. HIV:
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: ER24
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Spectramed Cyan A 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              1. General Appliances:
                              • Subject to authorisation
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,730 R1,669 R692
                              Children: Pay for maximum 3 children
                              Income limit: R0-R8,000 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R2,904 R2,808 R1,164

                              Compare with these plans:

                              1.1. Hearing Aids:
                              1.2. Wheelchairs:
                              2. Dialysis:
                              3. HIV:
                              • Includes post exposure prophylaxis and mother-to-child transmission
                              4. Emergency Transport:
                              5. International Coverage:
                              6. Other:

                              View this plan

                              Momentum Ingwe D 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              1. General Appliances:
                              • In-hospital: R4,650 per family
                              • Out-of-hospital: no benefit
                              Overall Annual Limit (OAL):
                              R1,190,000 per family
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,734 R1,734 R406
                              Children: Pay for all children
                              Income limit: R8,201-R11,000 (other limits)
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              • No benefit
                              1.2. Wheelchairs:
                              • No benefit
                              2. Dialysis:
                              • PMBs only, at state facilities
                              3. HIV:
                              • Anti-retroviral treatment: R30,200 per family
                              • HIV related admissions: R32,200 per family
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport: Netcare 911
                              5. International Coverage:
                              • No benefit
                              6. Other:

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                              Compcare Axis 2017: Other Benefits
                              In brief: 100% scheme rate for specialists. Some exclusions apply. Most out-of-hospital benefits covered only if PMBs.
                              1. General Appliances:
                              Overall Annual Limit (OAL):
                              Unlimited overall, with sub-limits
                              Contributions:
                              Main: Adult: Child:
                              Total Cost: R1,734 R1,734 R534
                              Children: Pay for all children
                              Day-to-Day Benefit:
                              Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid out of pocket, unless PMB.
                              Main: Adult: Child:
                              (S) Savings: R0- R0- R0-

                              Compare with these plans:

                              1.1. Hearing Aids:
                              1.2. Wheelchairs:
                              2. Dialysis:
                              3. HIV:
                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                              4. Emergency Transport:
                              5. International Coverage:
                              • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                                6. Other:
                                • Oxygen home ventilation:
                                • PMBs only
                                • Wound care in lieu of hospitalisation: subject to protocols
                                • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                                View this plan

                                Topmed Network D 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,734 R1,734 R464
                                Children: Pay for all children
                                Income limit: R11,001+ (other limits)
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • No benefit
                                1.2. Wheelchairs:
                                • No benefit
                                2. Dialysis:
                                3. HIV:
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport: v
                                5. International Coverage:
                                6. Other:

                                View this plan

                                Momentum Custom Associate (and any provider for chronic) 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Network hospitals. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                • In-hospital: R5,630 per family
                                • Out-of-hospital: No benefit
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,742 R1,374 R614
                                Children: Pay for maximum 3 children
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • No benefit
                                1.2. Wheelchairs:
                                • No benefit
                                2. Dialysis:
                                • Unlimited
                                3. HIV:
                                • HIV related admissions: R62,500 per family
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport: Netcare 911
                                5. International Coverage:
                                • R7.66 million international emergency cover
                                • R1,470 co-payment applies for each outpatient claim
                                6. Other:

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                                Fedhealth Blue Door D: Other Benefits
                                In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                • No benefit
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,754 R1,375 R677
                                Children: Pay for all children
                                Income limit: R10,501-R12,000 (other limits)
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • No benefit
                                1.2. Wheelchairs:
                                • No benefit
                                2. Dialysis:
                                • PMBs only, at state facilities
                                3. HIV:
                                • Covered if on the management program
                                4. Emergency Transport: Europ Assistance
                                5. International Coverage:
                                6. Other:

                                View this plan

                                Momentum Ingwe Network E 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Network hospitals. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                • In-hospital: R4,650 per family
                                • Out-of-hospital: no benefit
                                Overall Annual Limit (OAL):
                                R1,190,000 per family
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,758 R1,758 R518
                                Children: Pay for all children
                                Income limit: R11,001+ (other limits)
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • No benefit
                                1.2. Wheelchairs:
                                • No benefit
                                2. Dialysis:
                                • PMBs only, at state facilities
                                3. HIV:
                                • Anti-retroviral treatment: R30,200 per family
                                • HIV related admissions: R32,200 per family
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport: Netcare 911
                                5. International Coverage:
                                • No benefit
                                6. Other:

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                                Medimed Standard B 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Income based plan. Over and above the savings and extended fund, scheme pays out-of-hospital claims for: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB.
                                1. General Appliances:
                                • Paid from day-to-day benefit
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,760 R1,760 R410
                                Children: Pay for all children
                                Income limit: R8,501-R13,000 (other limits)
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R9,780 R9,780 R1,230
                                Extended Fund: R4,500 pp R9,000 pf R

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • See "General Appliances" limit
                                1.2. Wheelchairs:
                                • See "General Appliances" limit
                                2. Dialysis:
                                • R100,000 per family
                                • Benefit is shared with Organ Transplant Benefit
                                3. HIV:
                                • Unlimited, subject to protocols
                                4. Emergency Transport: ER 24
                                5. International Coverage:
                                6. Other:

                                View this plan

                                Bonitas BonFit 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Some co-payments. Over and above the savings fund, scheme pays out-of-hospital claims for: maternity, infant paediatrics, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                1. General Appliances:
                                • Paid from day-to-day benefit
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,789 R1,385 R535
                                Children: Pay for maximum 3 children
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R3,228 R2,496 R960

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • Paid from day-to-day benefit
                                1.2. Wheelchairs:
                                • Paid from day-to-day benefit
                                2. Dialysis:
                                • Unlimited (in-hospital) at DSP
                                3. HIV:
                                • In-hospital: Unlimited if you register on the HIV/AIDS programme
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport:
                                5. International Coverage:
                                6. Other:

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                                Commed Shina B 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R600,000 per person and R1,200,000 per family. Scheme pays out-of-hospital claims for: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                1. General Appliances:
                                • R8,000 per family
                                • Stoma care: from day-to-day benefit
                                Overall Annual Limit (OAL):
                                R600k per person, R1,200,000 per family
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,803 R1,532 R361
                                Children: Pay for all children
                                Income limit: R6,001-R18,000 (other limits)
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R2,164 R1,838 R433

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • Paid from day-to-day benefit every 2 years
                                1.2. Wheelchairs:
                                • Every 3 years, subject to above limit
                                2. Dialysis:
                                3. HIV:
                                4. Emergency Transport: ER24
                                5. International Coverage:
                                • Emergency cover in SADC countries
                                6. Other:

                                View this plan

                                Keyhealth Equilibrium 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), dentistry, maternity, medical appliances, preventative benefits. Limits apply. All else paid from savings, from fund or from out of pocket, unless PMB.
                                1. General Appliances:
                                • R6,200 per family, in and out of hospital
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,817 R1,096 R556
                                Children: Pay for maximum 3 children
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, medical appliances, preventative benefits. Limits apply. All else paid from savings, from fund or from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R1,584 R960 R480
                                Extended Fund: R2,070 R1,150 R625

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • No benefit
                                1.2. Wheelchairs:
                                • See "General Appliances" limit
                                2. Dialysis:
                                • PMB only
                                3. HIV:
                                • Unlimited
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport: Netcare911
                                5. International Coverage:
                                6. Other:

                                View this plan

                                Hosmed Essential C 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. In-hospital, PMBs only. Scheme pays out-of-hospital claims for: 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.
                                1. General Appliances:
                                • R2,500 per family, PMBs only
                                Overall Annual Limit (OAL):
                                PMBs only
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,826 R1,666 R707
                                Children: Pay for maximum 3 children
                                Day-to-Day Benefit:
                                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.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • See "General Appliances" limit
                                1.2. Wheelchairs:
                                • See "General Appliances" limit
                                2. Dialysis: -
                                3. HIV:
                                • 100% scheme rate
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport: Netcare911
                                5. International Coverage: -
                                6. Other: -

                                View this plan

                                Makoti Comprehensive C 2017: Other Benefits
                                In brief:
                                1. General Appliances:
                                Overall Annual Limit (OAL):
                                PMBs only, in private hospitals
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,832 R1,537 R594
                                Children: Pay for all children
                                Income limit: R12,251-R16,250 (other limits)
                                Day-to-Day Benefit:
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • R2,400 per person every 4 years
                                1.2. Wheelchairs:
                                2. Dialysis:
                                3. HIV:
                                4. Emergency Transport:
                                5. International Coverage:
                                6. Other:

                                View this plan

                                Momentum Access 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                • In-hospital: R5,630 per family
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,842 R1,842 R552
                                Children: Pay for all children
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • No benefit
                                1.2. Wheelchairs:
                                • No benefit
                                2. Dialysis:
                                • PMBs only, at state facilities
                                3. HIV:
                                • Anti-retroviral treatment: R30,200 per family
                                • HIV related admissions: R32,600 per family
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport: Netcare 911
                                5. International Coverage:
                                • R3.38 million international emergency cover
                                • R1,470 co-payment applies for each outpatient claim
                                6. Other:

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                                Discovery KeyCare Access D 2017: Other Benefits
                                In brief: Unlimited cover in state facilities, or Access network for some procedures. Scheme pays out-of-hospital claims for: maternity, specialists. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                • R5,200 per family
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,863 R1,863 R503
                                Children: Pay for maximum 3 children
                                Income limit: R11,551+ (other limits)
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • See "General Appliances" limit
                                1.2. Wheelchairs:
                                • See "General Appliances" limit
                                2. Dialysis:
                                • Covered in full if you use network provider
                                3. HIV:
                                • Covered if on the HIV Care program
                                4. Emergency Transport: Discovery 911
                                5. International Coverage:
                                • No benefit
                                6. Other:
                                • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                Fedhealth Maxima Saver Grid 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                1. General Appliances:
                                • Paid from day-to-day benefit
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,871 R1,524 R540
                                Children: Pay for all children
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R3,372 R2,748 R972

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • Paid from day-to-day benefit
                                1.2. Wheelchairs:
                                • Paid from day-to-day benefit
                                2. Dialysis:
                                • R250,000
                                3. HIV:
                                • Covered if on the management program
                                4. Emergency Transport: Europ Assistance
                                5. International Coverage:
                                • R5 million, for under 70yrs
                                6. Other:

                                View this plan

                                Momentum Custom (Network for chronic) 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                • In-hospital: R5,630 per family
                                • Out-of-hospital: No benefit
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,899 R1,483 R689
                                Children: Pay for maximum 3 children
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • No benefit
                                1.2. Wheelchairs:
                                • No benefit
                                2. Dialysis:
                                • Unlimited, at Network chronic provider
                                3. HIV:
                                • HIV related admissions: R62,500 per family
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport: Netcare 911
                                5. International Coverage:
                                • R7.66 million international emergency cover
                                • R1,470 co-payment applies for each outpatient claim
                                6. Other:

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                                Genesis Private Plus 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry. Limits apply. All else paid out of pocket, unless PMB.
                                1. General Appliances:
                                • Paid from day-to-day benefit
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,900 R1,900 R365
                                Children: Pay for all children
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: dentistry. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R4,140 R4,140 R

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • Paid from day-to-day benefit
                                1.2. Wheelchairs:
                                • Paid from day-to-day benefit
                                2. Dialysis:
                                3. HIV:
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport: ER24
                                5. International Coverage:
                                • No benefit
                                6. Other:

