These are the plans where the scheme pays for at least some of out of hospital GP consults.
This list does not necessarily include plans where you can use your savings account to pay for these costs. You can see a list of all those plans here.
| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Network A Topmed |
R 348 pm | R 348 | R 348 | No | No | No | Network | |
| 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. Income level: R0-R1,000 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe A Momentum |
R 370 pm | R 370 | R 232 | No | No | No | Unlimited | |
| 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. Income level: R0-R675 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe Network A Momentum |
R 370 pm | R 370 | R 232 | No | No | No | Network | |
| 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. Income level: R0-R675 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe State A Momentum |
R 370 pm | R 370 | R 232 | No | No | No | State | |
| 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. Income level: R0-R675 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Primary Care A Sizwe |
R 419 pm | R 419 | R 419 | No | No | No | Unlimited | |
Income level: R0-R562 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Necesse A Medihelp |
R 474 pm | R 474 | R 474 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB. Income level: R0-R400 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe State B Momentum |
R 603 pm | R 603 | R 325 | No | No | No | State | |
| 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. Income level: R676-R6,300 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe State C Momentum |
R 691 pm | R 691 | R 333 | No | No | No | State | |
| 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. Income level: R6,301-R8,500 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe Network B Momentum |
R 759 pm | R 759 | R 347 | No | No | No | Network | |
| 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. Income level: R676-R6,300 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe State D Momentum |
R 806 pm | R 806 | R 349 | No | No | No | State | |
| 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. Income level: R8,501-R11,700 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Blue Door A Fedhealth |
R 844 pm | R 714 | R 401 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: prescribed medication, GP consults, pathology, radiology, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB. Income level: R1-R5,564 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| BonCap A Bonitas |
R 918 pm | R 870 | R 432 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some:GP and specialist consults, medicine, radiology and pathology, medical appliances, optometry, basic denistry, maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Income level: R0-R7,500 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe Network C Momentum |
R 965 pm | R 965 | R 361 | No | No | No | Network | |
| 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. Income level: R6,301-R8,500 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe B Momentum |
R 986 pm | R 986 | R 370 | No | No | No | Unlimited | |
| 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. Income level: R676-R6,300 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Network B Topmed |
R 1,050 pm | R 1,050 | R 380 | No | No | No | Network | |
| 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. Income level: R1,001-R8,000 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Blue Door B Fedhealth |
R 1,070 pm | R 901 | R 516 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: prescribed medication, GP consults, pathology, radiology, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB. Income level: R5,565-R9,095 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| BonCap B Bonitas |
R 1,116 pm | R 1,055 | R 512 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some:GP and specialist consults, medicine, radiology and pathology, medical appliances, optometry, basic denistry, maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Income level: R7,501-R12,194 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Essential Smart Discovery |
R 1,180 pm | R 1,180 | R 1,180 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: GP consults, eye and dental check up, maternity consults and scans. Limits and co-payments apply. All else paid from out of pocket, unless PMB. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe Network D Momentum |
R 1,344 pm | R 1,344 | R 395 | No | No | No | Network | |
| 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. Income level: R8,501-R11,700 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Dimension Prime 1 Network Medihelp |
R 1,356 pm | R 1,104 | R 408 | No | Yes | No | Network | |
| 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. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Pulse 1 A Bestmed |
R 1,372 pm | R 1,303 | R 824 | No | No | No | Network | |
| 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. Income level: R0-R5,500 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe C Momentum |
R 1,378 pm | R 1,378 | R 417 | No | No | No | Unlimited | |
| 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. Income level: R6,301-R8,500 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe State E Momentum |
R 1,393 pm | R 1,393 | R 419 | No | No | No | State | |
| 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. Income level: R11,701+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Network C Topmed |
R 1,397 pm | R 1,397 | R 391 | No | No | No | Network | |
| 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. Income level: R8,001-R11,000 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Blue Door C Fedhealth |
R 1,500 pm | R 1,269 | R 568 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: prescribed medication, GP consults, pathology, radiology, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB. Income level: R9,096-R11,235 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Necesse B Medihelp |
R 1,512 pm | R 1,194 | R 648 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB. Income level: R401-R5,000 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Necesse C Medihelp |
R 1,578 pm | R 1,260 | R 708 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB. Income level: R5,001 - R7,000 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Pulse 1 B Bestmed |
R 1,645 pm | R 1,565 | R 987 | No | No | No | Network | |
| 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. Income level: R5,501-R8,500 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Classic Smart Discovery |
R 1,647 pm | R 1,298 | R 658 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: GP consults, acute meds, eye and dental check up and sport related injuries, specialised radiology, maternity consults and scans. Limits and co-payments apply. All else paid from out of pocket, unless PMB. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Dimension Prime 1 Medihelp |
R 1,728 pm | R 1,422 | R 522 | No | Yes | No | Unlimited | |
