All income based plans

There are 25 medical aid plans in South Africa whose premiums are scaled to your main household income. These packages restrict you to the scheme’s network of hospitals and service providers, and many offer a variety of out-of-hospital benefits. The plans are listed below, by scheme.

Confirm with your scheme what constitutes “income”. It usually means your basic pay, plus all other income from commissions grants, rental etc.

Bestmed

Pace

Your Income: Main: Adult: Child: Hospital Choice:
R0-R8,208
R5,370 pm
(Savings: R9,660)
R4,322 pm
(Savings: R7,776)
R923 pm
(Savings: R1,668)
Unlimited
Extended Savings plan
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Pulse

Your Income: Main: Adult: Child: Hospital Choice:
R0-R6,000
R1,372 pm

R1,303 pm

R824 pm

Network, except: oncology at state facilities
Extended Hospital plan
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R6,001-R10,000
R1,645 pm

R1,565 pm

R987 pm

Network, except: oncology at state facilities
Extended Hospital plan
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R10,001+
R1,976 pm

R1,777 pm

R987 pm

Network, except: oncology at state facilities
Extended Hospital plan
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Compcare

Networx Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R500
R pm

R pm

R pm

Network, Private and State facilities
Extended Hospital plan
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R501-R4,000
R pm

R pm

R pm

Network, Private and State facilities
Extended Hospital plan
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R4,001-R5,000
R pm

R pm

R pm

Network, Private and State facilities
Extended Hospital plan
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R5,001-R6,000
R pm

R pm

R pm

Network, Private and State facilities
Extended Hospital plan
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R6,001-R8,000
R pm

R pm

R pm

Network, Private and State facilities
Extended Hospital plan
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R8,001-R9,000
R pm

R pm

R pm

Network, Private and State facilities
Extended Hospital plan
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R9,001-R10,000
R pm

R pm

R pm

Network, Private and State facilities
Extended Hospital plan
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R10,001+
R pm

R pm

R pm

Network, Private and State facilities
Extended Hospital plan
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Networx ED Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R500
R pm

R pm

R pm

Network Private hospitals
Extended Hospital plan
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R501-R4,000
R pm

R pm

R pm

Network Private hospitals
Extended Hospital plan
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R5,001-R6,000
R pm

R pm

R pm

Network Private hospitals
Extended Hospital plan
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R8,001-R9,000
R pm

R pm

R pm

Network Private hospitals
Extended Hospital plan
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R9,001-R10,000
R pm

R pm

R pm

Network Private hospitals
Extended Hospital plan
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R10,001+
R pm

R pm

R pm

Network Private hospitals
Extended Hospital plan
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Discovery

Keycare Plus Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R8,100
R990 pm

R990 pm

R359 pm

Keycare Network
Extended Hospital plan
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R8,101-R11,550
R1,386 pm

R1,386 pm

R389 pm

Keycare Network
Extended Hospital plan
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R11,551+
R2,064 pm

R2,064 pm

R553 pm

Keycare Network
Extended Hospital plan
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Keycare Core Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R8,100
R792 pm

R792 pm

R205 pm

Keycare Network
Extended Hospital plan
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R8,101-R11,550
R988 pm

R988 pm

R243 pm

Keycare Network
Extended Hospital plan
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R11,551+
R1,525 pm

R1,525 pm

R345 pm

Keycare Network
Extended Hospital plan
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Keycare Access Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R5,050
R697 pm

R697 pm

R306 pm

Emergencies, trauma, childbirth and care for newborn in KeyCare Access Network otherwise state facilities
Extended Hospital plan
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R5,051-R8,100
R930 pm

R930 pm

R337 pm

Emergencies, trauma, childbirth and care for newborn in KeyCare Access Network otherwise state facilities
Extended Hospital plan
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R8,101-R11,550
R1,344 pm

R1,344 pm

R378 pm

Emergencies, trauma, childbirth and care for newborn in KeyCare Access Network otherwise state facilities
Extended Hospital plan
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R11,551+
R2,018 pm