                                View this plan

                                Discovery KeyCare Plus C 2017: Other Benefits
                                In brief: Unlimited cover in KeyCare networks. Scheme pays out-of-hospital claims for: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                • R5,200 per family
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,906 R1,906 R510
                                Children: Pay for maximum 3 children
                                Income limit: R11,551+ (other limits)
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • See "General Appliances" limit
                                1.2. Wheelchairs:
                                • See "General Appliances" limit
                                2. Dialysis:
                                • Covered in full if you use network provider
                                3. HIV:
                                • Covered if on the HIV Care program
                                4. Emergency Transport: Discovery 911
                                5. International Coverage:
                                • No benefit
                                6. Other:
                                • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                Sizwe Primary Care B 2017: Other Benefits
                                In brief:
                                1. General Appliances:
                                • M =R960 and M1+ = R1,550
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,907 R1,488 R480
                                Children: Pay for all children
                                Income limit: R531-R8,766 (other limits)
                                Day-to-Day Benefit:
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • R5,500 per family
                                1.2. Wheelchairs:
                                • R1,790 per family
                                2. Dialysis:
                                3. HIV:
                                • Subject to treatment protocols
                                4. Emergency Transport: Europ Assist
                                5. International Coverage:
                                6. Other:

                                View this plan

                                Fedhealth Maxima Core 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visit, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                1. General Appliances:
                                Overall Annual Limit (OAL):
                                Unlimited overall, with sub-limits
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,907 R1,616 R667
                                Children: Pay for all children
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some:post hospitalisation treatment (30 days), casualty visits, GP visit, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-

                                Compare with these plans:

                                1.1. Hearing Aids:
                                • No benefit
                                1.2. Wheelchairs:
                                • No benefit
                                2. Dialysis:
                                3. HIV:
                                • Covered if on the management program
                                4. Emergency Transport: Europ Assistance
                                5. International Coverage:
                                • R5 million, for under 70yrs
                                6. Other:

                                View this plan

                                Compcare Networx ED H 2017: Other Benefits
                                In brief: 100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB.
                                1. General Appliances:
                                Overall Annual Limit (OAL):
                                R1,100,000 per family
                                Contributions:
                                Main: Adult: Child:
                                Total Cost: R1,908 R1,718 R669
                                Children: Pay for all children
                                Income limit: R10,001+ (other limits)
                                Day-to-Day Benefit:
                                Out-of-hospital, scheme pays for some: GPs, medicine, radiology, pathology, maternity and preventative benefits. All else paid from out of fund or from out of pocket, unless PMB.
                                Main: Adult: Child:
                                (S) Savings: R0- R0- R0-
                                Extended Fund: R2,800 (main) R4,170 (family) R

                                Compare with these plans:

                                1.1. Hearing Aids:
                                1.2. Wheelchairs:
                                2. Dialysis:
                                3. HIV:
                                • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                4. Emergency Transport:
                                5. International Coverage:
                                • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                                  6. Other:
                                  • Oxygen home ventilation:
                                  • PMBs only
                                  • Wound care in lieu of hospitalisation: subject to protocols
                                  • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                                  View this plan

                                  Discovery Classic Core 2017: Other Benefits
                                  In brief: 200% scheme rate for specialists. Most day-to-day claims paid from out of pocket, unless PMB.
                                  1. General Appliances:
                                  • Cochlear implants: R207,000
                                  • Otherwise, no benefit
                                  Overall Annual Limit (OAL):
                                  Unlimited overall, with sub-limits
                                  Contributions:
                                  Main: Adult: Child:
                                  Total Cost: R1,918 R1,510 R767
                                  Children: Pay for maximum 3 children
                                  Day-to-Day Benefit:
                                  Out-of-hospital, scheme pays for some: Most claims paid from out of pocket, unless PMB.
                                  Main: Adult: Child:
                                  (S) Savings: R0- R0- R0-

                                  Compare with these plans:

                                  1.1. Hearing Aids:
                                  • No benefit
                                  1.2. Wheelchairs:
                                  • No benefit
                                  2. Dialysis:
                                  • Covered in full if you use network provider
                                  3. HIV:
                                  • Covered if on the HIV Care program
                                  4. Emergency Transport: Discovery 911
                                  5. International Coverage:
                                  • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                  • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                  • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                  6. Other:
                                  • Internal nerve stimulators: R142,200
                                  • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                  Suremed Explorer D 2017: Other Benefits
                                  In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                                  1. General Appliances:
                                  • R3,700 per family, at preferred provider in and out of hospital
                                  Overall Annual Limit (OAL):
                                  Unlimited overall, with sub-limits
                                  Contributions:
                                  Main: Adult: Child:
                                  Total Cost: R1,920 R1,920 R600
                                  Children: Pay for all children
                                  Income limit: R15,000+ (other limits)
                                  Day-to-Day Benefit:
                                  Out-of-hospital, scheme pays for some: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB.
                                  Main: Adult: Child:
                                  (S) Savings: R0- R0- R0-

                                  Compare with these plans:

                                  1.1. Hearing Aids:
                                  • See "General Appliances" limit
                                  1.2. Wheelchairs:
                                  • See "General Appliances" limit
                                  2. Dialysis:
                                  3. HIV:
                                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                  4. Emergency Transport: ER24
                                  5. International Coverage:
                                  6. Other:

                                  View this plan

                                  Bonitas Primary 2017: Other Benefits
                                  In brief: 100% scheme rate for specialists. Some co-payments. Over and above the fund, scheme pays out-of-hospital claims for: GPs, mental health, specialised radiology, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
                                  1. General Appliances:
                                  • General Appliances: R6,200 per family. paid by scheme.
                                  • Stoma products: Additional R5,900
                                  • Foot orthotics: No benefit
                                  Overall Annual Limit (OAL):
                                  Unlimited overall, with sub-limits
                                  Contributions:
                                  Main: Adult: Child:
                                  Total Cost: R1,924 R1,505 R613
                                  Children: Pay for maximum 3 children
                                  Day-to-Day Benefit:
                                  Out-of-hospital, scheme pays for some: GPs, mental health, specialised radiology, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
                                  Main: Adult: Child:
                                  (S) Savings: R0- R0- R0-

                                  Compare with these plans:

                                  1.1. Hearing Aids:
                                  • See "General Appliances" limit
                                  1.2. Wheelchairs:
                                  • See "General Appliances" limit
                                  2. Dialysis:
                                  3. HIV:
                                  • In-hospital: Unlimited if you register on the HIV/AIDS programme
                                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                  4. Emergency Transport:
                                  5. International Coverage:
                                  6. Other:

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                                  Medshield MediCore 2017: Other Benefits
                                  In brief: Up to 200% scheme rate for specialists. This is hospital plan. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), alternatives to hospitalisation, some non-surgical procedures including scopes, maternity, preventative benefits, in-hospital dentistry for under 6yr olds. Limits apply. All else paid from out of pocket, unless PMB.
                                  1. General Appliances:
                                  • Stoma products: Unlimited
                                  • CPAP apparatus: PMBs only
                                  • Oxygen therapy equipment:
                                  • PMBs only
                                  • Ventilators: PMBs only
                                  Overall Annual Limit (OAL):
                                  Unlimited overall, with sub-limits
                                  Contributions:
                                  Main: Adult: Child:
                                  Total Cost: R1,926 R1,623 R438
                                  Children: Pay for three children only
                                  Day-to-Day Benefit:
                                  Out-of-hospital, scheme pays for some: specialised radiology, maternity, optometry, some non-surgical procedures including scopes, preventative benefits. Limits apply. All else paid from extended fund or out of pocket, unless PMB.
                                  Main: Adult: Child:
                                  (S) Savings: R0- R0- R0-

                                  Compare with these plans:

                                  1.1. Hearing Aids:
                                  • No benefit
                                  1.2. Wheelchairs:
                                  • No benefit
                                  2. Dialysis:
                                  3. HIV:
                                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                  4. Emergency Transport:
                                  5. International Coverage:
                                  6. Other:

                                  View this plan

                                  Medihelp Necesse E 2017: Other Benefits
                                  In brief: 100% scheme rate for specialists. Network hospitals only. Income based plan. Scheme pays out-of-hospital claims for: 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.
                                  1. General Appliances:
                                  • Medical, surgical and orthopaedic appliances: R8,550 per family
                                  • CPAP: R8,400 per person every 24 months
                                  Overall Annual Limit (OAL):
                                  Unlimited overall, with sub-limits
                                  Contributions:
                                  Main: Adult: Child:
                                  Total Cost: R1,932 R1,506 R834
                                  Children: Pay for all children
                                  Income limit: R11,001+ (other limits)
                                  Day-to-Day Benefit:
                                  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.
                                  Main: Adult: Child:
                                  (S) Savings: R0- R0- R0-

                                  Compare with these plans:

                                  1.1. Hearing Aids:
                                  • No benefit
                                  1.2. Wheelchairs:
                                  • No benefit
                                  2. Dialysis:
                                  3. HIV:
                                  • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                                  • Paid by scheme
                                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                  4. Emergency Transport:
                                  • Netcare 911
                                  5. International Coverage:
                                  6. Other:
                                  • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                                  Medihelp Unify 2017: Other Benefits
                                  In brief: 100% scheme rate for specialists. Some co-payments.Scheme pays out-of-hospital claims for: specialised radiology (co-payment). Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
                                  1. General Appliances:
                                  • Stoma products and urine bags: paid by scheme
                                  • Paid from day-to-day benefit
                                  Overall Annual Limit (OAL):
                                  Unlimited overall, with sub-limits
                                  Contributions:
                                  Main: Adult: Child:
                                  Total Cost: R1,944 R1,602 R588
                                  Children: Pay for all children
                                  Day-to-Day Benefit:
                                  Out-of-hospital, scheme pays for some: specialised radiology (co-payment). Limits apply. All else paid from savings or from out-of-pocket, unless PMB.
                                  Main: Adult: Child:
                                  (S) Savings: R5,832 R4,824 R1,800

                                  Compare with these plans:

                                  1.1. Hearing Aids:
                                  • Paid from day-to-day benefit
                                  1.2. Wheelchairs:
                                  • Paid from day-to-day benefit
                                  2. Dialysis:
                                  3. HIV:
                                  • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                                  • Paid by scheme
                                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                  4. Emergency Transport:
                                  • Netcare 911
                                  5. International Coverage:
                                  6. Other:
                                  • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                                  Compcare Unisave 2017: Other Benefits
                                  In brief: 100% scheme rate for specialists. Some co-payments, incl R3,500 for each hospital admission. Over and above the savings fund, scheme pays out-of-hospital claims for): specialised radiology, maternity, appliances, preventative benefits. Limits apply.
                                  1. General Appliances:
                                  • R8,400 per family paid by scheme
                                  Overall Annual Limit (OAL):
                                  Unlimited overall, with sub-limits
                                  Contributions:
                                  Main: Adult: Child:
                                  Total Cost: R1,974 R1,680 R594
                                  Children: Pay for all children
                                  Day-to-Day Benefit:
                                  Out-of-hospital, scheme pays for some: specialised radiology, maternity, appliances, preventative benefits. Limits apply. . Limits apply. All else paid out of savings or out of pocket, unless PMB.
                                  Main: Adult: Child:
                                  (S) Savings: R5,904 R5,040 R1,800

                                  Compare with these plans:

