Sizwe Gold Ascend:
cancer, maternity and mental health (2025)

What's on this page:

  1. Monthly Costs (2025)
  2. Cancer/ Oncology benefits (2021):
  3. Maternity benefits (2021):
  4. Mental Health benefits (2021):
This page has information on: Costs, Maternity, Oncology, Mental Health for Sizwe Gold Ascend

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Monthly Costs (2025)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Gold Ascend 2025 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R3,726
  • R3,578
  • R1029
  • Only pay for 3 children
Savings (per year):
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • Main= R7,589
  • Main+1= R11,239
  • Main+2= R13,152
  • Main+3= R15,041
  • Main+4= R16,953
  • Main+5= R18,854
  • Main+6+= R20,743
Children Rates:
  • Up to age 25. Grandchildren included.
  • Only pay for 3 children
Income band:
Note:
  • Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list.
  • All treatments and procedures are subject to authorisation and protocols
  • All benefits are listed as an indication only. Please verify with your broker and scheme
View all the other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity
Cancer | Mental Health | Dentistry | Optometry
Other/Extra Benefits | Wellness | Prosthetics

You can also:
Compare any two plans, side by side | View all the Sizwe plans, with costs and brief summary.

Find all other open medical aid plans here.
.

Cancer/ Oncology benefits (2021):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Sizwe: Gold Ascend
Assume scheme pays all these costs, unless otherwise stated
Overall cancer coverage (in and out of hospital):
  • Unlimited. After the first R208,000, a 20% co-payment applies for non-PMBs
  • Note: Most cancers are PMBs, and treatment is paid in full by scheme. More info here
  • Most schemes require use of specific providers (DSPs) for oncology treatment.
 Treatment required for PMB conditions is always paid by scheme, with no co-payment, if you follow the protocols.
View all the other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity
Cancer | Mental Health | Dentistry | Optometry
Other/Extra Benefits | Wellness | Prosthetics

You can also:
Compare any two plans, side by side | View all the Sizwe plans, with costs and brief summary.

Find all other open medical aid plans here.
.

Maternity benefits (2021):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Sizwe: Gold Ascend
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:
  • 100% scheme rate
Usually covered for 2 nights for natural birth, and 3 nights for C-sections. All newborns receive immediate full medical aid cover at birth, even if parents are on a waiting period.
Consultations:
  • GP or midwife: 9 consults
  • Specialist: 2 consults
Scans:
  • 2 x 2D scans, paid by scheme
  • 2 x haemoglobin tests
  • 1 x blood group test
  • 1 x VDRL test for syphillis
  • 1 x HIV Elisa test
Note:
View all the other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity
Cancer | Mental Health | Dentistry | Optometry
Other/Extra Benefits | Wellness | Prosthetics

You can also:
Compare any two plans, side by side | View all the Sizwe plans, with costs and brief summary.

Find all other open medical aid plans here.
.

Mental Health benefits (2021):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Sizwe: Gold Ascend
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings (per year):
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • Main= R7,589
  • Main+1= R11,239
  • Main+2= R13,152
  • Main+3= R15,041
  • Main+4= R16,953
  • Main+5= R18,854
  • Main+6+= R20,743
In-hospital:
  • 21 days per person, including 6 in-hospital consults with psychiatrist
    • R35,700 per person per admission and R1,700 per day
  • Can be substituted with 10 consults in lieu of hospitalisation
  • Alcoholism/Drug Addiction: 3 days withdrawal treatment plus 21 days rehab at an appropriate facility
Out-of-hospital:
  • PMBs: 10+ consults, paid by scheme
  • R5,747 per family for psychologists and psychiatrists for mental health disorders
Trauma:
  • Traumatic event claims: 6 counselling sessions per person per year, for the year in which the trauma event occurred and the year after
Note:
  • PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness.
  • DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
  • Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
View all the other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity
Cancer | Mental Health | Dentistry | Optometry
Other/Extra Benefits | Wellness | Prosthetics

You can also:
Compare any two plans, side by side | View all the Sizwe plans, with costs and brief summary.

Find all other open medical aid plans here.
.

    Important!
  • Unless specified, assume that all benefits are paid are paid at 100% scheme rate
  • No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
  • "Unlimited" benefits are still subject to authorisation, protocols and sublimits
  • Assume that all benefits need to be pre-authorised

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