Bestmed Beat 4: prosthetic benefits (2025)

What's on this page:

This page has information on: Costs and Prosthetics for Bestmed Beat 4

View all the Bestmed plans, with costs and brief summary.

Find all the open medical aid plans here.
Compare any two plans side by side, instantly.

Monthly Costs (2025)

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

Beat 4 2025 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R6,832
  • R5,642
  • R1,689
  • Only pay for 3 children
Savings:
  • R11,472
  • R9,480
  • R2,844
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • Main= R15,513
  • Main+1= R31,025
Children Rates:
  • Under 24 unless registered student, then under 26
  • Only pay for 3 children
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 Bestmed plans, with costs and brief summary.

Find all other open medical aid plans here.
.

Prosthetics benefits (2025):

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

Bestmed: Beat 4
Overal Limit:
  • R117,652 per family
  • External: R28,297 per family
  • External benefit includes artificial limbs, limited to 1 limb every 60 months
 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): R37,342
  • Vascular: R71,390
  • Pacemaker, dual chamber: R68,086
  • Spinal: R40,652
  • Mesh: R15,083
  • Gynaecology/Urology: R11,061
  • Drug eluting stents: R22,839
  • Lens implants: R8,618 per lens
    Exclusions:
  • Endovascular and catheter-based procedures
  • Joint replacements, unless PMB
    PMB joint replacements - prosthesis limits:
  • Hip replacement and other major joints: R41,800
  • Knee replacement: R55,532
  • Minor Joints: R17,063
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:
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 Bestmed plans, with costs and brief summary.

Find all other open medical aid plans here.
Always consult with your broker before making final decisions regarding your healthcare cover.

    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


Psssttt….

Medical Aid Tips

Squeeze the most out of your medical aid!

Every Friday, we help 10,000+ South Africans with tips and exclusive healthcare deals.

Come join us, and find out things your medical aid does not want you to know!

    Built with Kit


    Coming Soon