                                  1.1. Hearing Aids:
                                  • See "General Appliances" limit
                                  1.2. Wheelchairs:
                                  • See "General Appliances" limit
                                  2. Dialysis:
                                  3. HIV:
                                  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                  4. Emergency Transport:
                                  5. International Coverage:
                                  • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                                    6. Other:
                                    • Oxygen home ventilation: from day-to-day benefit
                                    • Wound care in lieu of hospitalisation: subject to protocols
                                    • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                                    View this plan

                                    Medimed Essential E 2017: Other Benefits
                                    In brief: 100% scheme rate for specialists. Network hospitals. Income based plan. Over and above the savings, scheme pays out-of-hospital claims for: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                                    1. General Appliances:
                                    • Paid from day-to-day benefit
                                    Overall Annual Limit (OAL):
                                    Unlimited overall, with sub-limits
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R1,990 R1,990 R440
                                    Children: Pay for all children
                                    Income limit: R17,001+ (other limits)
                                    Day-to-Day Benefit:
                                    Out-of-hospital, scheme pays for some: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB.
                                    Main: Adult: Child:
                                    (S) Savings: R2,388 R2,388 R528

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    • See "General Appliances" limit
                                    1.2. Wheelchairs:
                                    • See "General Appliances" limit
                                    2. Dialysis:
                                    • R50,000 per family, shared with organ transplant and oncology benefits
                                    3. HIV:
                                    • Unlimited, subject to protocols
                                    4. Emergency Transport: ER 24
                                    5. International Coverage:
                                    6. Other:

                                    View this plan

                                    Spectramed Capri 2017: Other Benefits
                                    In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                    1. General Appliances:
                                    Overall Annual Limit (OAL):
                                    Unlimited overall, with sub-limits
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R2,003 R1,609 R909
                                    Children: Pay for all children
                                    Day-to-Day Benefit:
                                    Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                    Main: Adult: Child:
                                    (S) Savings: R2,400 R1,932 R1,092

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    1.2. Wheelchairs:
                                    2. Dialysis:
                                    3. HIV:
                                    • Includes post exposure prophylaxis and mother-to-child transmission
                                    4. Emergency Transport:
                                    5. International Coverage:
                                    6. Other:

                                    View this plan

                                    Discovery Coastal Saver 2017: Other Benefits
                                    In brief: 100% scheme rate for specialists. Network hospitals. Over and above the savings fund, scheme pays out-of-hospital claims for: GP consults if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                    1. General Appliances:
                                    • Cochlear implants: R207,000
                                    • Otherwise, from day-to-day benefit
                                    Overall Annual Limit (OAL):
                                    Unlimited overall, with sub-limits
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R2,007 R1,506 R808
                                    Children: Pay for maximum 3 children
                                    Day-to-Day Benefit:
                                    Out-of-hospital, scheme pays for some: GP consults if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                    Main: Adult: Child:
                                    (S) Savings: R4,812 R3,612 R1,932

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    • Paid from day-to-day benefit
                                    1.2. Wheelchairs:
                                    • Paid from day-to-day benefit
                                    2. Dialysis:
                                    • Covered in full if you use network provider
                                    3. HIV:
                                    • Covered if on the HIV Care program
                                    4. Emergency Transport: Discovery 911
                                    5. International Coverage:
                                    • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                    • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                    • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                    6. Other:
                                    • Internal nerve stimulators: R142,200
                                    • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                                    • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                                    • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                    Makoti Comprehensive D 2017: Other Benefits
                                    In brief:
                                    1. General Appliances:
                                    Overall Annual Limit (OAL):
                                    PMBs only, in private hospitals
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R2,008 R1,722 R653
                                    Children: Pay for all children
                                    Income limit: R16,251+ (other limits)
                                    Day-to-Day Benefit:
                                    Main: Adult: Child:
                                    (S) Savings: R0- R0- R0-

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    • R2,400 per person every 4 years
                                    1.2. Wheelchairs:
                                    2. Dialysis:
                                    3. HIV:
                                    4. Emergency Transport:
                                    5. International Coverage:
                                    6. Other:

                                    View this plan

                                    Sizwe Savings Care A 2017: Other Benefits
                                    In brief: 100% scheme rate. Scheme pays out-of-hospital claims for: radiology, pathology, maternity. Limits apply. All else paid from out of pocket, unless PMB.
                                    1. General Appliances:
                                    • M =R1,240 and M1+ = R2,160
                                    Overall Annual Limit (OAL):
                                    Unlimited overall, with sub-limits
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R2,015 R1,742 R490
                                    Children: Pay for all children
                                    Income limit: R0-R15,052 (other limits)
                                    Day-to-Day Benefit:
                                    Out-of-hospital, scheme pays for some: GPs, specialists, medication, radiology, physio, pathology, standard dentistry, optometry, maternity. Limits apply. All else paid from out of pocket, unless PMB.
                                    Main: Adult: Child:
                                    (S) Savings: R3,627 R3,136 R882

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    • Paid from day-to-day benefit
                                    1.2. Wheelchairs:
                                    • Paid from day-to-day benefit
                                    2. Dialysis:
                                    3. HIV:
                                    • Subject to treatment protocols
                                    4. Emergency Transport: Europ Assist
                                    5. International Coverage:
                                    6. Other:

                                    View this plan

                                    Resolution Fundation D 2017: Other Benefits
                                    In brief:
                                    1. General Appliances:
                                    Overall Annual Limit (OAL):
                                    Unlimited overall, with sub-limits
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R2,022 R2,022 R694
                                    Children: Pay for all children
                                    Income limit: R9,701+ (other limits)
                                    Day-to-Day Benefit:
                                    Main: Adult: Child:
                                    (S) Savings: R0- R0- R0-

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    1.2. Wheelchairs:
                                    2. Dialysis:
                                    • PMBs only, at network providers
                                    3. HIV:
                                    • Covered at network hospitals if on HIV Management Programme
                                    4. Emergency Transport: Netcare 911
                                    5. International Coverage:
                                    • No benefit
                                    6. Other:
                                    • Cochlear implants: no benefit

                                    View this plan

                                    Discovery Essential Saver 2017: Other Benefits
                                    In brief: 100% scheme rate for specialists. Over and above the savings fund, scheme pays out-of-hospital claims for: GP consults if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                    1. General Appliances:
                                    • Cochlear implants: R207,000
                                    • Otherwise, from day-to-day benefit
                                    Overall Annual Limit (OAL):
                                    Unlimited overall, with sub-limits
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R2,047 R1,536 R819
                                    Children: Pay for maximum 3 children
                                    Day-to-Day Benefit:
                                    Out-of-hospital, scheme pays for some: GP consults if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                    Main: Adult: Child:
                                    (S) Savings: R3,684 R2,760 R1,464

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    • Paid from day-to-day benefit
                                    1.2. Wheelchairs:
                                    • Paid from day-to-day benefit
                                    2. Dialysis:
                                    • Covered in full if you use network provider
                                    3. HIV:
                                    • Covered if on the HIV Care program
                                    4. Emergency Transport: Discovery 911
                                    5. International Coverage:
                                    • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                    • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                    • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                    6. Other:
                                    • Internal nerve stimulators: R142,200
                                    • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                                    • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                                    • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                    Medimed Standard C 2017: Other Benefits
                                    In brief: 100% scheme rate for specialists. Income based plan. Over and above the savings and extended fund, scheme pays out-of-hospital claims for: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB.
                                    1. General Appliances:
                                    • Paid from day-to-day benefit
                                    Overall Annual Limit (OAL):
                                    Unlimited overall, with sub-limits
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R2,050 R2,050 R440
                                    Children: Pay for all children
                                    Income limit: R13,001-R17,000 (other limits)
                                    Day-to-Day Benefit:
                                    Out-of-hospital, scheme pays for some: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB.
                                    Main: Adult: Child:
                                    (S) Savings: R10,650 R10,650 R1,320
                                    Extended Fund: R4,500 pp R9,000 pf R

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    • See "General Appliances" limit
                                    1.2. Wheelchairs:
                                    • See "General Appliances" limit
                                    2. Dialysis:
                                    • R100,000 per family
                                    • Benefit is shared with Organ Transplant Benefit
                                    3. HIV:
                                    • Unlimited, subject to protocols
                                    4. Emergency Transport: ER 24
                                    5. International Coverage:
                                    6. Other:

                                    View this plan

                                    Compcare Mumed ED 2017: Other Benefits
                                    In brief: 100% scheme rate for specialists. Netcare hospitals. Some co-payments. Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits.
                                    1. General Appliances:
                                    • R9,975 per family paid by scheme
                                    Overall Annual Limit (OAL):
                                    Unlimited overall, with sub-limits
                                    Contributions:
                                    Main: Adult: Child:
                                    Total Cost: R2,054 R1,600 R572
                                    Children: Pay for all children
                                    Day-to-Day Benefit:
                                    Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits.
                                    Main: Adult: Child:
                                    (S) Savings: R0- R0- R0-
                                    Extended Fund: R5,376 R3,372 R1,338

                                    Compare with these plans:

                                    1.1. Hearing Aids:
                                    • See "General Appliances" limit
                                    1.2. Wheelchairs:
                                    • See "General Appliances" limit
                                    2. Dialysis:
                                    3. HIV:
                                    • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                    4. Emergency Transport:
                                    5. International Coverage:
                                    • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                                      6. Other:
                                      • Oxygen home ventilation: from day-to-day benefit
                                      • Wound care in lieu of hospitalisation: subject to protocols
                                      • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                                      View this plan

                                      Discovery Classic Delta Saver 2017: Other Benefits
                                      In brief: 200% scheme rate for specialists. Network Hospitals. Over and above the savings fund, scheme pays out-of-hospital claims for: GP consults, maternity, kids' casualty if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Cochlear implants: R207,000
                                      • Otherwise, from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,058 R1,623 R826
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: GP consults, maternity, kids' casualty if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R6,168 R4,860 R2,472

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • Covered in full if you use network provider
                                      3. HIV:
                                      • Covered if on the HIV Care program
                                      4. Emergency Transport: Discovery 911
                                      5. International Coverage:
                                      • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                      • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                      • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                      6. Other:
                                      • Internal nerve stimulators: R142,200
                                      • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                                      • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                                      • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                      Momentum Custom (Any provider for chronic) 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • In-hospital: R5,630 per family
                                      • Out-of-hospital: No benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,059 R1,653 R735
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • No benefit
                                      1.2. Wheelchairs:
                                      • No benefit
                                      2. Dialysis:
                                      • Unlimited
                                      3. HIV:
                                      • HIV related admissions: R62,500 per family
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: Netcare 911
                                      5. International Coverage:
                                      • R7.66 million international emergency cover
                                      • R1,470 co-payment applies for each outpatient claim
                                      6. Other:

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                                      Sizwe Gomomo B 2017: Other Benefits
                                      In brief: 100% scheme rate. Scheme pays out-of-hospital claims for: GPs, specialists, medication, radiology, physio, pathology, standard dentistry, optometry, maternity. Limits apply. All else paid from out of pocket, unless PMB.
                                      1. General Appliances:
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,060 R1,623 R420
                                      Children: Pay for all children
                                      Income limit: R10,113+ (other limits)
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: GPs, specialists, medication, radiology, physio, pathology, standard dentistry, optometry, maternity. Limits apply. All else paid from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      1.2. Wheelchairs:
                                      2. Dialysis:
                                      3. HIV:
                                      • Subject to treatment protocols
                                      4. Emergency Transport: Europ Assist
                                      5. International Coverage:
                                      6. Other:

                                      View this plan

                                      Fedhealth Maxima Saver 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Paid from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,079 R1,693 R600
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R3,744 R3,048 R1,080

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • R250,000
                                      3. HIV:
                                      • Covered if on the management program
                                      4. Emergency Transport: Europ Assistance
                                      5. International Coverage:
                                      • R5 million, for under 70yrs
                                      6. Other:

                                      View this plan

                                      Momentum Incentive (State provider for chronic) 2017: Other Benefits
                                      In brief: 200% scheme rate for specialists. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • In-hospital: R5,630 per family
                                      • Out-of-hospital: No benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,088 R1,646 R984
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R2,506 R2,506 R1,975

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • Unlimited, at State chronic provider
                                      3. HIV:
                                      • HIV related admissions: R62,500 per family
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: Netcare 911
                                      5. International Coverage:
                                      • R8 million international emergency cover
                                      • R1,470 co-payment applies for each outpatient claim
                                      6. Other:
                                      • Cochlear implants: R144,500 per person
                                      • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

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                                      Bestmed Beat 3 Network 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: preventative dentistry, optometry, maternity, wound care, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Paid from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, but sub-limits can apply
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,123 R1,509 R820
                                      Children: Pay for maximum 4 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, wound care, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R4,332 R3,084 R1,668

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      3. HIV:
                                      • Managed care programme
                                      4. Emergency Transport: ER24
                                      5. International Coverage:
                                      6. Other:
                                      • Wound care: R2,750 per family, paid by scheme

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                                      Hosmed Access 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. R1,250,000 per family limit. Scheme pays out-of-hospital claims for: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, supplementary services, maternity benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • R5,600 per family, PMBs only
                                      Overall Annual Limit (OAL):
                                      R1,250,000
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,124 R1,829 R413
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, supplementary services, maternity benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • See "General Appliances" limit
                                      1.2. Wheelchairs:
                                      • See "General Appliances" limit
                                      2. Dialysis: -
                                      3. HIV:
                                      • 100% scheme rate
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: Netcare911
                                      5. International Coverage: -
                                      6. Other: -

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                                      Bonitas BonSave 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Some co-payments. Over and above the savings fund, scheme pays out-of-hospital claims for: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • General Appliances: R6,200 per family. paid by scheme.
                                      • Stoma products: Additional R5,900
                                      • Foot orthotics: day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,135 R1,654 R640
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R4,104 R3,180 R1,236

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • See "General Appliances" limit
                                      1.2. Wheelchairs:
                                      • See "General Appliances" limit
                                      2. Dialysis:
                                      • Unlimited (in-hospital) at DSP
                                      3. HIV:
                                      • In-hospital: Unlimited if you register on the HIV/AIDS programme
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport:
                                      5. International Coverage:
                                      6. Other:

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                                      Medihelp Dimension Prime 2 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), GPs, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Medical Appliances and CPAP apparatus: paid from day-to-day savings
                                      • Hyperbaric oxygen: R550 per family
                                      • Stoma products and urine bags: paid by scheme
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,136 R1,746 R642
                                      Children: Pay for maximum 2 children under 18yrs.
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology (co-payment), GPs, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R3,096 R2,520 R936

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • Unlimited
                                      • Paid by scheme
                                      3. HIV:
                                      • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                                      • Paid by scheme
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport:
                                      • Netcare 911
                                      5. International Coverage:
                                      6. Other:
                                      • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                                      Resolution Progressive Flex 2017: Other Benefits
                                      In brief:
                                      1. General Appliances:
                                      • R3,896 per family, subject to sub limits and PMBs
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,154 R2,017 R666
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids: See above
                                      1.2. Wheelchairs: See above
                                      2. Dialysis:
                                      • PMBs only, at network providers
                                      3. HIV:
                                      • Covered at network hospitals if on HIV Management Programme
                                      4. Emergency Transport: Netcare 911
                                      5. International Coverage:
                                      • R750,000 per person per emergency incident
                                      6. Other:
                                      • Cochlear implants: no benefit

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                                      Medihelp Dimension Prime 3 Network 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: radiology (co-payment), pathology, GPs, specialists, supplementary services, medicine, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Medical Appliances, hyperbaric oxygen: No benefit
                                      • Stoma products and urine bags: paid by scheme
                                      • CPAP apparatus: R8,400 per person every two years
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,184 R1,848 R636
                                      Children: Pay for maximum 2 children under 18yrs.
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • R4,080 per family every 3 years
                                      1.2. Wheelchairs:
                                      • R4,080 per family every 3 years
                                      2. Dialysis:
                                      • Unlimited
                                      3. HIV:
                                      • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                                      • Paid by scheme
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport:
                                      • Netcare 911
                                      5. International Coverage:
                                      6. Other:
                                      • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                                      Genesis Private Comprehensive 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry, consults, medicine. Limits apply. All else paid out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Paid from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,200 R2,200 R365
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: dentistry, consults and medicine. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R1,740 R1,740 R

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      3. HIV:
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: ER24
                                      5. International Coverage:
                                      • No benefit
                                      6. Other:

                                      View this plan

                                      Momentum Ingwe E 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • In-hospital: R4,650 per family
                                      • Out-of-hospital: no benefit
                                      Overall Annual Limit (OAL):
                                      R1,190,000 per family
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,225 R2,225 R646
                                      Children: Pay for all children
                                      Income limit: R11,001+ (other limits)
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, alternatives to hospitalistion, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • No benefit
                                      1.2. Wheelchairs:
                                      • No benefit
                                      2. Dialysis:
                                      • PMBs only, at state facilities
                                      3. HIV:
                                      • Anti-retroviral treatment: R30,200 per family
                                      • HIV related admissions: R32,200 per family
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: Netcare 911
                                      5. International Coverage:
                                      • No benefit
                                      6. Other:

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                                      Medimed Standard D 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Income based plan. Over and above the savings and extended fund, scheme pays out-of-hospital claims for: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Paid from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,230 R2,230 R470
                                      Children: Pay for all children
                                      Income limit: R17,001+ (other limits)
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R11,190 R11,190 R1,410
                                      Extended Fund: R4,500 pp R9,000 pf R

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • See "General Appliances" limit
                                      1.2. Wheelchairs:
                                      • See "General Appliances" limit
                                      2. Dialysis:
                                      • R100,000 per family
                                      • Benefit is shared with Organ Transplant Benefit
                                      3. HIV:
                                      • Unlimited, subject to protocols
                                      4. Emergency Transport: ER 24
                                      5. International Coverage:
                                      6. Other:

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                                      Topmed Limited 2017: Other Benefits
                                      In brief: R1,000,000 limit per person in private hospitals. Unlimited in public hospitals. Co-payment for private hospital stays, and 20% co-payment for all healthcare providers. Scheme pays most out-of-hospital benefits with 20% co-payment. Limits apply. All else paid from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • R5,076 per person
                                      • 20% co-payment
                                      Overall Annual Limit (OAL):
                                      R1,000,000 per person
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,245 R600 R260
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: most out-of-hospital claims, with 20% co-payment. Limits apply. All else paid from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • R12,132 per person every 2 years
                                      • Paid from Overall Annual Limit (OAL)
                                      • 20% co-payment
                                      1.2. Wheelchairs:
                                      • See "General Appliances" limit
                                      2. Dialysis:
                                      • Subject to Overall Annual Limit and 20% co-payment
                                      3. HIV:
                                      • Subject to Overall Annual Limit and 20% co-payment
                                      4. Emergency Transport: ER24
                                      5. International Coverage:
                                      • R10 million per family per year, maximum of 90 days
                                      6. Other:

                                      View this plan

                                      Fedhealth Maxima Basis Grid 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry and maternity, optometry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Paid from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,251 R1,916 R679
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry and maternity, optometry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R4,056 R3,444 R1,224

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • R250,000
                                      3. HIV:
                                      • Covered if on the management program
                                      4. Emergency Transport: Europ Assistance
                                      5. International Coverage:
                                      • R5 million, for under 70yrs
                                      6. Other:

                                      View this plan

                                      Fedhealth Maxima Standard Elect 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Network hospitals. Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims.
                                      1. General Appliances:
                                      • R10,500 per family, from day-to-day benefit, in and out of hospital
                                      • Does not add up to threshold
                                      • Foot orthotics: sub-limit of R3,910 per person
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,316 R1,974 R694
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims.
                                      Main: Adult: Child:
                                      (S) Savings: R5,004 R4,260 R1,500
                                      (SP) Self Payment: R6,196 R4,340 R1,380
                                      Threshold (S+SP): R11,200 R8,600 R2,880
                                      Above Threshold: No limit, with 20% co-payment No limit, with 20% co-payment No limit, with 20% co-payment

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • See "General Appliances" limit
                                      1.2. Wheelchairs:
                                      • See "General Appliances" limit
                                      2. Dialysis:
                                      • R400,000
                                      3. HIV:
                                      • Covered if on the management program
                                      4. Emergency Transport: Europ Assistance
                                      5. International Coverage:
                                      • R5 million, for under 70yrs
                                      6. Other:

                                      View this plan

                                      Topmed Savings 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Paid from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,317 R1,850 R698
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R4,452 R3,552 R1,344

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      3. HIV:
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: ER24
                                      5. International Coverage:
                                      • R10 million per family per year, maximum of 90 days
                                      6. Other:
                                      • Post-operative benefits hip and knee replacement (trauma only), heart attack, post crime trauma, stroke

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                                      Momentum Incentive Network hospital (and Network provider for chronic) 2017: Other Benefits
                                      In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • In-hospital: R5,630 per family
                                      • Out-of-hospital: No benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,323 R1,848 R949
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R2,788 R2,788 R2,218

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • Unlimited, at Network chronic provider
                                      3. HIV:
                                      • HIV related admissions: R62,500 per family
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: Netcare 911
                                      5. International Coverage:
                                      • R8 million international emergency cover
                                      • R1,470 co-payment applies for each outpatient claim
                                      6. Other:
                                      • Cochlear implants: R144,500 per person
                                      • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

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                                      Sizwe Primary Care C 2017: Other Benefits
                                      In brief:
                                      1. General Appliances:
                                      • M =R960 and M1+ = R1,550
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,326 R1,519 R480
                                      Children: Pay for all children
                                      Income limit: R8,767+ (other limits)
                                      Day-to-Day Benefit:
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • R5,500 per family
                                      1.2. Wheelchairs:
                                      • R1,790 per family
                                      2. Dialysis:
                                      3. HIV:
                                      • Subject to treatment protocols
                                      4. Emergency Transport: Europ Assist
                                      5. International Coverage:
                                      6. Other:

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                                      Bestmed Beat 3 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: preventative dentistry, optometry, maternity, wound care, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Paid from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, but sub-limits can apply
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,359 R1,676 R911
                                      Children: Pay for maximum 4 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, wound care, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R4,812 R3,420 R1,860

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      3. HIV:
                                      • Managed care programme
                                      4. Emergency Transport: ER24
                                      5. International Coverage:
                                      6. Other:
                                      • Wound care: R2,750 per family, paid by scheme