R2,018 pm

R546 pm

Emergencies, trauma, childbirth and care for newborn in KeyCare Access Network otherwise state facilities
Extended Hospital plan
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Fedhealth

Blue Door Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R5,200
R pm

R pm

R pm

Network
Extended Hospital plan
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R5,201-R8,500
R pm

R pm

R pm

Network
Extended Hospital plan
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R8,501-R10,500
R pm

R pm

R pm

Network
Extended Hospital plan
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R10,501-R12,000
R pm

R pm

R pm

Network
Extended Hospital plan
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R12,001+
R pm

R pm

R pm

Network
Extended Hospital plan
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Hosmed

Essential Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R7,000
R pm

R pm

R pm

Netcare
Hospital plan
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R7,001-R12,000
R pm

R pm

R pm

Netcare
Hospital plan
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R12,001+
R pm

R pm

R pm

Netcare
Hospital plan
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Makoti

Primary Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R3,000
R pm

R pm

R pm

State, PMBs only
Extended Hospital plan
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R3,001-R6,450
R pm

R pm

R pm

State, PMBs only
Extended Hospital plan
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R6,451-R9,000
R pm

R pm

R pm

State, PMBs only
Extended Hospital plan
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R9,001-R12,000
R pm

R pm

R pm

State, PMBs only
Extended Hospital plan
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R12,001-R16,000
R pm

R pm

R pm

State, PMBs only
Extended Hospital plan
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R16,001+
R pm

R pm

R pm

State, PMBs only
Extended Hospital plan
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Comprehensive Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R9,250
R pm

R pm

R pm

Unlimited, PMBs only
Extended Hospital plan
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R9,251-R12,250
R pm

R pm

R pm

Unlimited, PMBs only
Extended Hospital plan
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R12,251-R16,250
R pm

R pm

R pm

Unlimited, PMBs only
Extended Hospital plan
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R16,251+
R pm

R pm

R pm

Unlimited, PMBs only
Extended Hospital plan
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Medihelp

Necesse Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R400
R474 pm

R474 pm

R474 pm

Network
Hospital plan
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R401-R5,000
R1,512 pm

R1,194 pm

R648 pm

Network
Hospital plan
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R5,001-R7,000
R1,578 pm

R1,260 pm

R708 pm

Network
Hospital plan
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R7,001-R11,000
R1,782 pm

R1,386 pm

R780 pm

Network
Hospital plan
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R11,001+
R2,076 pm

R1,620 pm

R900 pm

Network
Hospital plan
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Medimed

Essential Plan:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R7,000
R pm

R pm

R pm

Network
Extended Savings plan
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R7,001-R8,500
R pm

R pm

R pm

Network
Extended Savings plan
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R8,501-R13,000
R pm

R pm

R pm

Network
Extended Savings plan
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R13,001-R17,000
R pm

R pm

R pm

Network
Extended Savings plan
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R17,001+
R pm

R pm

R pm

Network
Extended Savings plan
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Standard:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R8,500
R pm

R pm

R pm

Unlimited
Extended Savings plan
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R8,501-R13,000
R pm

R pm

R pm

Unlimited
Extended Savings plan
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R13,001-R17,000
R pm

R pm

R pm

Unlimited
Extended Savings plan
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R17,001+
R pm

R pm

R pm

Unlimited
Extended Savings plan
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Max:

Your Income: Main: Adult: Child: Hospital Choice:
R0-R10,000
R pm

R pm

R pm

Unlimited
Extended Savings plan
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R10,001-R17,000
R pm

R pm

R pm

Unlimited
Extended Savings plan
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R17,001+
R pm

R pm

R pm

Unlimited
Extended Savings plan
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Momentum

Ingwe Plans

Your Income: Main: Adult: Child: Hospital Choice:
R0-R650
R370 pm

R370 pm

R232 pm

Unlimited
Extended Hospital plan
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R651-R6,100
R986 pm

R986 pm

R370 pm

Unlimited
Extended Hospital plan
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R6,101-R8,200
R1,378 pm

R1,378 pm

R417 pm

Unlimited
Extended Hospital plan
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R8,201-R11,000
R1,877 pm

