Medical aid plans that cost R2,001-R2,250pm 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
Spectramed Capri 2017 R2,003 R1,609 R909 R2,400 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 all children.


Discovery Coastal Saver 2017 R2,007 R1,506 R808 R4,812 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.


Makoti Comprehensive D 2017 R2,008 R1,722 R653 R R R

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


Sizwe Savings Care A 2017 R2,015 R1,742 R490 R3,627 R R

100% scheme rate. Scheme pays out-of-hospital claims for: radiology, pathology, maternity. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R15,052pm only


Resolution Fundation D 2017 R2,022 R2,022 R694 R R R

Pay for all children. Income-limited plan: R9,701+pm only


Discovery Essential Saver 2017 R2,047 R1,536 R819 R3,684 R R

100% scheme rate for specialists. 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.


Medimed Standard C 2017 R2,050 R2,050 R440 R10,650 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: R13,001-R17,000pm only


Compcare Mumed ED 2017 R2,054 R1,600 R572 R R5,376 R

100% scheme rate for specialists. Netcare hospitals. Some co-payments. Scheme offers fund for out-of-hospital claims, incl unlimited GP visits, Scheme also pays for specialised radiology, medical appliances and preventative benefits. Pay for all children.


Discovery Classic Delta Saver 2017 R2,058 R1,623 R826 R6,168 R R

200% scheme rate for specialists. Network Hospitals. Over and above the savings fund, scheme pays out-of-hospital claims for: GP consults, maternity, kids' casualty if savings run out. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for maximum 3 children.


Momentum Custom (Any provider for chronic) 2017 R2,059 R1,653 R735 R R R

100% scheme rate for specialists. 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.


Sizwe Gomomo B 2017 R2,060 R1,623 R420 R R R

100% scheme rate. Scheme pays out-of-hospital claims for: GPs, specialists, medication, radiology, physio, pathology, standard dentistry, optometry, maternity. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R10,113+pm only


Fedhealth Maxima Saver 2017 R2,079 R1,693 R600 R3,744 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, some dentistry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for all children.


Momentum Incentive (State provider for chronic) 2017 R2,088 R1,646 R984 R2,506 R R

200% scheme rate for specialists. 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.


Bestmed Beat 2 Network 2017 R2,123 R1,509 R820 R4,332 R R

100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: 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. Pay for maximum 4 children.


Hosmed Access R2,124 R1,829 R413 R R R

100% scheme rate for specialists. R1,250,000 per family limit. Scheme pays out-of-hospital claims for: GPs, specialists, medicine, pathology, radiology, specialised radiology, optometry, dentistry, appliances, supplementary services, maternity benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.


Bonitas BonSave 2017 R2,135 R1,654 R640 R4,104 R R

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


Medihelp Dimension Prime 2 R2,136 R1,746 R642 R3,096 R R

100% scheme rate for specialists. 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.


Resolution Progressive Flex 2017 R2,154 R2,017 R666 R R R

Pay for all children.


Medihelp Dimension Prime 3 Network R2,184 R1,848 R636 R R R

100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: radiology (co-payment), pathology, GPs, specialists, supplementary services, medicine, optometry, dentistry, 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.


Genesis Private Comprehensive: 2017 R2,200 R2,200 R365 R1,740 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, consults, medicine. Limits apply. All else paid out of pocket, unless PMB. Pay for all children.


Momentum Ingwe E 2017 R2,225 R2,225 R646 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: R11,001+pm only


Medimed Standard D 2017 R2,230 R2,230 R470 R11,190 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: R17,001+pm only


Topmed Limited 2017 R2,245 R600 R260 R R R

R1,000,000 limit per person in private hospitals. Unlimited in public hospitals. Co-payment for private hospital stays, and 20% co-payment for all healthcare providers. Scheme pays most out-of-hospital benefits with 20% co-payment. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children.


Commed Shina C 2017 R2,441 R2,075 R488 R2,929 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: R18,001+pm only