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                                      Resolution Progressive Flex Plus 2017: Other Benefits
                                      In brief:
                                      1. General Appliances:
                                      • R3,896 per family, subject to sub limits and PMBs
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,369 R2,219 R733
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids: See above
                                      1.2. Wheelchairs: See above
                                      2. Dialysis:
                                      • PMBs only, at network providers
                                      3. HIV:
                                      • Covered at network hospitals if on HIV Management Programme
                                      4. Emergency Transport: Netcare 911
                                      5. International Coverage:
                                      • R750,000 per person per emergency incident
                                      6. Other:
                                      • Cochlear implants: no benefit

                                      View this plan

                                      Fedhealth Blue Door E: Other Benefits
                                      In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • No benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,378 R2,061 R895
                                      Children: Pay for all children
                                      Income limit: R12,001+ (other limits)
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • No benefit
                                      1.2. Wheelchairs:
                                      • No benefit
                                      2. Dialysis:
                                      • PMBs only, at state facilities
                                      3. HIV:
                                      • Covered if on the management program
                                      4. Emergency Transport: Europ Assistance
                                      5. International Coverage:
                                      6. Other:

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                                      Spectramed Cyan B 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Subject to authorisation
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,396 R2,296 R960
                                      Children: Pay for maximum 3 children
                                      Income limit: R8,001+ (other limits)
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R4,020 R3,852 R1,608

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      1.2. Wheelchairs:
                                      2. Dialysis:
                                      3. HIV:
                                      • Includes post exposure prophylaxis and mother-to-child transmission
                                      4. Emergency Transport:
                                      5. International Coverage:
                                      6. Other:

                                      View this plan

                                      Suremed Navigator 2017: Other Benefits
                                      In brief: 125% scheme rate for specialists. Scheme pays out-of-hospital claims for: medication, appliances, dentistry, GPs and specialists, maternity, non surgical procedures, optometry, supplementary services, pathology, radiology, specialised radiology, preventative care, alternative to hospitals. Limits apply. All else paid out of savings or out of pocket, unless PMB.
                                      1. General Appliances:
                                      • From savings first. Thereafter, limited to R2,330 per family, from overallday-to-day benefit
                                      • CPAP machine: R5,000 every 3 years
                                      • Nebulisers/Humidifiers: R500
                                      • Glucometers: R500 every 3 years
                                      • Back support: R2,500
                                      • Orthotics: R1,000
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,400 R1,900 R720
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: medication, appliances, dentistry, GPs and specialists, maternity, non surgical procedures, optometry, supplementary services, pathology, radiology, specialised radiology, preventative care, alternative to hospitals. Limits apply. All else paid out of savings or out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R3,960 R3,180 R1,200
                                      Extended Fund: R8,500 pp R17,680 pf R

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Limited to R5,000 every 3 years, subject to appliance limit
                                      1.2. Wheelchairs:
                                      2. Dialysis:
                                      • R132,000 per family
                                      3. HIV:
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: ER24
                                      5. International Coverage:
                                      6. Other:

                                      View this plan

                                      Commed Shina C 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R600,000 per person and R1,200,000 per family. Scheme pays out-of-hospital claims for: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • R8,000 per family
                                      • Stoma care: from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      R600k per person, R1,200,000 per family
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,441 R2,075 R488
                                      Children: Pay for all children
                                      Income limit: R18,001+ (other limits)
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R2,929 R2,490 R586

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit every 2 years
                                      1.2. Wheelchairs:
                                      • Every 3 years, subject to above limit
                                      2. Dialysis:
                                      3. HIV:
                                      4. Emergency Transport: ER24
                                      5. International Coverage:
                                      • Emergency cover in SADC countries
                                      6. Other:

                                      View this plan

                                      Selfmed Selfsure 2017: Other Benefits
                                      In brief:
                                      1. General Appliances:
                                      • R4,300 per family
                                      • This may be increased to R12,900 with respect to certain appliances, under case management
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,456 R2,451 R836
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • No benefit
                                      1.2. Wheelchairs: See above
                                      2. Dialysis:
                                      • Unlimited
                                      3. HIV:
                                      • Covered if part of Disease management Programme
                                      4. Emergency Transport: ER24
                                      5. International Coverage:
                                      6. Other:
                                      • Cochlear implant: R30,200 per implant

                                      View this plan

                                      Fedhealth Maxima Basis 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry and maternity, optometry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • Paid from day-to-day benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,501 R2,129 R754
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, some dentistry and maternity, optometry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R4,500 R3,828 R1,356

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • R250,000
                                      3. HIV:
                                      • Covered if on the management program
                                      4. Emergency Transport: Europ Assistance
                                      5. International Coverage:
                                      • R5 million, for under 70yrs
                                      6. Other:

                                      View this plan

                                      Momentum Incentive (Network provider for chronic) 2017: Other Benefits
                                      In brief: 200% scheme rate for specialists. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • In-hospital: R5,630 per family
                                      • Out-of-hospital: No benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,506 R2,010 R1,089
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R3,007 R3,007 R2,412

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • Unlimited, at Network chronic provider
                                      3. HIV:
                                      • HIV related admissions: R62,500 per family
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: Netcare 911
                                      5. International Coverage:
                                      • R8 million international emergency cover
                                      • R1,470 co-payment applies for each outpatient claim
                                      6. Other:
                                      • Cochlear implants: R144,500 per person
                                      • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

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                                      Momentum Incentive Network hospital (and any provider for chronic) 2017: Other Benefits
                                      In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      1. General Appliances:
                                      • In-hospital: R5,630 per family
                                      • Out-of-hospital: No benefit
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,529 R2,034 R826
                                      Children: Pay for maximum 3 children
                                      Day-to-Day Benefit:
                                      Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                      Main: Adult: Child:
                                      (S) Savings: R3,035 R3,035 R2,441

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • Paid from day-to-day benefit
                                      1.2. Wheelchairs:
                                      • Paid from day-to-day benefit
                                      2. Dialysis:
                                      • Unlimited, at any chronic provider
                                      3. HIV:
                                      • HIV related admissions: R62,500 per family
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport: Netcare 911
                                      5. International Coverage:
                                      • R8 million international emergency cover
                                      • R1,470 co-payment applies for each outpatient claim
                                      6. Other:
                                      • Cochlear implants: R144,500 per person
                                      • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

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                                      Compcare Mumed 2017: Other Benefits
                                      In brief: 100% scheme rate for specialists. Some co-payments. Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits.
                                      1. General Appliances:
                                      • R9,975 per family paid by scheme
                                      Overall Annual Limit (OAL):
                                      Unlimited overall, with sub-limits
                                      Contributions:
                                      Main: Adult: Child:
                                      Total Cost: R2,532 R1,974 R714
                                      Children: Pay for all children
                                      Day-to-Day Benefit:
                                      Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits.
                                      Main: Adult: Child:
                                      (S) Savings: R0- R0- R0-
                                      Extended Fund: R5,376 R3,372 R1,338

                                      Compare with these plans:

                                      1.1. Hearing Aids:
                                      • See "General Appliances" limit
                                      1.2. Wheelchairs:
                                      • See "General Appliances" limit
                                      2. Dialysis:
                                      3. HIV:
                                      • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                      4. Emergency Transport:
                                      5. International Coverage:
                                      • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                                        6. Other:
                                        • Oxygen home ventilation: from day-to-day benefit
                                        • Wound care in lieu of hospitalisation: subject to protocols
                                        • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                                        View this plan

                                        Medshield MediPlus 2017: Other Benefits
                                        In brief: 100% scheme rate. Scheme pays out-of-hospital claims for: specialised radiology, maternity, alternative to hospitalisation, optometry, some non-surgical procedures including scopes,preventative benefits. Limits apply. All else paid from extended fund or out of pocket, unless PMB.
                                        1. General Appliances:
                                        • Overall limit: R7,490 per family
                                        • Peak flow meters, nebulizers, glucometers and blood pressure monitors: R750 per person, subject to above limit
                                        • Stoma products: Unlimited
                                        • Oxygen therapy equipment: Unlimited
                                        • Ventilators: Unlimited
                                        Overall Annual Limit (OAL):
                                        Unlimited overall, with sub-limits
                                        Contributions:
                                        Main: Adult: Child:
                                        Total Cost: R2,544 R1,797 R558
                                        Children: Pay for three children only
                                        Day-to-Day Benefit:
                                        Out-of-hospital, scheme pays for some: specialised radiology, maternity, alternative to hospitalisation, optometry, some non-surgical procedures including scopes,preventative benefits. Limits apply. All else paid from extended fund or out of pocket, unless PMB.
                                        Main: Adult: Child:
                                        (S) Savings: R0- R0- R0-
                                        Extended Fund: RM=R6,750
                                        M1 =R9,420
                                        M2 =R10,600
                                        M3 = R11,910
                                        M4+ +R13,050
                                        R R

                                        Compare with these plans:

                                        1.1. Hearing Aids:
                                        • See "General Appliances" limit
                                        1.2. Wheelchairs:
                                        • See "General Appliances" limit
                                        2. Dialysis:
                                        • R175,000 per family
                                        3. HIV:
                                        • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                        4. Emergency Transport:
                                        5. International Coverage:
                                        6. Other:

                                        View this plan

                                        Discovery Essential Priority 2017: Other Benefits
                                        In brief: 100% scheme rate for specialists. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with sub limits). Extended benefit covers some claims while in self-payment gap. All else paid from out of pocket, unless PMB.
                                        1. General Appliances:
                                        • External appliances limited to R26,450 per family from day-to-day benefit
                                        • Cochlear implants: R207,000
                                        Overall Annual Limit (OAL):
                                        Unlimited overall, with sub-limits
                                        Contributions:
                                        Main: Adult: Child:
                                        Total Cost: R2,551 R2,004 R1,012
                                        Children: Pay for maximum 3 children
                                        Day-to-Day Benefit:
                                        Out-of-hospital, scheme pays for some: Comprehensive cover that covers most out-of-hospital benefits (with sub limits) with limited above threshold benefit. Extended benefit covers some claims while in self-payment gap. All else paid from out of pocket, unless PMB.
                                        Main: Adult: Child:
                                        (S) Savings: R4,584 R3,600 R1,824
                                        (SP) Self Payment: R8,566 R6,250 R2,476
                                        Threshold (S+SP): R13,150 R9,850 R4,300
                                        Above Threshold: 11,150 7,950 3,850

                                        Compare with these plans:

                                        1.1. Hearing Aids:
                                        • R13,000 per family paid from day-to-day benefit
                                        1.2. Wheelchairs:
                                        • See "General Appliances" limit
                                        2. Dialysis:
                                        • Covered in full if you use network provider
                                        3. HIV:
                                        • Covered if on the HIV Care program
                                        4. Emergency Transport: Discovery 911
                                        5. International Coverage:
                                        • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                        • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                        • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                        6. Other:
                                        • Internal nerve stimulators: R142,200
                                        • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                                        • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                                        • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                        Medshield MediSaver 2017: Other Benefits
                                        In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), alternatives to hospitalisation, some non-surgical procedures including scopes, maternity, preventative benefits, dentistry. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                        1. General Appliances:
                                        • Overall limit: R8,025 per family
                                        • Peak flow meters, nebulizers, glucometers and blood pressure monitors: R750 per person, subject to above limit
                                        • Stoma products: Unlimited
                                        • Oxygen therapy equipment: Unlimited
                                        • Ventilators: Unlimited
                                        Overall Annual Limit (OAL):
                                        Unlimited overall, with sub-limits
                                        Contributions:
                                        Main: Adult: Child:
                                        Total Cost: R2,571 R2,151 R615
                                        Children: Pay for three children only
                                        Day-to-Day Benefit:
                                        Out-of-hospital, scheme pays for some: specialised radiology (co-payment), alternatives to hospitalisation, some non-surgical procedures including scopes, maternity, preventative benefits, dentistry. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                        Main: Adult: Child:
                                        (S) Savings: R6,192 R5,184 R1,476

