Medical aid plans that cost R1,501-R1,750pm for main member

(Please note that only plans for 2017 are shown below, and more will be added as they are released by the medical schemes. We anticipate all plans should be on this site by Nov 5 2016)

CONTRIBUTIONS: MAIN MEMBER BENEFITS:
Main Adult Child Savings Extended Fund Self payment Above Threshold
Commed Roots C R1,454 R1,454 R620 R R R

100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R400k per person and R800k per family. Scheme pays out-of-hospital claims for:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R18,001+pm only


Commed Shina A 2017 R1,498 R1,274 R300 R1,798 R R

100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R600,000 per person and R1,200,000 per family. Scheme pays out-of-hospital claims for: Alternative to hopitalisation, mammogram and external appliances. Limits apply. All else paid from out of savings or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R6,000pm only


Topmed Active Saver 2017 R1,512 R1,512 R500 R2,904 R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: maternity, scopes, extended rehab benefits, birth control, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for all children.


Discovery Classic Smart 2017 R1,535 R1,209 R612 R R R

200% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: GP consults, acute meds, eye and dental check up and sport related injuries, specialised radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.


Discovery Classic Delta Core 2017 R1,535 R1,209 R612 R R R

200% scheme rate for specialists. Network hospitals. Most day-to-day claims paid from out of pocket, unless PMB. Pay for maximum 3 children.


Cape Medical Premium 2017 R1,548 R1,548 R271 R R R

Pay for all children.


Bestmed Beat 2 2017 R1,554 R1,208 R655 R3,168 R R

100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: preventative dentistry, wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for maximum 4 children.


Resolution Hospital 2017 R1,565 R1,335 R585 R R R

Pay for all children.


Momentum Custom Associate (and Network provider for chronic) 2017 R1,573 R1,219 R556 R R R

100% scheme rate for specialists. Network hospitals. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.


Selfmed MexXXI 2017 R1,599 R1,592 R818 R R R

Pay for maximum 3 children.


Medihelp Dimension Prime 1 R1,608 R1,320 R486 R R R

100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), GP, specialists, physio, medication, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 2 children under 18yrs. Child rates apply for under 26yr olds.


Momentum Custom (State for chronic) 2017 R1,610 R1,215 R590 R R R

100% scheme rate for specialists. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.


Compcare Networx B 2017 R1,614 R1,614 R636 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R501+pm only


Compcare Networx ED Plus H 2017 R1,614 R1,614 R636 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R10,001+pm only


Bestmed Pulse 1 C 2017 R1,630 R1,466 R814 R R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: 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. Pay for maximum 4 children. Income-limited plan: R10,001+pm only


Discovery Essential Delta Saver 2017 R1,634 R1,230 R655 R2,940 R R

100% scheme rate for specialists. Network hospitals. Over and above the savings fund, scheme pays out-of-hospital claims for: GP consults if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for maximum 3 children.


Fedhealth Maxima EntrySaver 2017 R1,640 R1,181 R524 R R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visits, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for all children.


Discovery Essential Core 2017 R1,648 R1,234 R661 R R R

100% scheme rate for specialists. Most day-to-day claims paid from out of pocket, unless PMB. Pay for maximum 3 children.


Medihelp Necesse D R1,656 R1,290 R726 R R R

100% scheme rate for specialists. Network hospitals only. Income based plan. Scheme pays out-of-hospital claims for: 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. Pay for all children. Child rates apply for under 21yr olds. Income-limited plan: R7,001-R11,000pm only


Medimed Essential D 2017 R1,660 R1,660 R420 R1,992 R R

100% scheme rate for specialists. Network hospitals. Income based plan. Over and above the savings, scheme pays out-of-hospital claims for: specialised radiology, GPs, specialists, medication, dentistry, optometry, radiology and pathology. Limits apply. All else paid from savings or out of pocket, unless PMB. Pay for all children. Income-limited plan: R13,001-R17,000pm only


Medimed Standard A 2017 R1,660 R1,660 R390 R9,480 R4,500 pp R

100% scheme rate for specialists. Income based plan. Over and above the savings and extended fund, scheme pays out-of-hospital claims for: specialised radiology, maternity, preventative benefits, some medication. Limits apply. All else paid from savings, extended fund (max R9,000 per family) or out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R8,500pm only


Sizwe Gomomo A 2017 R1,666 R1,546 R410 R R R

100% scheme rate. Scheme pays out-of-hospital claims for: maternity. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R10,112pm only


Medihelp Dimension Prime 2 Network R1,668 R1,368 R498 R2,448 R R

100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), GPs, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for maximum 2 children under 18yrs. Child rates apply for under 26yr olds.


Makoti Comprehensive B 2017 R1,699 R1,415 R554 R R R

Pay for all children. Income-limited plan: R9,251-R12,250pm only


Momentum Incentive Network hospital (and State provider for chronic) 2017 R1,700 R1,333 R883 R2,040 R R

200% scheme rate for specialists. Network hospitals. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for maximum 3 children.


Sizwe Hospital Care 2017 R1,700 R1,300 R400 R R R

100% scheme rate. Scheme pays out-of-hospital claims for: maternity. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children.


Cape Medical Silver 2017 R1,704 R1,704 R258 R3,000 R R

Pay for all children.


Fedhealth Maxima Core Grid 2017 R1,716 R1,454 R600 R R R

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: post hospitalisation treatment (30 days), casualty visits, GP visit, specialised radiology, contraceptives, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children.


Suremed Explorer C 2017 R1,720 R1,720 R500 R R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: medication, appliances, dentistry, GPs and specialists, maternity, optometry, pathology, radiology, specialised radiology, alternative to hospitals. Limits apply. All else paid out of pocket, unless PMB. Pay for all children. Income-limited plan: R11,001-R15,000pm only


Spectramed Cyan A 2017 R1,730 R1,669 R692 R2,904 R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for maximum 3 children. Income-limited plan: R0-R8,000pm only


Momentum Ingwe D 2017 R1,734 R1,734 R406 R R R

100% scheme rate for specialists. R1,190,000 per family limit. Income based plan. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R8,201-R11,000pm only


Compcare Axis 2017 R1,734 R1,734 R534 R R R

100% scheme rate for specialists. Some exclusions apply. Most out-of-hospital benefits covered only if PMBs. Pay for all children.


Topmed Network D 2017 R1,734 R1,734 R464 R R R

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R11,001+pm only


Momentum Custom Associate (and any provider for chronic) 2017 R1,742 R1,374 R614 R R R

100% scheme rate for specialists. Network hospitals. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.