Medical aid plans that cost R5,000+ pm for main member

Bestmed Pace 3 B 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R5,097 R4,066 R853 R9,180 R28,000 (main) R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: preventative dentistry, optometry, maternity, specialised radiology, contraceptives, some medicine, trauma rehab 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. Income-limited plan: R8,209+pm only

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Bonitas BonComprehensive 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R5,254 R4,956 R1,069 R11,892 R R3,600 unlimited

300% scheme rate. Over and above the savings/threshold benefit, scheme pays out-of-hospital claims for: specialised radiology, mental health, refractive surgery, medical appliances, hearing aids, optometry, maternity, infant paediatrics and preventative benefits. Limits apply. Unlimited threshold with a self payment gap and sub-limits. All else paid from savings or from out of pocket, unless PMB. Pay for maximum 3 children .

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Momentum Extender (Any provider for chronic) 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R5,308 R4,235 R1,665 R15,924 R R1,176 Unlimited

200% scheme rate for specialists. Chronic benefits from any 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.

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Spectramed Cobalt 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R5,321 R4,831 R1,865 R14,688 R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: mental health, appliances, optometry, specialised dentistry and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB. Pay for all children.

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Compcare Pinnacle 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R5,328 R4,146 R1,476 R12,816 R3,197 R1,900 R8,700 pb
R17,400 pf

200% scheme rate for specialists. Some co-payments. Comprehensive cover with savings, extended fund, and limited above threshold benefits that cover most out-of-hospital benefits (with limits). Pay for all children.

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Discovery Executive 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R5,544 R5,544 R1,055 R16,632 R R28 unlimited

300% 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.

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Commed Deluxe 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R5,802 R4,742 R1,158 R10,440 R R7,830 2,610

100% scheme rate for specialists. Some co-payments. Comprehensive cover with savings, self-payment gap and limited above threshold benefits that cover most out-of-hospital benefits (with limits). Pay for all children.

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Topmed Comprehensive 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R6,070 R5,010 R1,425 R R R

300% scheme rate. Scheme pays most out-of-hospital claims for: maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. All else paid for from day-to-day benefits, which include an unlimited above threshold benefit (paid at 80% scheme rate) or out-of-pocket, unless PMB. Sub-limits apply. Pay for all children.

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Bestmed Pace 4 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R6,096 R6,096 R1,428 R996 R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: optometry, maternity, specialised radiology, trauma rehab, some medication, contraceptives and preventative benefits. Limits apply. All else paid from extended fund, from savings or out of pocket, unless PMB. Pay for maximum 4 children.

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Selfmed 80% 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R6,335 R5,485 R1,100 R R R

Pay for maximum 3 children.

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Fedhealth Maxima Plus 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R6,740 R5,733 R2,021 R4,452 R7,850 R736 unlimited

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

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Keyhealth Platinum 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R6,796 R4,764 R1,433 R R9,115 R3,190 unlimited

100% scheme rate for specialists. This is a comprehensive plan. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), dentistry, medicine, optometry, maternity, medical appliances, hearing aids, oncology, sub-acute facilities, preventative benefits. Limits apply. All else paid from fund, from above threshold benefit or from out of pocket, unless PMB. Pay for all children.

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Medihelp Plus 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R6,936 R6,936 R1,728 R R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: radiology, 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.

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Momentum Summit 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R7,637 R6,108 R1,754 R22,300 R R

300% scheme rate. 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.

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Fedhealth Ultimax 2017 YOU PAY: YOU GET (for main member):
Main: Adult: Child: Savings Extra Fund Self Pay ATB
R9,215 R7,829 R2,765 R5,748 R2560 (main) R4,942 unlimited

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

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