All plans that have a Savings or Fund account for out of hospital expenses

These plans have a Savings Account (funded by part of your premium) or a Fund (funded by the scheme, but available to you). These are used to cover out of hospital expenses, mostly at your discretion but are subject to certain rules that are plan dependant.

Main Adult Child No. of children Savings? Other fund? Threshold? Hospital Choice
Ultimax
Fedhealth
R 10,306 R 8,761 R 3,150 (Pay only for first 3) Yes No 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
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Maxima Dynamic Saver A
Fedhealth
R 1,133 R 1,041 R 381 (Pay only for first 3) Yes No No
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. PMB only level of care for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.

Income level: R0-R8,560
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Dimension Prime 1 Network
Medihelp
R 1,356 R 1,104 R 408 Pay for max 2 children under 18yrs; all children 18-26yrs No Yes No
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
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Maxima Dynamic Saver B
Fedhealth
R 1,423 R 1,309 R 479 (Pay only for first 3) Yes No No
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. PMB only level of care for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.

Income level: R8,561-R10,700
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Beat 2 Network
Bestmed
R 1,517 R 1,178 R 639 (Pay only for first 4) Yes No No
Out-of-hospital, scheme pays for some: Preventative dentistry, wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Maxima Dynamic Saver C
Fedhealth
R 1,569 R 1,441 R 528 (Pay only for first 3) Yes No No
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. PMB only level of care for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.

Income level: R10,701-R16,050
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Active Saver
Topmed
R 1,598 R 1,598 R 529 (Pay for all) Yes No No
Out-of-hospital, scheme pays for some: maternity, scopes, extended rehab benefits, birth control, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Beat 2
Bestmed
R 1,685 R 1,310 R 710 (Pay only for first 4) Yes No No
Out-of-hospital, scheme pays for some: Preventative dentistry, wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Maxima Dynamic Saver D
Fedhealth
R 1,714 R 1,575 R 576 (Pay only for first 3) Yes No No
100% scheme rate for in-hospital specialists. Fedhealth specialists covered in full. Network hospitals only. PMB only level of care for certain procedures.Out-of-hospital, scheme pays for some: post hospitalisation treatment (30 days), casualty trauma visits (with co-payment), specialised radiology (with co-payment), contraceptives, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.

Income level: R16,051+
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Dimension Prime 1
Medihelp
R 1,728 R 1,422 R 522 Pay for max 2 children under 18yrs; all children 18-26yrs No Yes No
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
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Essential Delta Saver
Discovery
R 1,758 R 1,325 R 705 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: GP consults if savings run out and maternity consults and scans. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Maxima EntrySaver
Fedhealth
R 1,759 R 1,298 R 585 (Pay only for first 3) Yes No No
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
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Dimension Prime 2 Network
Medihelp
R 1,800 R 1,476 R 534 Pay for max 2 children under 18yrs; all children 18-26yrs Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, infant paediatrics, medical appliances and preventative/wellness benefits. Limits apply. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Incentive Network hospital (and State provider for chronic)
Momentum
R 1,834 R 1,439 R 711 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Cyan A
Spectramed
R 1,928 R 1,887 R 771 Yes No No
Out-of-hospital, scheme pays for some:maternity consults and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: R0-R8,000
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BonFit
Bonitas
R 1,930 R 1,495 R 578 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Equilibrium
Keyhealth
R 1,936 R 1,195 R 593 (Pay only for first 3) Yes Yes No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, medical appliances, preventative benefits. Limits apply. All else paid from savings, from fund or from out of pocket, unless PMB.

Income level: All income levels
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Primary Care B
Sizwe
R 1,964 R 1,533 R 494 (Pay for all) No Yes No


Income level: R563-R9,292
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Maxima Saver Grid
Fedhealth
R 2,003 R 1,673 R 534 (Pay only for first 3) Yes No No
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
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Primary
Bonitas
R 2,076 R 1,624 R 661 (Pay only for first 3) No Yes No
Out-of-hospital, scheme pays for some: GPs, mental health, specialised radiology, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.

Income level: All income levels
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Unify
Medihelp
R 2,088 R 1,716 R 624 Pay for all Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment). Limits apply. All else paid from savings or from out-of-pocket, unless PMB.