                                        Compare with these plans:

                                        1.1. Hearing Aids:
                                        • See "General Appliances" limit
                                        1.2. Wheelchairs:
                                        • See "General Appliances" limit
                                        2. Dialysis:
                                        • R250,000 per family
                                        3. HIV:
                                        • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                        4. Emergency Transport:
                                        5. International Coverage:
                                        6. Other:

                                        View this plan

                                        Discovery Classic Saver 2017: Other Benefits
                                        In brief: 200% scheme rate for specialists. Over and above the savings fund, scheme pays out-of-hospital claims for: GP consults, maternity, kids' casualty if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                        1. General Appliances:
                                        • Cochlear implants: R207,000
                                        • Otherwise, from day-to-day benefit
                                        Overall Annual Limit (OAL):
                                        Unlimited overall, with sub-limits
                                        Contributions:
                                        Main: Adult: Child:
                                        Total Cost: R2,577 R2,029 R1,031
                                        Children: Pay for maximum 3 children
                                        Day-to-Day Benefit:
                                        Out-of-hospital, scheme pays for some: GP consults, maternity, kids' casualty if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                        Main: Adult: Child:
                                        (S) Savings: R7,728 R6,084 R3,084

                                        Compare with these plans:

                                        1.1. Hearing Aids:
                                        • Paid from day-to-day benefit
                                        1.2. Wheelchairs:
                                        • Paid from day-to-day benefit
                                        2. Dialysis:
                                        • Covered in full if you use network provider
                                        3. HIV:
                                        • Covered if on the HIV Care program
                                        4. Emergency Transport: Discovery 911
                                        5. International Coverage:
                                        • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                        • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                        • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                        6. Other:
                                        • Internal nerve stimulators: R142,200
                                        • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                                        • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                                        • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                        Bonitas Standard Select 2017: Other Benefits
                                        In brief: 100% scheme rate for specialists. Network hospitals. Over and above the fund, scheme pays out-of-hospital claims for: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
                                        1. General Appliances:
                                        • General Appliances: R6,900 per family. paid by scheme.
                                        • Stoma products: Additional R5,900
                                        • Foot orthotics: No benefit
                                        Overall Annual Limit (OAL):
                                        Unlimited overall, with sub-limits
                                        Contributions:
                                        Main: Adult: Child:
                                        Total Cost: R2,597 R2,247 R760
                                        Children: Pay for maximum 3 children
                                        Day-to-Day Benefit:
                                        Out-of-hospital, scheme pays for some: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
                                        Main: Adult: Child:
                                        (S) Savings: R0- R0- R0-

                                        Compare with these plans:

                                        1.1. Hearing Aids:
                                        • R14,400 per family every two years, with a 20% co-payment
                                        1.2. Wheelchairs:
                                        • See "General Appliances" limit
                                        2. Dialysis:
                                        • Unlimited
                                        3. HIV:
                                        • In-hospital: Unlimited if you register on the HIV/AIDS programme
                                        • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                        4. Emergency Transport:
                                        5. International Coverage:
                                        6. Other:

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                                        Compcare Symmetry ED 2017: Other Benefits
                                        In brief: 100% scheme rate for specialists. Netcare hospitals. Some co-payments. Scheme offers extended fund once savings are depleted, and also pays for: specialised radiology, GPs (unlimited), medical appliances and preventative benefits. Limits apply.
                                        1. General Appliances:
                                        • R11,025 per family paid by scheme
                                        Overall Annual Limit (OAL):
                                        Unlimited overall, with sub-limits
                                        Contributions:
                                        Main: Adult: Child:
                                        Total Cost: R2,598 R2,022 R732
                                        Children: Pay for all children
                                        Day-to-Day Benefit:
                                        Scheme offers extended fund for claims once savings are depleted, and also pays for: specialised radiology, GPs, medical appliances and preventative benefits. Limits apply. All else paid from savings, fund or out of pocket.
                                        Main: Adult: Child:
                                        (S) Savings: R3,118 R2,426 R878
                                        Extended Fund: R3,118 R2,426 R878

                                        Compare with these plans:

                                        1.1. Hearing Aids:
                                        • See "General Appliances" limit
                                        1.2. Wheelchairs:
                                        • See "General Appliances" limit
                                        2. Dialysis:
                                        3. HIV:
                                        • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                        4. Emergency Transport:
                                        5. International Coverage:
                                        • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                                          6. Other:
                                          • Oxygen home ventilation: from day-to-day benefit
                                          • Wound care in lieu of hospitalisation: subject to protocols
                                          • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                                          View this plan

                                          Medihelp Dimension Prime 3 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: radiology (co-payment), pathology, GPs, specialists, supplementary services, medicine, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • Medical Appliances, hyperbaric oxygen: No benefit
                                          • Stoma products and urine bags: paid by scheme
                                          • CPAP apparatus: R8,400 per person every two years
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,730 R2,316 R798
                                          Children: Pay for maximum 2 children under 18yrs.
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R0- R0- R0-

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • R4,080 per family every 3 years
                                          1.2. Wheelchairs:
                                          • R4,080 per family every 3 years
                                          2. Dialysis:
                                          • Unlimited
                                          3. HIV:
                                          • Post exposure prophylaxis in the event of sexual assault or accidental exposure to HIV
                                          • Paid by scheme
                                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                          4. Emergency Transport:
                                          • Netcare 911
                                          5. International Coverage:
                                          6. Other:
                                          • Oxygen out-of-hospital: Unlimited, at 100% scheme rate

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                                          Sizwe Affordable Care A 2017: Other Benefits
                                          In brief:
                                          1. General Appliances:
                                          • M =R1,440 and M1+ = R2,510
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,733 R2,511 R630
                                          Children: Pay for all children
                                          Income limit: R0-R15,052 (other limits)
                                          Day-to-Day Benefit:
                                          Main: Adult: Child:
                                          (S) Savings: R0- R0- R0-

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • R8,600 per family
                                          1.2. Wheelchairs:
                                          • R2,990 per family
                                          2. Dialysis:
                                          3. HIV:
                                          • Subject to treatment protocols
                                          4. Emergency Transport: Europ Assist
                                          5. International Coverage:
                                          6. Other:

                                          View this plan

                                          Momentum Incentive (Any provider for chronic) 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • In-hospital: R5,630 per family
                                          • Out-of-hospital: No benefit
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,794 R2,270 R389
                                          Children: Pay for maximum 3 children
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R3,288 R3,288 R2,724

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • Paid from day-to-day benefit
                                          1.2. Wheelchairs:
                                          • Paid from day-to-day benefit
                                          2. Dialysis:
                                          • Unlimited, at any chronic provider
                                          3. HIV:
                                          • HIV related admissions: R62,500 per family
                                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                          4. Emergency Transport: Netcare 911
                                          5. International Coverage:
                                          • R8 million international emergency cover
                                          • R1,470 co-payment applies for each outpatient claim
                                          6. Other:
                                          • Cochlear implants: R144,500 per person
                                          • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

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                                          Sizwe Savings Care B 2017: Other Benefits
                                          In brief:
                                          1. General Appliances:
                                          • M =R1,240 and M1+ = R2,160
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,800 R2,243 R555
                                          Children: Pay for all children
                                          Income limit: R15,053+ (other limits)
                                          Day-to-Day Benefit:
                                          Main: Adult: Child:
                                          (S) Savings: R5,040 R4,037 R999

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • Paid from day-to-day benefit
                                          1.2. Wheelchairs:
                                          • Paid from day-to-day benefit
                                          2. Dialysis:
                                          3. HIV:
                                          • Subject to treatment protocols
                                          4. Emergency Transport: Europ Assist
                                          5. International Coverage:
                                          6. Other:

                                          View this plan

                                          Medimed Max A 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Income based plan. Over and above the savings and extended fund, scheme pays out-of-hospital claims for: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R10,000 per family) or out of pocket, unless PMB.
                                          1. General Appliances:
                                          • Paid from day-to-day benefit
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,810 R2,810 R500
                                          Children: Pay for all children
                                          Income limit: R0-R10,000 (other limits)
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R10,000 per family) or out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R13,430 R13,430 R1,500
                                          Extended Fund: R5,000 pp R10,000 pf R

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • See "General Appliances" limit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          • R200,000 per family
                                          • Benefit is shared with Organ Transplant Benefit
                                          3. HIV:
                                          • Unlimited, subject to protocols
                                          4. Emergency Transport: ER 24
                                          5. International Coverage:
                                          6. Other:

                                          View this plan

                                          Sizwe Affordable Care B 2017: Other Benefits
                                          In brief:
                                          1. General Appliances:
                                          • M =R1,440 and M1+ = R2,510
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,843 R2,610 R660
                                          Children: Pay for all children
                                          Income limit: R15,053-R18,444 (other limits)
                                          Day-to-Day Benefit:
                                          Main: Adult: Child:
                                          (S) Savings: R0- R0- R0-

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • R8,600 per family
                                          1.2. Wheelchairs:
                                          • R2,990 per family
                                          2. Dialysis:
                                          3. HIV:
                                          • Subject to treatment protocols
                                          4. Emergency Transport: Europ Assist
                                          5. International Coverage:
                                          6. Other:

                                          View this plan

                                          Bonitas BonComplete 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Over and above the savings/threshold fund, scheme pays out-of-hospital claims for: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings, or from above threshold benefit or from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • Paid from day-to-day benefit
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,923 R2,340 R794
                                          Children: Pay for maximum 3 children
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings, or from above threshold benefit or from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R5,256 R4,200 R1,428
                                          (SP) Self Payment: R1,568 R1,326 R336
                                          Threshold (S+SP): R6,824 R5,526 R1,764
                                          Above Threshold: R4,150 R2,450 R1,060

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • See "General Appliances" limit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          • Unlimited (in-hospital) at DSP
                                          3. HIV:
                                          • In-hospital: Unlimited if you register on the HIV/AIDS programme
                                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                          4. Emergency Transport:
                                          5. International Coverage:
                                          6. Other:

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                                          Commed Standard A 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R760,000 per person and R1,460,000 per family. Scheme pays out-of-hospital claims for: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • R10,000 per family
                                          • Stoma care: from day-to-day benefit
                                          Overall Annual Limit (OAL):
                                          R730k per person, R1,460,000 per family
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,946 R2,413 R591
                                          Children: Pay for all children
                                          Income limit: R0-R6,000 (other limits)
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R4,419 R3,620 R887

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • Paid from day-to-day benefit every 2 years
                                          1.2. Wheelchairs:
                                          • Every 3 years, subject to above limit
                                          2. Dialysis:
                                          3. HIV:
                                          4. Emergency Transport: ER24
                                          5. International Coverage:
                                          • Emergency cover in SADC countries
                                          6. Other:

                                          View this plan

                                          Hosmed Value 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, mental health, supplementary services, maternity benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • R12,020 per family
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,964 R2,144 R482
                                          Children: Pay for maximum 3 children
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, mental health, supplementary services, maternity benefits, preventative benefits. Limits apply. All else paid out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R0- R0- R0-

