Medical aid plans that cost up to R1,200pm 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
Makoti Primary A 2017 R225 R225 R147 R R R

Pay for all children. Income-limited plan: R0-R3,000pm only


Makoti Primary B 2017 R239 R239 R159 R R R

Pay for all children. Income-limited plan: R3,001-R6,450pm only


Compcare Networx ED A 2017 R283 R279 R154 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R500pm only


Topmed Network A 2017 R319 R319 R319 R R R

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R1,000pm only


Compcare Networx A 2017 R330 R330 R330 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R500pm only


Compcare Networx ED Plus A 2017 R330 R330 R330 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R500pm only


Momentum Ingwe A 2017 R335 R335 R210 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: R0-R650pm only


Momentum Ingwe Network A 2017 R335 R335 R210 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: R0-R650pm only


Momentum Ingwe State A 2017 R335 R335 R210 R R R

100% scheme rate for specialists. State hospitals. 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: R0-R650pm only


Sizwe Primary Care A 2017 R407 R407 R407 R R R

Pay for all children. Income-limited plan: R0-R530pm only


Compcare Networx ED B 2017 R413 R405 R204 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R501-R4,000pm only


Medihelp Necesse A R438 R438 R438 R R R

100% scheme rate for specialists. Plan aimed at students. 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: R0-R400pm only


Compcare Networx ED C 2017 R529 R502 R251 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R4,001-R5,000pm only


Compcare Networx ED D 2017 R529 R502 R251 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R5,001-R6,000pm only


Makoti Primary C 2017 R530 R438 R195 R R R

Pay for all children. Income-limited plan: R6,451-R9,000pm only


Momentum Ingwe State B 2017 R560 R560 R302 R R R

100% scheme rate for specialists. State hospitals. 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: R651-R6,100pm only


Makoti Primary D 2017 R569 R461 R210 R R R

Pay for all children. Income-limited plan: R9,001-R12,000pm only


Makoti Primary E 2017 R611 R490 R223 R R R

Pay for all children. Income-limited plan: R12,001-R16,000pm only


Compcare Networx ED E 2017 R631 R599 R300 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R6,001-R8,000pm only


Compcare Networx ED F 2017 R631 R599 R300 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R8,001-R9,000pm only


Momentum Ingwe State C 2017 R641 R1,282 R950 R R R

100% scheme rate for specialists. State hospitals. 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: R6,101-R8,200pm only


Discovery KeyCare Access A 2017 R644 R644 R281 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: R0-R5,050pm only


Makoti Primary F 2017 R656 R510 R235 R R R

Pay for all children. Income-limited plan: R16,001+pm only


Compcare Networx ED G 2017 R668 R636 R318 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private and public Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R9,001-R10,000pm only


Momentum Ingwe Network B 2017 R701 R701 R321 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: R651-R6,100pm only


Compcare Networx ED Plus B 2017 R702 R630 R252 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R501-R4,000pm only


Compcare Networx ED Plus C 2017 R714 R630 R258 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R4,001-R5,000pm only


Discovery KeyCare Core A 2017 R731 R731 R190 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: R0-R8,100pm only


Compcare Networx ED Plus D 2017 R738 R702 R312 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R5,001-R6,000pm only


Momentum Ingwe State D 2017 R748 R748 R324 R R R

100% scheme rate for specialists. State hospitals. 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: R8,201-R11,000pm only


Fedhealth Blue Door A R776 R644 R369 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: R0-R5,200pm only


Commed Roots A R822 R822 R342 R R R

100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R400k per person and R800k per family. Scheme pays out-of-hospital claims for:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R0-R6,000pm only


Selfmed Selfnet Essential 2017 R850 R850 R R R R

Pay for maximum 3 children.


Discovery KeyCare Access B 2017 R859 R859 R309 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: R5,051-R8,100pm only


Suremed Explorer A 2017 R860 R770 R400 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: R0-R7,500pm only


Compcare Networx ED Plus E 2017 R888 R888 R324 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R6,001-R8,000pm only


Momentum Ingwe Network C 2017 R892 R892 R334 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: R6,101-R8,200pm only


Resolution Fundation A 2017 R907 R907 R273 R R R

Pay for all children. Income-limited plan: R0-R4,600pm only


Momentum Ingwe B 2017 R911 R911 R342 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: R651-R6,100pm only


Discovery KeyCare Core B 2017 R912 R912 R224 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: R8,101-R11,550pm only


Discovery KeyCare Plus A 2017 R914 R914 R331 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: R0-R8,100pm only


Topmed Network B 2017 R915 R915 R331 R R R

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R1,000-R8,000pm only


Commed Roots B R950 R950 R458 R R R

100% scheme rate for specialists. Some-co-payments. Network hospitals. Annual limit of R400k per person and R800k per family. Scheme pays out-of-hospital claims for:GPs, specialits, dentistry, medicine, optometry, radiology, pathology, external applianes, alternative to hopitalisation. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children. Income-limited plan: R6,001-R18,000pm only


Fedhealth Blue Door B R984 R813 R475 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: R5,201-R8,500pm only


Genesis Private Choice: 2017 R1,000 R1,000 R325 R 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.


Medimed Alpha 2017 R1,020 R1,020 R400 R R R

100% scheme rate for specialists. Scheme pays in and out of hospital benefits, but with a 25% or 40% co-payment from member for most claims. Limits apply. All else paid from out of pocket, unless PMB. Pay for all children.


Medshield MediPhila 2017 R1,041 R1.041 R261 R RR2,500 per family R

100% scheme rate for specialists. R1,000,000 per family limit. Scheme pays out-of-hospital claims for: specialised radiology, maternity, 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.


Compcare Networx ED Plus F 2017 R1,056 R1,056 R372 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R8,001-R9,000pm only


Resolution Fundation B 2017 R1,056 R1,056 R364 R R R

Pay for all children. Income-limited plan: R4,601-R7,100pm only


Suremed Explorer B 2017 R1,080 R960 R480 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: R7,501-R11,000pm only


Discovery Essential Smart 2017 R1,100 R1,100 R1,100 R R R

100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: GP consults, eye and dental check up. Limits and co-payments apply. All else paid from out of pocket, unless PMB. Pay for maximum 3 children.


Medimed Essential A 2017 R1,110 R1,110 R380 R1,332 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: R0-R7,000pm only


Compcare Networx ED Plus G 2017 R1,122 R1,068 R390 R R2,800 (main) R

100% scheme rate for specialists. Some exclusions apply. Private Network hospitals. Annual limit of R1,100,000 per family. Scheme pays for: GPs, medicine, radiology, pathology, maternity and preventative benefits. Limits apply. All else paid from out of fund or from out of pocket, unless PMB. Pay for all children. Income-limited plan: R9,001-R10,000pm only


Bestmed Beat 1 Network 2017 R1,131 R879 R476 R R R

100% scheme rate for specialists. Network hospitals. Some co-payments. Scheme pays out-of-hospital claims for: wound care, specialised radiology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 4 children.


Bestmed Pulse 1 A 2017 R1,131 R1,075 R679 R R R

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: GP and specialist consults, dentistry, optometry, maternity, radiology and pathology, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB. Pay for maximum 4 children. Income-limited plan: R0-R6,000pm only


Selfmed Selfnet 2017 R1,185 R1,185 R418 R R R

Pay for maximum 3 children.


Hosmed Essential A R1,196 R1,092 R410 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.


Medimed Essential B 2017 R1,200 R1,200 R390 R1,440 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: R7,001-R8,500pm only