Income level: All income levels
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Coastal Saver
Discovery
R 2,160 R 1,621 R 870 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: GP consults if savings run out and maternity consults and scans. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Essential Saver
Discovery
R 2,203 R 1,652 R 883 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: GP consults if savings run out and maternity consults and scans. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Capri
Spectramed
R 2,213 R 1,802 R 1,005 Yes No No
Out-of-hospital, scheme pays for some:maternity consults and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Classic Delta Saver
Discovery
R 2,214 R 1,749 R 890 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: GP consults, maternity, kids' casualty if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Incentive (State provider for chronic)
Momentum
R 2,249 R 1,772 R 889 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Maxima Saver
Fedhealth
R 2,259 R 1,867 R 657 (Pay only for first 3) Yes No No
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
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Beat 3 Network
Bestmed
R 2,301 R 1,636 R 889 (Pay only for first 4) Yes No No
Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, wound care, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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ProSecure A
Profmed
R 2,302 R 2,302 R 1,043 (Pay for all) No Yes No


Income level: R5,001-R9,000
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BonSave
Bonitas
R 2,304 R 1,785 R 690 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Dimension Prime 2
Medihelp
R 2,310 R 1,890 R 690 Pay for max 2 children under 18yrs; all children 18-26yrs Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, infant paediatrics, medical appliances and preventative/wellness benefits. Limits apply. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Dimension Prime 3 Network
Medihelp
R 2,352 R 1,986 R 684 Pay for max 2 children under 18yrs; all children 18-26yrs No Yes No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.

Income level: All income levels
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Primary Care C
Sizwe
R 2,396 R 1,565 R 494 (Pay for all) No Yes No


Income level: R9,293+
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Maxima Basis Grid
Fedhealth
R 2,407 R 2,106 R 732 (Pay only for first 3) Yes No No
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
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Incentive Network hospital (and Network provider for chronic)
Momentum
R 2,514 R 2,000 R 956 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Savings
Topmed
R 2,523 R 2,015 R 760 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Maxima Standard Elect
Fedhealth
R 2,527 R 2,210 R 763 (Pay only for first 3) Yes No Unlimited
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
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Beat 3
Bestmed
R 2,558 R 1,817 R 987 (Pay only for first 4) Yes No No
Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, wound care, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Cyan B
Spectramed
R 2,647 R 2,572 R 1,061 Yes No No
Out-of-hospital, scheme pays for some: preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: R8,001+
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Maxima Basis
Fedhealth
R 2,722 R 2,374 R 826 (Pay only for first 3) Yes No No
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
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Incentive (Network provider for chronic)
Momentum
R 2,737 R 2,196 R 1,076 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Incentive Network hospital (and any provider for chronic)
Momentum
R 2,737 R 2,202 R 1,022 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Essential Priority
Discovery
R 2,763 R 2,172 R 1,103 (Pay only for first 3) Yes No Limited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits) with limited above threshold benefit.

Income level: All income levels
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Classic Saver
Discovery
R 2,773 R 2,186 R 1,110 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: GP consults, maternity, kids' casualty if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Affordable Care A
Sizwe
R 2,815 R 2,586 R 649 (Pay for all) No Yes No


Income level: R0-R15,955
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Standard Select
Bonitas
R 2,828 R 2,447 R 828 (Pay only for first 3) No Yes No
Out-of-hospital, scheme pays for some: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.

Income level: All income levels
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Affordable Care B
Sizwe
R 2,928 R 2,688 R 680 (Pay for all) No Yes No


Income level: R15,956-R32,499
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Dimension Prime 3
Medihelp
R 2,940 R 2,490 R 858 Pay for max 2 children under 18yrs; all children 18-26yrs No Yes No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.

Income level: All income levels
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Incentive (Any provider for chronic)
Momentum
R 3,052 R 2,480 R 1,189 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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ProSecure B
Profmed
R 3,201 R 2,964 R 1,250 (Pay for all) No Yes No


Income level: R9,000+
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BonComplete
Bonitas
R 3,212 R 2,572 R 873 (Pay only for first 3) Yes No Limited
Out-of-hospital, scheme pays for some: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings, or from above threshold benefit or from out of pocket, unless PMB.

