Medical aid plans that cost R2,250-R3,000pm 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 Maxima Basis Grid 2017 R2,251 R1,916 R679 R4,056 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 and maternity, optometry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for all children.


Fedhealth Maxima Standard Elect 2017 R2,316 R1,974 R694 R5,004 R R6,196 unlimited, with 20% co-payment

100% scheme rate for specialists. Network hospitals. Comprehensive plan with extended fund and threshold benefits (with 20% co-payment) that can be used for most out-of-hospital claims. Pay for all children.


Topmed Savings 2017 R2,317 R1,850 R698 R4,452 R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: 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. Pay for maximum 3 children.


Momentum Incentive Network hospital (and Network provider for chronic) 2017 R2,323 R1,848 R949 R2,788 R R

200% scheme rate for specialists. Network hospitals. Chronic benefits at Network provider. 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 Primary Care C 2017 R2,326 R1,519 R480 R R R

Pay for all children. Income-limited plan: R8,767+pm only


Bestmed Beat 2 Network 2017 R2,359 R1,676 R911 R4,812 R R

100% scheme rate for specialists. 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.


Resolution Progressive Flex Plus 2017 R2,369 R2,219 R733 R R R

Pay for all children.


Fedhealth Blue Door E R2,378 R2,061 R895 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: R12,001+pm only


Spectramed Cyan B 2017 R2,396 R2,296 R960 R4,020 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: R8,001+pm only


Suremed Navigator 2017 R2,400 R1,900 R720 R3,960 R8,500 pp R

125% scheme rate for specialists. Scheme pays out-of-hospital claims for: medication, appliances, dentistry, GPs and specialists, maternity, non surgical procedures, optometry, supplementary services, pathology, radiology, specialised radiology, preventative care, alternative to hospitals. Limits apply. All else paid out of savings or out of pocket, unless PMB. Pay for all children.


Selfmed Selfsure 2017 R2,456 R2,451 R836 R R R

Pay for maximum 3 children.


Fedhealth Maxima Basis 2017 R2,501 R2,129 R754 R4,500 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 and maternity, optometry, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for all children.


Momentum Incentive (Network provider for chronic) 2017 R2,506 R2,010 R1,089 R3,007 R R

200% scheme rate for specialists. Chronic benefits at Network provider. 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.


Momentum Incentive Network hospital (and any provider for chronic) 2017 R2,529 R2,034 R826 R3,035 R R

200% scheme rate for specialists. Network hospitals. Chronic benefits at any provider. 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.


Compcare Mumed 2017 R2,532 R1,974 R714 R R5,376 R

100% scheme rate for specialists. 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.


Medshield MediPlus 2017 R2,544 R1,797 R558 R RM=R6,750
M1 =R9,420
M2 =R10,600
M3 = R11,910
M4+ +R13,050
R

100% scheme rate. Scheme pays out-of-hospital claims for: specialised radiology, maternity, alternative to hospitalisation, optometry, some non-surgical procedures including scopes,preventative benefits. Limits apply. All else paid from extended fund or out of pocket, unless PMB. Pay for three children only.


Discovery Essential Priority 2017 R2,551 R2,004 R1,012 R4,584 R R8,566 11,150

100% scheme rate for specialists. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with sub limits). Extended benefit covers some claims while in self-payment gap. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.


Medshield MediSaver 2017 R2,571 R2,151 R615 R6,192 R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), alternatives to hospitalisation, some non-surgical procedures including scopes, maternity, preventative benefits, dentistry. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for three children only.


Discovery Classic Saver 2017 R2,577 R2,029 R1,031 R7,728 R R

200% scheme rate for specialists. 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.


Bonitas Standard Select 2017 R2,597 R2,247 R760 R6,192 R R

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


Compcare Symmetry ED 2017 R2,598 R2,022 R732 R3,118 R3,118 R

100% scheme rate for specialists. Netcare hospitals. Some co-payments. Scheme offers extended fund once savings are depleted, and also pays for: specialised radiology, GPs (unlimited), medical appliances and preventative benefits. Limits apply. Pay for all children.


Medihelp Dimension Prime 3 R2,730 R2,316 R798 R R R

100% scheme rate for specialists. 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.


Sizwe Affordable Care A 2017 R2,733 R2,511 R630 R R R

Pay for all children. Income-limited plan: R0-R15,052pm only


Momentum Incentive (Any provider for chronic) 2017 R2,794 R2,270 R389 R3,288 R R

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


Sizwe Savings Care B 2017 R2,800 R2,243 R555 R5,040 R R

Pay for all children. Income-limited plan: R15,053+pm only


Medimed Max A 2017 R2,810 R2,810 R500 R13,430 R5,000 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 R10,000 per family) or out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R10,000pm only


Sizwe Affordable Care B 2017 R2,843 R2,610 R660 R R R

Pay for all children. Income-limited plan: R15,053-R18,444pm only


Bonitas BonComplete 2017 R2,923 R2,340 R794 R5,256 R R1,568 R4,150

100% scheme rate for specialists. Over and above the savings/threshold 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 above threshold benefit or from out of pocket, unless PMB. Pay for maximum 3 children .


Commed Standard A 2017 R2,946 R2,413 R591 R4,419 R R

100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R760,000 per person and R1,460,000 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


Hosmed Value R2,964 R2,144 R482 R R R

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


Discovery Classic Priority 2017 R2,968 R2,337 R1,187 R8,904 R R4,246 11,150

200% scheme rate for specialists. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with sub limits). Extended benefit covers some claims while in self-payment gap. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.


Keyhealth Silver 2017 R2,977 R1,601 R620 R R6,485 R

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: 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. Pay for maximum 3 children.


Bonitas Standard 2017 R2,998 R2,600 R880 R R R

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