R1,877 pm

R439 pm

Unlimited
Extended Hospital plan
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R11,001+
R2,409 pm

R2,409 pm

R699 pm

Unlimited
Extended Hospital plan
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Ingwe Network Plans

Your Income: Main: Adult: Child: Hospital Choice:
R0-R650
R370 pm

R370 pm

R232 pm

Ingwe Network
Extended Hospital plan
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R651-R6,100
R759 pm

R759 pm

R347 pm

Ingwe Network
Extended Hospital plan
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R6,101-R8,200
R965 pm

R965 pm

R361 pm

State Facilities
Extended Hospital plan
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R8,201-R11,000
R1,344 pm

R1,344 pm

R395 pm

Ingwe Network
Extended Hospital plan
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R11,001+
R1,903 pm

R1,903 pm

R561 pm

Ingwe Network
Extended Hospital plan
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Ingwe State

Your Income: Main: Adult: Child: Hospital Choice:
R0-R650
R370 pm

R370 pm

R232 pm

State Facilities
Extended Hospital plan
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R651-R6,100
R603 pm

R603 pm

R325 pm

State Facilities
Extended Hospital plan
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R6,101-R8,200
R691 pm

R691 pm

R333 pm

State Facilities
Extended Hospital plan
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R8,201-R11,000
R806 pm

R806 pm

R349 pm

State Facilities
Extended Hospital plan
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R11,001+
R1,393 pm

R1,393 pm

R419 pm

State Facilities
Extended Hospital plan
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Resolution

Foundation Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R4,600
R pm

R pm

R pm

Network
Hospital plan
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R4,601-R7,100
R pm

R pm

R pm

Network
Hospital plan
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R7,101-R9,700
R pm

R pm

R pm

Network
Hospital plan
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R9,701+
R pm

R pm

R pm

Network
Hospital plan
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Sizwe

Gomomo Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R10,112
R pm

R pm

R pm

Network
Extened Hospital plan
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R10,113+
R pm

R pm

R pm

Network
Extened Hospital plan
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Savings Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R15,052
R pm

R pm

R pm

Unlimited
Savings plan
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R15,053+
R pm

R pm

R pm

Unlimited
Savings plan
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Primary Care Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R530
R pm

R pm

R pm

Unlimited
Hospital plan
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R531-R8,766
R pm

R pm

R pm

Unlimited
Hospital plan
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R8,767+
R pm

R pm

R pm

Unlimited
Hospital plan
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Affordable Care Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R15,052
R pm

R pm

R pm

Unlimited
Extended Hospital plan
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R15,053-R18,444
R pm

R pm

R pm

Unlimited
Extended Hospital plan
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R18,445+
R pm

R pm

R pm

Unlimited
Extended Hospital plan
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Full Benefit Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R18,879
R pm

R pm

R pm

Unlimited
Savings plan
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R18,880+
R pm

R pm

R pm

Unlimited
Savings plan
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Spectramed

Cyan Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R8,000
R pm

R pm

R pm


Comprehensive plan
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R8,001+
R pm

R pm

R pm


Comprehensive plan
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Azure Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R8,000
R pm

R pm

R pm


Comprehensive plan
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R8,001- R11,500
R pm

R pm

R pm


Comprehensive plan
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R11,500+
R pm

R pm

R pm


Comprehensive plan
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Suremed

Explorer Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R7,500
R pm

R pm

R pm

Network
Extended Hospital plan
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R7,501-R11,000
R pm

R pm

R pm

Network
Extended Hospital plan
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R11,001-R15,000
R pm

R pm

R pm

Network
Extended Hospital plan
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R15,000+
R pm

R pm

R pm

Network
Extended Hospital plan
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Topmed

Network Plan

Your Income: Main: Adult: Child: Hospital Choice:
R0-R1,000
R pm

R pm

R pm

Network
Extended Hospital plan
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R1,000-R8,000
R pm

R pm

R pm

Network
Extended Hospital plan
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R8,001-R11,000
R pm

R pm

R pm

Network
Extended Hospital plan
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R11,001+
R pm

R pm

R pm

Network
Extended Hospital plan
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