Income level: All income levels
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Classic Priority
Discovery
R 3,214 R 2,534 R 1,286 (Pay only for first 3) Yes No Limited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits) with limited above threshold benefit.

Income level: All income levels
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Silver
Keyhealth
R 3,216 R 1,730 R 670 (Pay only for first 3) No Yes No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), dentistry, medicine, optometry, maternity, medical appliances, preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.

Income level: All income levels
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Standard
Bonitas
R 3,265 R 2,831 R 958 (Pay only for first 3) No Yes No
Out-of-hospital, scheme pays for some: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.

Income level: All income levels
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Maxima Standard
Fedhealth
R 3,310 R 2,890 R 998 (Pay only for first 3) Yes No 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
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Pace 1
Bestmed
R 3,312 R 2,325 R 836 (Pay only for first 4) Yes Yes No
Out-of-hospital, scheme pays for some: preventative dentistry, optometry, maternity, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.

Income level: All income levels
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Maxima Advanced
Fedhealth
R 3,607 R 3,138 R 1,082 (Pay only for first 3) Yes No No
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, specialised radiology (with co-payment), contraceptives, some medicine, preventative benefits. Limits apply. All else paid from savings or from out-of-pocket, unless PMB.

Income level: All income levels
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Essential Delta Comprehensive
Discovery
R 3,694 R 3,490 R 742 (Pay only for first 3) Yes No Unlimited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits). There is a self payment gap.

Income level: All income levels
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Azure A
Spectramed
R 3,758 R 2,117 R 1,133 Pay less for 2nd and 3rd child Yes Yes No
Out-of-hospital, scheme pays for some: maternity consults, mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: R0-R8,000
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Affordable Care C
Sizwe
R 3,767 R 3,349 R 752 (Pay for all) No Yes No


Income level: R32,500+
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Family
Topmed
R 3,836 R 3,066 R 1,048 (Pay only for first 3) Yes No Limited
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid from savings, or from out of pocket, unless PMB.

Income level: All income levels
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Azure B
Spectramed
R 3,904 R 2,493 R 1,267 Pay less for 2nd and 3rd child Yes Yes No
Out-of-hospital, scheme pays for some: maternity consults, mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: R8,001-R11,500
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ProSecure Plus
Profmed
R 3,907 R 3,615 R 1,512 (Pay for all) No Yes No


Income level: All income levels
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Beat 4
Bestmed
R 3,922 R 3,239 R 970 (Pay only for first 4) Yes Yes No
Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, specialised radiology, contraceptives, some medicine and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.

Income level: All income levels
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BonClassic
Bonitas
R 4,009 R 3,442 R 990 (Pay only for first 3) Yes No No
Out-of-hospital, scheme pays for some: specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Azure C
Spectramed
R 4,034 R 2,892 R 1,417 Pay less for 2nd and 3rd child Yes Yes No
Out-of-hospital, scheme pays for some: maternity consults, mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: R11,501+
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Essential Comprehensive
Discovery
R 4,102 R 3,881 R 825 (Pay only for first 3) Yes No Unlimited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits). There is a self payment gap.

Income level: All income levels
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Extender Network hospital (and State provider for chronic)
Momentum
R 4,129 R 3,104 R 1,239 (Pay only for first 3) Yes No Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Income level: All income levels
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Dimension Elite
Medihelp
R 4,272 R 3,996 R 1,164 Pay for all No Yes No
Out-of-hospital, scheme pays for some: radiology (co-payment), pathology, GPs, specialists, supplementary services, psychologists, medicine, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.

Income level: All income levels
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Full Benefit A
Sizwe
R 4,336 R 3,940 R 886 (Pay for all) No Yes No


Income level: R0-R32,499
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Classic Delta Comprehensive
Discovery
R 4,398 R 4,162 R 874 (Pay only for first 3) Yes No Unlimited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits). There is a self payment gap.

Income level: All income levels
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Gold
Keyhealth
R 4,516 R 3,054 R 885 (Pay for all) Yes Yes No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), dentistry, medicine, optometry, maternity, medical appliances, hearing aids, preventative benefits. Limits apply. All else paid from savings, from fund or from out of pocket, unless PMB.

