Medical aid plans that cost R1,751-R2,000pm 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
Fedhealth Blue Door D R1,754 R1,375 R677 R R R

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: prescribed medication, GP consults, dentistry, optometry. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R10,501-R12,000pm only


Momentum Ingwe Network E 2017 R1,758 R1,758 R518 R R R

100% scheme rate for specialists. Network hospitals. 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: R11,001+pm only


Medimed Standard B 2017 R1,760 R1,760 R410 R9,780 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: R8,501-R13,000pm only


Bonitas BonFit 2017 R1,789 R1,385 R535 R3,228 R R

100% scheme rate for specialists. Some co-payments. Over and above the savings fund, scheme pays out-of-hospital claims for: maternity, infant paediatrics, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for maximum 3 children .


Commed Shina B 2017 R1,803 R1,532 R361 R2,164 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: R6,001-R18,000pm only


Keyhealth Equilibrium 2017 R1,817 R1,096 R556 R1,584 R2,070 R

100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), dentistry, maternity, medical appliances, preventative benefits. Limits apply. All else paid from savings, from fund or from out of pocket, unless PMB. Pay for maximum 3 children.


Hosmed Essential C R1,826 R1,666 R707 R R R

100% scheme rate for specialists. In-hospital, PMBs only. Scheme pays out-of-hospital claims for: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, maternity benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.


Makoti Comprehensive C 2017 R1,832 R1,537 R594 R R R

Pay for all children. Income-limited plan: R12,251-R16,250pm only


Momentum Access 2017 R1,842 R1,842 R552 R R R

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: std 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.


Discovery KeyCare Access C 2017 R1,863 R1,863 R503 R R R

Unlimited cover in state facilities, or Access network for some procedures. Scheme pays out-of-hospital claims for: maternity, specialists. All else paid from out of pocket, unless PMB. Pay for maximum 3 children. Income-limited plan: R11,551+pm only


Fedhealth Maxima Saver Grid 2017 R1,871 R1,524 R540 R3,372 R R

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


Genesis Private Plus R1,900 R1,900 R365 R4,140 R R

100% scheme rate for specialists. R50,000 in-hospital limit for cancer, stroke, motor-neuron disease and organ transplant. Scheme pays out-of-hospital claims for: dentistry. Limits apply. All else paid out of pocket, unless PMB. Pay for all children.


Discovery KeyCare Plus C 2017 R1,906 R1,906 R510 R R R

Unlimited cover in KeyCare networks. Scheme pays out-of-hospital claims for: maternity, GP consults, specialists, casualty visits, acute meds, pathology and radiology. Limits and co-payments apply. All else paid from out of pocket, unless PMB. Pay for maximum 3 children. Income-limited plan: R11,551+pm only


Fedhealth Maxima Core 2017 R1,907 R1,616 R667 R R R

100% scheme rate for specialists. 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.


Sizwe Primary Care B 2017 R1,907 R1,488 R480 R R R

Pay for all children. Income-limited plan: R531-R8,766pm only


Discovery Classic Core 2017 R1,918 R1,510 R767 R R R

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


Suremed Explorer D 2017 R1,920 R1,920 R600 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: R15,000+pm only


Bonitas Primary 2017 R1,924 R1,505 R613 Rsee below R R

100% scheme rate for specialists. Some co-payments. Over and above the fund, scheme pays out-of-hospital claims for: 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. Pay for maximum 3 children .


Medshield MediCore 2017 R1,926 R1,623 R438 R R R

Up to 200% scheme rate for specialists. This is hospital plan. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), alternatives to hospitalisation, some non-surgical procedures including scopes, maternity, preventative benefits, in-hospital dentistry for under 6yr olds. Limits apply. All else paid from out of pocket, unless PMB. Pay for three children only.


Medihelp Necesse E R1,932 R1,506 R834 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: R11,001+pm only


Medihelp Unify R1,944 R1,602 R588 R5,832 R R

100% scheme rate for specialists. Some co-payments.Scheme pays out-of-hospital claims for: specialised radiology (co-payment). Limits apply. All else paid from savings or from out-of-pocket, unless PMB. Pay for all children Child rates apply for under 26yr olds.


Compcare Unisave 2017 R1,974 R1,680 R594 R5,904 R R

100% scheme rate for specialists. Some co-payments, incl R3,500 for each hospital admission. Over and above the savings fund, scheme pays out-of-hospital claims for): specialised radiology, maternity, appliances, preventative benefits. Limits apply. Pay for all children.


Medimed Essential E 2017 R1,990 R1,990 R440 R2,388 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: R17,001+pm only