All plans that pay for GP consults

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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