| 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. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| ProActive Plus Profmed |
R 1,751 pm | R 1,628 | R 683 | No | No | No | Unlimited | |
Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima EntrySaver Fedhealth |
R 1,759 pm | R 1,298 | R 585 | Yes | No | No | Network | |
| 100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments or PMB level of care for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), dentistry, some GP visits, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Necesse D Medihelp |
R 1,782 pm | R 1,386 | R 780 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB. Income level: R7,001 - R11,000 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| BonCap C Bonitas |
R 1,820 pm | R 1,620 | R 689 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some:GP and specialist consults, medicine, radiology and pathology, medical appliances, optometry, basic denistry, maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Income level: R12,195-R16,659 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe D Momentum |
R 1,877 pm | R 1,877 | R 439 | No | No | No | Unlimited | |
| 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. Income level: R8,501-R11,700 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Network D Topmed |
R 1,889 pm | R 1,889 | R 506 | No | No | No | Network | |
| 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. Income level: R11,000+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe Network E Momentum |
R 1,903 pm | R 1,903 | R 561 | No | No | No | Network | |
| 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. Income level: R11,701+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Blue Door D Fedhealth |
R 1,907 pm | R 1,524 | R 736 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: prescribed medication, GP consults, pathology, radiology, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB. Income level: R11,236-R12,840 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Primary Care B Sizwe |
R 1,964 pm | R 1,533 | R 494 | No | Yes | No | Unlimited | |
Income level: R563-R9,292 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Pulse 1 C Bestmed |
R 1,976 pm | R 1,777 | R 987 | No | No | No | Network | |
| 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. Income level: R8,501+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Saver Grid Fedhealth |
R 2,003 pm | R 1,673 | R 534 | Yes | No | No | Network | |
| 100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), dentistry, some GP visits, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Access B Momentum |
R 2,025 pm | R 2,025 | R 605 | No | No | No | Network | |
| 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. Income level: R8,501-R11,700 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Necesse E Medihelp |
R 2,076 pm | R 1,620 | R 900 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB. Income level: R11,001+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| BonCap D Bonitas |
R 2,235 pm | R 1,990 | R 847 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some:GP and specialist consults, medicine, radiology and pathology, medical appliances, optometry, basic denistry, maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Income level: R16,660+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Saver Fedhealth |
R 2,259 pm | R 1,867 | R 657 | Yes | No | No | Unlimited | |
| 100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), dentistry, some GP visits, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Limited Topmed |
R 2,267 pm | R 990 | R 416 | No | No | No | Network | |
| 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. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Primary Care C Sizwe |
R 2,396 pm | R 1,565 | R 494 | No | Yes | No | Unlimited | |
Income level: R9,293+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Basis Grid Fedhealth |
R 2,407 pm | R 2,106 | R 732 | Yes | No | No | Network | |
| 100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), some dentistry, optometry, some GP visits, maternity, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Ingwe E Momentum |
R 2,409 pm | R 2,409 | R 699 | No | No | No | Unlimited | |
| 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. Income level: R11,701+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Standard Elect Fedhealth |
R 2,527 pm | R 2,210 | R 763 | Yes | No | Unlimited | Network | |
| Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims. Network hospitals only. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Blue Door E Fedhealth |
R 2,585 pm | R 2,284 | R 973 | No | No | No | Network | |
| Out-of-hospital, scheme pays for some: prescribed medication, GP consults, pathology, radiology, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB. Income level: R12,841+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Basis Fedhealth |
R 2,722 pm | R 2,374 | R 826 | Yes | No | No | Unlimited | |
| 100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Co-payments for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), some dentistry, optometry, some GP visits, maternity, specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Affordable Care A Sizwe |
R 2,815 pm | R 2,586 | R 649 | No | Yes | No | Unlimited | |
Income level: R0-R15,955 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Affordable Care B Sizwe |
R 2,928 pm | R 2,688 | R 680 | No | Yes | No | Unlimited | |
Income level: R15,956-R32,499 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Standard Fedhealth |
R 3,310 pm | R 2,890 | R 998 | Yes | No | Unlimited | Unlimited | |
| Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Affordable Care C Sizwe |
R 3,767 pm | R 3,349 | R 752 | No | Yes | No | Unlimited | |
Income level: R32,500+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Full Benefit A Sizwe |
R 4,336 pm | R 3,940 | R 886 | No | Yes | No | Unlimited | |
Income level: R0-R32,499 View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Pulse 2 Bestmed |
R 4,732 pm | R 4,732 | R 1,124 | No | Yes | No | Network | |
| Out-of-hospital, scheme pays for some: GP and specialist consults, dentistry, optometry, appliances, wound care, maternity, radiology and pathology, specialised radiology, medication, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Exec Fedhealth |
R 4,805 pm | R 4,103 | R 1,463 | Yes | Yes | Unlimited | Unlimited | |
| Comprehensive plan with extended fund and threshold benefits (with 10% co-payment) that can be used for most out-of-hospital claims. Income level: All income levels View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Full Benefit B Sizwe |
R 5,032 pm | R 4,574 | R 989 | No | Yes | No | Unlimited | |
Income level: R32,500+ View this plan |
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| Main | Adult | Child | Savings? | Fund? | Threshold? | Hospitals | ||
|---|---|---|---|---|---|---|---|---|
| Maxima Plus Fedhealth |
R 7,535 pm | R 6,415 | R 2,303 | Yes | Yes | Unlimited | Unlimited | |
| Comprehensive plan with extended fund and threshold benefits that can be used for most out-of-hospital claims. Income level: All income levels View this plan |
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