Monthly Costs:
R789 Only pay for 3 children
No savings account option on this planThe scheme might still cover some or all day-to-day claims. See below, and see benefits.
Under 24 unless registered student, then under 26 Only pay for 3 children
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:♦️
Inhospital |
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 Bestmed plans , with costs and brief summary
.
Prosthetics benefits (2024):
Overal Limit:
Internal: R91,183 per family
External: PMBs only
Prosthetics required for PMB conditions are always paid paid in full by scheme, with no co-payment, if you follow the protocols. More info here
Sub-limits:
(per person):
Functional (treating or supporting a bodily function): R32,550
Vascular: R52,500
Pacemaker, dual chamber: R49,711
Spinal: R36,394
Mesh: R12,772
Gynaecology/Urology: R10,437
Drug eluting stents: PMBs and DSP products only
Lens implants: R7,964 per lens
Exclusions:
Endovascular and catheter-based procedures
Joint replacements, unless PMB
PMB joint replacements - prosthesis limits:
Hip replacement and other major joints: R38,313
Knee replacement: R47,240
Minor Joints: R14,695
Note:
PMBs: Prescribed Minimum Benfits. PMBs cannot have sublimits or co-payments if protocols are followed. You can read more about PMBs here .
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:♦️
Inhospital |
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 Bestmed plans , with costs and brief summary
.
. . . .
We have a magazine!
Click to Download (FREE!)
. . .