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • See "General Appliances" limit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis: -
                                          3. HIV:
                                          • 100% scheme rate
                                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                          4. Emergency Transport: Netcare911
                                          5. International Coverage: -
                                          6. Other: -

                                          View this plan

                                          Discovery Classic Priority 2017: Other Benefits
                                          In brief: 200% scheme rate for specialists. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with sub limits). Extended benefit covers some claims while in self-payment gap. All else paid from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • External appliances limited to R39,400 per family from day-to-day benefit
                                          • Cochlear implants: R207,000
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,968 R2,337 R1,187
                                          Children: Pay for maximum 3 children
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: Comprehensive cover that covers most out-of-hospital benefits (with sub limits) with limited above threshold benefit. Extended benefit covers some claims while in self-payment gap. All else paid from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R8,904 R7,008 R3,552
                                          (SP) Self Payment: R4,246 R2,842 R748
                                          Threshold (S+SP): R13,150 R9,850 R4,300
                                          Above Threshold: 11,150 7,950 3,850

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • R18,300 per family paid from day-to-day benefit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          • Covered in full if you use network provider
                                          3. HIV:
                                          • Covered if on the HIV Care program
                                          4. Emergency Transport: Discovery 911
                                          5. International Coverage:
                                          • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                          • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                          • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                          6. Other:
                                          • Internal nerve stimulators: R142,200
                                          • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                                          • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                                          • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                          Keyhealth Silver 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), dentistry, medicine, optometry, maternity, medical appliances, preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • R6,300 per family, in and out of hospital
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,977 R1,601 R620
                                          Children: Pay for maximum 3 children
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: specialised radiology (co-payment), dentistry, medicine, optometry, maternity, medical appliances, preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R0- R0- R0-
                                          Extended Fund: R6,485 R4,710 R1,305

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • See "General Appliances" limit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          • PMB only
                                          3. HIV:
                                          • Unlimited
                                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                          4. Emergency Transport: Netcare911
                                          5. International Coverage:
                                          6. Other:

                                          View this plan

                                          Bonitas Standard 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Over and above the fund, scheme pays out-of-hospital claims for: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • General Appliances: R6,900 per family. paid by scheme.
                                          • Stoma products: Additional R5,900
                                          • Foot orthotics: No benefit
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R2,998 R2,600 R880
                                          Children: Pay for maximum 3 children
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R0- R0- R0-

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • R14,400 per family every two years, with a 20% co-payment
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          • Unlimited
                                          3. HIV:
                                          • In-hospital: Unlimited if you register on the HIV/AIDS programme
                                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                          4. Emergency Transport:
                                          5. International Coverage:
                                          6. Other:

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                                          Fedhealth Maxima Standard 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims.
                                          1. General Appliances:
                                          • R10,500 per family, from day-to-day benefit, in and out of hospital
                                          • Does not add up to threshold
                                          • Foot orthotics: sub-limit of R3,910 per person
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R3,032 R2,583 R907
                                          Children: Pay for all children
                                          Day-to-Day Benefit:
                                          Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims.
                                          Main: Adult: Child:
                                          (S) Savings: R6,552 R5,580 R1,956
                                          (SP) Self Payment: R4,648 R3,020 R924
                                          Threshold (S+SP): R11,200 R8,600 R2,880
                                          Above Threshold: No limit, with 20% co-payment No limit, with 20% co-payment No limit, with 20% co-payment

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • See "General Appliances" limit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          • R400,000
                                          3. HIV:
                                          • Covered if on the management program
                                          4. Emergency Transport: Europ Assistance
                                          5. International Coverage:
                                          • R5 million, for under 70yrs
                                          6. Other:

                                          View this plan

                                          Medimed Max B 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Income based plan. Over and above the savings and extended fund, scheme pays out-of-hospital claims for: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R10,000 per family) or out of pocket, unless PMB.
                                          1. General Appliances:
                                          • Paid from day-to-day benefit
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R3,050 R3,050 R530
                                          Children: Pay for all children
                                          Income limit: R10,001-R17,000 (other limits)
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R10,000 per family) or out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R14,150 R14,150 R1,590
                                          Extended Fund: R5,000 pp R10,000 pf R

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • See "General Appliances" limit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          • R200,000 per family
                                          • Benefit is shared with Organ Transplant Benefit
                                          3. HIV:
                                          • Unlimited, subject to protocols
                                          4. Emergency Transport: ER 24
                                          5. International Coverage:
                                          6. Other:

                                          View this plan

                                          Bestmed Pace 1 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: preventative dentistry, optometry, maternity, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • R9,000 per family
                                          • Paid from day-to-day benefit
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R3,055 R2,145 R711
                                          Children: Pay for maximum 4 children
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: preventative dentistry, optometry, maternity, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R7,332 R5,148 R1,848
                                          Extended Fund: R8,500 (main) R17,000 (family) R

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • See "General Appliances" limit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          3. HIV:
                                          • Managed care programme
                                          4. Emergency Transport: ER24
                                          5. International Coverage:
                                          6. Other:
                                          • Wound care: R2,850 per family, from day-to-day benefit
                                          • Rehab after trauma: vested savings

                                          View this plan

                                          Commed Standard B 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R760,000 per person and R1,460,000 per family. Scheme pays out-of-hospital claims for: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                          1. General Appliances:
                                          • R10,000 per family
                                          • Stoma care: from day-to-day benefit
                                          Overall Annual Limit (OAL):
                                          R730k per person, R1,460,000 per family
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R3,181 R2,607 R638
                                          Children: Pay for all children
                                          Income limit: R6,001-R7,000 (other limits)
                                          Day-to-Day Benefit:
                                          Out-of-hospital, scheme pays for some: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                          Main: Adult: Child:
                                          (S) Savings: R4,772 R3,911 R957

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • Paid from day-to-day benefit every 2 years
                                          1.2. Wheelchairs:
                                          • Every 3 years, subject to above limit
                                          2. Dialysis:
                                          3. HIV:
                                          4. Emergency Transport: ER24
                                          5. International Coverage:
                                          • Emergency cover in SADC countries
                                          6. Other:

                                          View this plan

                                          Compcare Symmetry 2017: Other Benefits
                                          In brief: 100% scheme rate for specialists. Some co-payments. Scheme offers extended fund once savings are depleted, and also pays for: specialised radiology, GPs (unlimited), medical appliances and preventative benefits. Limits apply.
                                          1. General Appliances:
                                          • R11,025 per family paid by scheme
                                          Overall Annual Limit (OAL):
                                          Unlimited overall, with sub-limits
                                          Contributions:
                                          Main: Adult: Child:
                                          Total Cost: R3,186 R2,484 R900
                                          Children: Pay for all children
                                          Day-to-Day Benefit:
                                          Scheme offers extended fund for claims once savings are depleted, and also pays for: specialised radiology, GPs, medical appliances and preventative benefits. Limits apply. All else paid from savings, fund or out of pocket.
                                          Main: Adult: Child:
                                          (S) Savings: R3,816 R2,952 R1,080
                                          Extended Fund: R3,816 R2,952 R1,080

                                          Compare with these plans:

                                          1.1. Hearing Aids:
                                          • See "General Appliances" limit
                                          1.2. Wheelchairs:
                                          • See "General Appliances" limit
                                          2. Dialysis:
                                          3. HIV:
                                          • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                          4. Emergency Transport:
                                          5. International Coverage:
                                          • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                                            6. Other:
                                            • Oxygen home ventilation: from day-to-day benefit
                                            • Wound care in lieu of hospitalisation: subject to protocols
                                            • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                                            View this plan

                                            Medimed Max C 2017: Other Benefits
                                            In brief: 100% scheme rate for specialists. Income based plan. Over and above the savings and extended fund, scheme pays out-of-hospital claims for: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R10,000 per family) or out of pocket, unless PMB.
                                            1. General Appliances:
                                            • Paid from day-to-day benefit
                                            Overall Annual Limit (OAL):
                                            Unlimited overall, with sub-limits
                                            Contributions:
                                            Main: Adult: Child:
                                            Total Cost: R3,210 R3,210 R560
                                            Children: Pay for all children
                                            Income limit: R17,001+ (other limits)
                                            Day-to-Day Benefit:
                                            Out-of-hospital, scheme pays for some: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R10,000 per family) or out of pocket, unless PMB.
                                            Main: Adult: Child:
                                            (S) Savings: R14,630 R14,630 R1,680
                                            Extended Fund: R5,000 pp R10,000 pf R

                                            Compare with these plans:

                                            1.1. Hearing Aids:
                                            • See "General Appliances" limit
                                            1.2. Wheelchairs:
                                            • See "General Appliances" limit
                                            2. Dialysis:
                                            • R200,000 per family
                                            • Benefit is shared with Organ Transplant Benefit
                                            3. HIV:
                                            • Unlimited, subject to protocols
                                            4. Emergency Transport: ER 24
                                            5. International Coverage:
                                            6. Other:

                                            View this plan

                                            Fedhealth Maxima Advanced 2017: Other Benefits
                                            In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, specialised radiology, contraceptives, some medication, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                            1. General Appliances:
                                            • Paid from day-to-day benefit
                                            Overall Annual Limit (OAL):
                                            Unlimited overall, with sub-limits
                                            Contributions:
                                            Main: Adult: Child:
                                            Total Cost: R3,251 R2,756 R968
                                            Children: Pay for all children
                                            Day-to-Day Benefit:
                                            Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty visits, specialised radiology, contraceptives, some medication, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                            Main: Adult: Child:
                                            (S) Savings: R3,900 R3,312 R1,164

                                            Compare with these plans:

                                            1.1. Hearing Aids:
                                            • Paid from day-to-day benefit
                                            1.2. Wheelchairs:
                                            • Paid from day-to-day benefit
                                            2. Dialysis:
                                            • R400,000
                                            3. HIV:
                                            • Covered if on the management program
                                            4. Emergency Transport: Europ Assistance
                                            5. International Coverage:
                                            • R5 million, for under 70yrs
                                            6. Other:

                                            View this plan

                                            Compcare Dynamix ED 2017: Other Benefits
                                            In brief: 100% scheme rate for specialists. Netcare hospitals. Some co-payments. Comprehensive cover with savings, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
                                            1. General Appliances:
                                            • R15,750 per family paid by scheme
                                            Overall Annual Limit (OAL):
                                            Unlimited overall, with sub-limits
                                            Contributions:
                                            Main: Adult: Child:
                                            Total Cost: R3,306 R2,580 R930
                                            Children: Pay for all children
                                            Day-to-Day Benefit:
                                            Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
                                            Main: Adult: Child:
                                            (S) Savings: R5,976 R4,680 R1,656
                                            Extended Fund: R1,984 R1,548 R558
                                            (SP) Self Payment: R5,000 R3,878 R1,402
                                            Threshold (S+SP): R12,960 R10,106 R3,616
                                            Above Threshold: R5,800 pb
                                            R11,600 pf
                                            11,600 pf

                                            Compare with these plans:

                                            1.1. Hearing Aids:
                                            • See "General Appliances" limit
                                            1.2. Wheelchairs:
                                            • See "General Appliances" limit
                                            2. Dialysis:
                                            3. HIV:
                                            • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                            4. Emergency Transport:
                                            5. International Coverage:
                                            • International benefit: subject to benefits per individual benefit category. Paid at South African rates
                                              6. Other:
                                              • Oxygen home ventilation: from day-to-day benefit but not payable from above threshold
                                              • Wound care in lieu of hospitalisation: subject to protocols
                                              • Trauma: unlimited phone consults with psychologists/social workers and 3 face-to-face sessions per person per year