Income level: All income levels
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Pace 2
Bestmed
R 4,667 R 4,586 R 1,031 (Pay only for first 4) Yes Yes No
Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, specialised radiology, contraceptives, medicine, trauma rehab and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.

Income level: All income levels
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Extender Network hospital (and Network provider for chronic)
Momentum
R 4,715 R 3,761 R 1,415 (Pay only for first 3) Yes No Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Income level: All income levels
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Extender (State provider for chronic)
Momentum
R 4,723 R 3,843 R 1,416 (Pay only for first 3) Yes No Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Income level: All income levels
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Pulse 2
Bestmed
R 4,732 R 4,732 R 1,124 (Pay only for first 4) No Yes No
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
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Maxima Exec
Fedhealth
R 4,805 R 4,103 R 1,463 (Pay only for first 3) Yes Yes 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
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Classic Comprehensive
Discovery
R 4,882 R 4,618 R 974 (Pay only for first 3) Yes No Unlimited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits). Thereis a self payment gap.

Income level: All income levels
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Executive
Topmed
R 4,894 R 3,906 R 1,488 (Pay only for first 3) Yes No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid for from day-to-day benefits, which include an unlimited above threshold benefit or out-of pocket, unless PMB. Sub-limits apply.

Income level: All income levels
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Full Benefit B
Sizwe
R 5,032 R 4,574 R 989 (Pay for all) No Yes No


Income level: R32,500+
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Extender Network hospital (and any provider for chronic)
Momentum
R 5,113 R 4,081 R 1,535 (Pay only for first 3) Yes No Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Income level: All income levels
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Extender (Network provider for chronic)
Momentum
R 5,232 R 4,177 R 1,569 (Pay only for first 3) Yes No Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Income level: All income levels
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Pace 3 A
Bestmed
R 5,370 R 4,322 R 923 (Pay only for first 4) Yes Yes No
Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, specialised radiology, contraceptives, medicine, trauma rehab and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.

Income level: All income levels
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BonComprehensive
Bonitas
R 5,774 R 5,446 R 1,175 (Pay only for first 3) Yes No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology, mental health, refractive surgery, medical appliances, hearing aids, optometry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings, above threshold or from out of pocket.

Income level: All income levels
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Extender (Any provider for chronic)
Momentum
R 5,816 R 4,640 R 1,745 (Pay only for first 3) Yes No Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Income level: All income levels
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Cobalt
Spectramed
R 5,933 R 5,460 R 2,079 Yes Yes No
Out-of-hospital, scheme pays for some: maternity consults, mental health, appliances, optometry, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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Executive
Discovery
R 5,950 R 5,950 R 1,134 (Pay only for first 3) Yes No Unlimited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits). There is a self payment gap.

Income level: All income levels
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Pace 4
Bestmed
R 6,608 R 6,608 R 1,548 (Pay only for first 4) Yes Yes No
Out-of-hospital, scheme pays for some: Optometry, maternity, specialised radiology, trauma rehab, medication, contraceptives and preventative benefits. Limits apply. All else paid from extended fund, from savings or out of pocket, unless PMB.

Income level: All income levels
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ProPinnacle
Profmed
R 6,668 R 6,185 R 2,000 (Pay for all) No Yes No


Income level: All income levels
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Comprehensive
Topmed
R 6,672 R 5,506 R 1,566 (Pay only for first 3) No Yes Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid for from day-to-day benefits, which include an unlimited above threshold benefit or out-of pocket, unless PMB. Sub-limits apply.

Income level: All income levels
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Platinum
Keyhealth
R 7,408 R 5,193 R 1,562 (Pay for all) No Yes Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), dentistry, medicine, optometry, maternity, medical appliances, sub-acute facilities, preventative benefits. Limits apply. All else paid from fund, from above threshold benefit or from out of pocket, unless PMB.

Income level: All income levels
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Maxima Plus
Fedhealth
R 7,535 R 6,415 R 2,303 (Pay only for first 3) Yes Yes Unlimited
Comprehensive plan with extended fund and threshold benefits that can be used for most out-of-hospital claims.

Income level: All income levels
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Summit
Momentum
R 8,342 R 6,672 R 1,916 (Pay only for first 3) No Yes No
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

Income level: All income levels
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