Topmed: All the 2017 medical aid plans

Non-income limited plans

Essential
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,458 pm
Savings: R0- yr
Premium: R1,174 pm
Savings: R0- yr
Premium: R592 pm
Savings: R0- yr
Pay for all children 70%-100% Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, scopes, alternatives to hospital, extended rehab benefits, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
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Active Saver
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R1,512 pm
Savings: R2,904 yr
Premium: R1,512 pm
Savings: R2,904 yr
Premium: R500 pm
Savings: R960 yr
Pay for all children 70%-100% Unlimited
Out-of-hospital, scheme pays for some: maternity, scopes, extended rehab benefits, birth control, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
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Limited
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R2,245 pm
Savings: R0- yr
Premium: R600 pm
Savings: R0- yr
Premium: R260 pm
Savings: R0- yr
Pay for all children 100% Unlimited
Out-of-hospital, scheme pays for some: most out-of-hospital claims, with 20% co-payment. Limits apply. All else paid from out of pocket, unless PMB.
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Savings
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R2,317 pm
Savings: R4,452 yr
Premium: R1,850 pm
Savings: R3,552 yr
Premium: R698 pm
Savings: R1,344 yr
Pay for maximum 3 children 100% Unlimited
Out-of-hospital, scheme pays for some: 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.
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Family
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R3,490 pm
Savings: R8,376 yr
Premium: R2,790 pm
Savings: R6,696 yr
Premium: R954 pm
Savings: R2,292 yr
Pay for all children 150% Unlimited
Out-of-hospital, scheme pays for some: 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.
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Executive
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R4,453 pm
Savings: R12,356 yr
Premium: R3,554 pm
Savings: R10,656 yr
Premium: R1,355 pm
Savings: R4,044 yr
Pay for all children 200% Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid for from day-to-day benefits, which include an unlimited above threshold benefit or out-of pocket, unless PMB. Sub-limits apply.
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Comprehensive
Main Member: Adult: Child: Specialist Rate: Hospital choice:
Premium: R6,070 pm
Savings: R0- yr
Premium: R5,010 pm
Savings: R0- yr
Premium: R1,425 pm
Savings: R0- yr
Pay for all children 300% Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid for from day-to-day benefits, which include an unlimited above threshold benefit or out-of pocket, unless PMB. Sub-limits apply.
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Network, income limited plans

Out-of-hospital, scheme pays for some: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.

Your Income: Main: Adult: Child: Hospital Choice:
R0-R1,000
R319 pm
(Savings: R0-)
R319 pm
(Savings: R0-)
R319 pm
(Savings: R0-)
Network
Extended Hospital plan
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R1,000-R8,000
R915 pm
(Savings: R0-)
R915 pm
(Savings: R0-)
R331 pm
(Savings: R0-)
Network
Extended Hospital plan
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R8,001-R11,000
R1,282 pm
(Savings: R0-)
R1,282 pm
(Savings: R0-)
R359 pm
(Savings: R0-)
Network
Extended Hospital plan
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R11,001+
R1,734 pm
(Savings: R0-)
R1,734 pm
(Savings: R0-)
R464 pm
(Savings: R0-)
Network
Extended Hospital plan
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