                                              View this plan

                                              Spectramed Azure A 2017: Other Benefits
                                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • Subject to authorisation
                                              Overall Annual Limit (OAL):
                                              Unlimited overall, with sub-limits
                                              Contributions:
                                              Main: Adult: Child:
                                              Total Cost: R3,371 R1,875 R1,016
                                              Children: Pay for max 3 children, with 2nd child=R616 and 3rd child=R415pm
                                              Income limit: R0-R8,000 (other limits)
                                              Day-to-Day Benefit:
                                              Out-of-hospital, scheme pays for some: mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                              Main: Adult: Child:
                                              (S) Savings: R7,488 R4,164 R2,256

                                              Compare with these plans:

                                              1.1. Hearing Aids:
                                              1.2. Wheelchairs:
                                              2. Dialysis:
                                              3. HIV:
                                              • Includes post exposure prophylaxis and mother-to-child transmission
                                              4. Emergency Transport:
                                              5. International Coverage:
                                              6. Other:

                                              View this plan

                                              Discovery Classic Comprehensive Zero MSA 2017: Other Benefits
                                              In brief: 200% scheme rate for specialists. Comprehensive cover with no savings, a self-payment gap and unlimited above threshold benefits that cover most out-of-hospital benefits (with sub limits). All else paid from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • External appliances limited to R58,800 per family from day-to-day benefit
                                              • Cochlear implants: R207,000
                                              Overall Annual Limit (OAL):
                                              Unlimited overall, with sub-limits
                                              Contributions:
                                              Main: Adult: Child:
                                              Total Cost: R3,380 R3,199 R674
                                              Children: Pay for maximum 3 children
                                              Day-to-Day Benefit:
                                              Comprehensive cover with no savings, a self-payment gap and unlimited above threshold benefits that cover most out-of-hospital benefits (with sub limits). All else paid from out of pocket, unless PMB.
                                              Main: Adult: Child:
                                              (S) Savings: R0- R0- R0-
                                              (SP) Self Payment: R#VALUE! R#VALUE! R#VALUE!
                                              Threshold (S+SP): R15,500 R15,500 R2,950
                                              Above Threshold: No limit No limit No limit

                                              Compare with these plans:

                                              1.1. Hearing Aids:
                                              • R22,900 per family paid from day-to-day benefit
                                              1.2. Wheelchairs:
                                              • See "General Appliances" limit
                                              2. Dialysis:
                                              • Covered in full if you use network provider
                                              3. HIV:
                                              • Covered if on the HIV Care program
                                              4. Emergency Transport: Discovery 911
                                              5. International Coverage:
                                              • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                              • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                              • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                              6. Other:
                                              • Internal nerve stimulators: R142,200
                                              • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                                              • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                              Discovery Essential Delta Comprehensive 2017: Other Benefits
                                              In brief: 100% scheme rate for specialists. Network hospitals. Comprehensive cover with savings, extended fund, and unlimited above threshold benefits that cover most out-of-hospital benefits (with sub limits). Extended benefit covers some claims while in self-payment gap. All else paid from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • External appliances limited to R39,400 per family from day-to-day benefit
                                              • Cochlear implants: R207,000
                                              Overall Annual Limit (OAL):
                                              Unlimited overall, with sub-limits
                                              Contributions:
                                              Main: Adult: Child:
                                              Total Cost: R3,410 R3,221 R684
                                              Children: Pay for maximum 3 children
                                              Day-to-Day Benefit:
                                              Out-of-hospital, scheme pays for some: Comprehensive cover that covers most out-of-hospital benefits (with sub limits). Extended benefit covers some claims while in self-payment gap. All else paid from out of pocket, unless PMB.
                                              Main: Adult: Child:
                                              (S) Savings: R6,132 R5,796 R1,224
                                              (SP) Self Payment: R9,368 R9,704 R1,726
                                              Threshold (S+SP): R15,500 R15,500 R2,950
                                              Above Threshold: No limit No limit No limit

                                              Compare with these plans:

                                              1.1. Hearing Aids:
                                              • R18,300 per family paid from day-to-day benefit
                                              1.2. Wheelchairs:
                                              • See "General Appliances" limit
                                              2. Dialysis:
                                              • Covered in full if you use network provider
                                              3. HIV:
                                              • Covered if on the HIV Care program
                                              4. Emergency Transport: Discovery 911
                                              5. International Coverage:
                                              • Up to R5 million per person on each journey for emergency medical costs while outside South Africa
                                              • Up to R500,000 for treatment overseas that is not available in South Africa, with a 20% co-payment
                                              • Emergency medical evacuations from certain sub-Saharan African countries back to South Africa
                                              6. Other:
                                              • Internal nerve stimulators: R142,200
                                              • Trauma recovery: out-of-hospital claims related to certain traumatic events paid until the end of the year following the event
                                              • DNA Analysis: paid in full from day-to-day benefit or 50% from above threshold
                                              • Second opinion from Cleveland Clinic for life-threatening and life-changing conditions. 50% co-payment

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                                              Commed Standard C 2017: Other Benefits
                                              In brief: 100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R760,000 per person and R1,460,000 per family. Scheme pays out-of-hospital claims for: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • R10,000 per family
                                              • Stoma care: from day-to-day benefit
                                              Overall Annual Limit (OAL):
                                              R730k per person, R1,460,000 per family
                                              Contributions:
                                              Main: Adult: Child:
                                              Total Cost: R3,434 R2,815 R690
                                              Children: Pay for all children
                                              Income limit: R7,001+ (other limits)
                                              Day-to-Day Benefit:
                                              Out-of-hospital, scheme pays for some: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB.
                                              Main: Adult: Child:
                                              (S) Savings: R5,151 R4,223 R1,035

                                              Compare with these plans:

                                              1.1. Hearing Aids:
                                              • Paid from day-to-day benefit every 2 years
                                              1.2. Wheelchairs:
                                              • Every 3 years, subject to above limit
                                              2. Dialysis:
                                              3. HIV:
                                              4. Emergency Transport: ER24
                                              5. International Coverage:
                                              • Emergency cover in SADC countries
                                              6. Other:

                                              View this plan

                                              Topmed Family 2017: Other Benefits
                                              In brief: 150% scheme rate. Scheme pays out-of-hospital claims for: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. In addition, there is a limited above threshold benefit. Limits apply. All else paid from savings, or from above threshold(limited) or from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • R4,332 per family
                                              • Paid from day-to-day benefit
                                              Overall Annual Limit (OAL):
                                              Unlimited overall, with sub-limits
                                              Contributions:
                                              Main: Adult: Child:
                                              Total Cost: R3,490 R2,790 R954
                                              Children: Pay for all children
                                              Day-to-Day Benefit:
                                              Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid from savings, or from out of pocket, unless PMB.
                                              Main: Adult: Child:
                                              (S) Savings: R8,376 R6,696 R2,292

                                              Compare with these plans:

                                              1.1. Hearing Aids:
                                              • R11,568 per family
                                              • Shared with wheelchair, hearing aid and external prostheses benefit
                                              • Paid from day-to-day benefit
                                              1.2. Wheelchairs:
                                              • R11,568 per family
                                              • Shared with wheelchair, hearing aid and external prostheses benefit
                                              • Paid from day-to-day benefit
                                              2. Dialysis:
                                              • R230,400
                                              3. HIV:
                                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                              4. Emergency Transport: ER24
                                              5. International Coverage:
                                              • R10 million per family per year, maximum of 90 days
                                              6. Other:
                                              • Post-operative benefits hip and knee replacement (trauma only), heart attack, post crime trauma, stroke

                                              View this plan

                                              Spectramed Azure B 2017: Other Benefits
                                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • Subject to authorisation
                                              Overall Annual Limit (OAL):
                                              Unlimited overall, with sub-limits
                                              Contributions:
                                              Main: Adult: Child:
                                              Total Cost: R3,501 R2,206 R1,137
                                              Children: Pay for max 3 children, with 2nd child=R865 and 3rd child=R604pm
                                              Income limit: R8,001- R11,500 (other limits)
                                              Day-to-Day Benefit:
                                              Out-of-hospital, scheme pays for some: mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                              Main: Adult: Child:
                                              (S) Savings: R7,776 R4,896 R2,520

                                              Compare with these plans:

                                              1.1. Hearing Aids:
                                              1.2. Wheelchairs:
                                              2. Dialysis:
                                              3. HIV:
                                              • Includes post exposure prophylaxis and mother-to-child transmission
                                              4. Emergency Transport:
                                              5. International Coverage:
                                              6. Other:

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                                              Bestmed Beat 4 2017: Other Benefits
                                              In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: preventative dentistry, optometry, maternity, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • R9,000 per family
                                              • Paid from day-to-day benefit
                                              Overall Annual Limit (OAL):
                                              Unlimited overall, with sub-limits
                                              Contributions:
                                              Main: Adult: Child:
                                              Total Cost: R3,618 R2,988 R895
                                              Children: Pay for maximum 4 children
                                              Day-to-Day Benefit:
                                              Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.
                                              Main: Adult: Child:
                                              (S) Savings: R6,516 R5,376 R1,608
                                              Extended Fund: R10,000 (main) R20,000 (family) R

                                              Compare with these plans:

                                              1.1. Hearing Aids:
                                              • See "General Appliances" limit
                                              1.2. Wheelchairs:
                                              • See "General Appliances" limit
                                              2. Dialysis:
                                              3. HIV:
                                              • Managed care programme
                                              4. Emergency Transport: ER24
                                              5. International Coverage:
                                              6. Other:
                                              • Wound care: R3,900 per family, from day-to-day benefit

                                              View this plan

                                              Bonitas BonClassic 2017: Other Benefits
                                              In brief: 100% scheme rate for specialists. Over and above the savings fund, scheme pays out-of-hospital claims for: specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • General Appliances: R7,000 per family. paid by scheme.
                                              • Foot orthotics: paid from day-to-day benefit
                                              Overall Annual Limit (OAL):
                                              Unlimited overall, with sub-limits
                                              Contributions:
                                              Main: Adult: Child:
                                              Total Cost: R3,648 R3,132 R900
                                              Children: Pay for maximum 3 children
                                              Day-to-Day Benefit:
                                              Out-of-hospital, scheme pays for some: specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                              Main: Adult: Child:
                                              (S) Savings: R6,192 R5,316 R1,524

                                              Compare with these plans:

                                              1.1. Hearing Aids:
                                              • R15,200 per family every three years, with a 10% co-payment
                                              1.2. Wheelchairs:
                                              • See "General Appliances" limit
                                              2. Dialysis:
                                              • Unlimited
                                              3. HIV:
                                              • In-hospital: Unlimited if you register on the HIV/AIDS programme
                                              • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
                                              4. Emergency Transport:
                                              5. International Coverage:
                                              6. Other:

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                                              Spectramed Azure C 2017: Other Benefits
                                              In brief: 100% scheme rate for specialists. Scheme pays out-of-hospital claims for: mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
                                              1. General Appliances:
                                              • Subject to authorisation
                                              Overall Annual Limit (OAL):
                                              Unlimited overall, with sub-limits
                                              Contributions: