• Bestmed

Bestmed Rhythm 1 C:
prosthetic benefits (2026)

Contents:

This page has information on: Costs and Prosthetics for Bestmed Rhythm1 C

Terminology:

  • PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
  • DSPs: Designated Service Providers. Where stipulated, you must use 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.
  • All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2026)

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

Bestmed:Rhythm 1 C (2026)
Main member: Adult member: Child member:
Total Cost pm:
  • R3,615
  • R3,615
  • R1873
Savings:
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Children Rates:
  • Under 24yrs.
  • Pay for all children
Income band:
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Prosthetics benefits (2026):

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

Bestmed: Rhythm 1 C
Assume scheme pays all these costs, unless otherwise stated
Overall Limit:
  • Overall: R67,162 per family
  • External: PMBs only
  • Prosthetics required for PMB conditions are always paid in full by scheme, with no co-payment, if you follow the protocols. More info here
 Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Sub-limits: (per person):
  • Functional (treating or supporting a bodily function): R35,613
  • Vascular: R557,441
  • Pacemaker, dual chamber: R54,390
  • Spinal: R33,278
  • Mesh: R12,171
  • Gynaecology/Urology: R10,053
  • Lens implants: R6,988 per lens
  • Drug eluting stents: Vascular limit
    Exclusions:
  • Endovascular and catheter-based procedures
  • Joint replacements, unless PMB
    PMB joint replacements - prosthesis limits:
  • Hip replacement and other major joints: R34,107
  • Knee replacement: R43,122
  • Minor Joints: R16,151
Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Note:
  • PMBs: Prescribed Minimum Benefits. PMBs cannot have sublimits or co-payments if protocols are followed. You can read more about PMBs here.
  • DSPs: Designated Service Providers. Where stipulated, you must use 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.
Always consult with your broker before making final decisions regarding your healthcare cover.

    Important!
  • Unless specified, assume that all benefits 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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