Medical aid plans that cost R3,501-R4,000pm 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
Spectramed Azure B 2017 R3,501 R2,206 R1,137 R7,776 R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for max 3 children, with 2nd child=R865 and 3rd child=R604pm . Income-limited plan: R8,001- R11,500pm only


Bestmed Beat 4 2017 R3,618 R2,988 R895 R6,516 R10,000 (main) R

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


Bonitas BonClassic 2017 R3,648 R3,132 R900 R6,192 R R

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


Spectramed Azure C 2017 R3,651 R2,582 R1,282 R8,100 R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: mental health, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for max 3 children, with 2nd and 3rd child=R1,175pm . Income-limited plan: R11,500+pm only


Sizwe Affordable Care C 2017 R3,657 R3,251 R730 R R R

Pay for all children. Income-limited plan: R18,445+pm only


Momentum Extender Network hospital (and State provider for chronic) 2017 R3,732 R2,805 R1,149 R11,196 R R5,904 Unlimited

200% scheme rate for specialists. Network hospitals. Chronic benefits from State provider. 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. Pay for maximum 3 children.


Discovery Essential Comprehensive 2017 R3,787 R3,580 R762 R6,816 R R8,684 unlimited

100% scheme rate for specialists. Comprehensive cover with savings, extended fund, and unlimited 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.


Resolution Millennium Select 2017 R3,819 R3,271 R890 R9,180 R R4,391 5,544

Pay for all children.


Bestmed Pulse 2 2017 R3,902 R3,902 R927 R R11,350 (main) R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: GP and specialist consults, dentistry, optometry, appliances, wound care, maternity, radiology and pathology, specialised radiology, some medication, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 4 children.


Medihelp Dimension Elite R3,972 R3,714 R1,080 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, psychologists, medicine, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Child rates apply for under 26yr olds.