CompCare other benefits: 2017

By Staff Writer -

CompCare home page.

Non-income based plans

Compcare Pinnacle 2017: Other Benefits
In brief: 200% scheme rate for specialists. Some co-payments. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
1. General Appliances:
  • R31,500 per family paid by scheme
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R5,328 R4,146 R1,476
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: R12,816 R9,936 R3,528
Extended Fund: R3,197 R2,488 R886
(SP) Self Payment: R1,900 R1,416 R460
Threshold (S+SP): R17,913 R13,840 R4,874
Above Threshold: R8,700 pb
R17,400 pf		 17,400 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

    Compcare Pinnacle ED 2017: Other Benefits
    In brief: 200% scheme rate for specialists. Netcare hospitals. Some co-payments. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits).
    1. General Appliances:
    • R31,500 per family paid by scheme
    Overall Annual Limit (OAL):
    Unlimited overall, with sub-limits
    Contributions:
    Main: Adult: Child:
    Total Cost: R4,452 R3,462 R1,242
    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: R10,656 R8,280 R2,952
    (SP) Self Payment: R1,900 R1,416 R460
    Threshold (S+SP): R15,226 R11,774 R4,158
    Above Threshold: R8,700 pb
    R17,400 pf    		 17,400 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

      Compcare Dynamix 2017: Other Benefits
      In brief: 100% scheme rate for specialists. Some co-payments. Comprehensive cover with savings, extended fund, 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: R4,014 R3,138 R1,122
      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: R7,200 R5,688 R2,016
      Extended Fund: R2,408 R1,883 R673
      (SP) Self Payment: R5,000 R3,878 R1,402
      Threshold (S+SP): R14,608 R11,449 R4,091
      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

        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

          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

            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

              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

                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

                  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

                    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

                      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

                        Networx plans

                        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

                          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 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

                              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

                                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

                                  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

                                    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

                                      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

                                        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

                                          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

                                            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

                                              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

                                                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 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


                                                    Medical Aid Bible helps South Africans choose the best medical aid plan for their needs. Quickly view the benefits on any open plan, and compare any two plans with a simple click.
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