Bestmed Rhythm 2 B:
in-and-out of hospital benefits (2025)

This page has overview information on: Costs, In-hospital, Out of Hospital and Medicine benefits for Bestmed Rhythm2 B. Please consult and verify with the scheme or your broker for full benefits, and an explanation of all the "fine print".

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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 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
• 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.

In-hospital Procedures (2025):

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

Bestmed: Rhythm 2 B
Assume scheme pays all these costs, at 100% scheme rate, unless otherwise stated
GPs and Specialists:	100% scheme rate
Hospital Choice:	Network hospital Day Procedure: Network day hospital
Penalty for using other hospital:	Use of non-network hospital: R14,364 penalty Voluntary use of long stay hospital instead of a day hospital: R2,746 penalty If your DSP does not work in a day hospital, the scheme will cover full cost for acute hospital, if authorised first
Co-payments:	Arthroscopic procedures: R3,660 co-payment Back and neck surgery: R3,660 co-payment Laparoscopic procedures: R3,660 co-payment Colonoscopies: R2,000 co-payment Cystoscopies: R2,000 co-payment Gastroscopies: R2,000 co-payment Hysteroscopies: R2,000 co-payment Sigmoidoscopies: R2,000 co-payment Specialised radiology: R2,600 co-payment Note: A co-payment is a fee your medical aid can insist you pay, regardless of how much the doctor/charges. It's not the same as an "excess" payment (which is when a doctor charges more than the medical aid rate). If you use a DSP (designated service provider), you never have to pay a co-payment for protocol treatment of a PMB (Prescribed Minimum Benefit). More info here There might be other co-payments if you don't use a DSP, especially if you are being treated for a PMB or when buying medicine.
Specialised Radiology:	MRI, CT scans, isotope studies: R18,000 per family with a R2,600 co-payment PET Scans: PMBs only In and out of hospital
Scopes:	R2,000 co-payment
Supplementary Services: (Physio, etc)	100% scheme rate
Transplants:	PMBs only
Dialysis:	At designated service provider (DSP), in and out of hospital
Exclusions:	NB: See scheme's rules for all exclusions. All schemes have plenty!
Alternatives to hospitals:	Alternatives to hospitalisation: 100% scheme rate Palliative Care or at-home care, in lieu of hospitalisation: R69,654 per person
Casualty/ER:	R1,723 per family
Other:	.
PMBs= Prescribed Minimum Benefits (more info) | DSP= Designated Service Provider

Out-of-hospital Procedures (2025):

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

Bestmed: Rhythm 2 B
Assume scheme pays all these costs, at 100% scheme rate, unless otherwise stated
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.
PMBs out of hospital:	All schemes must pay for the diagnosis, treatment and management of all PMB conditions, in or out of hospital. You can see a full list of the conditions here. This can include consults with specialists, blood or other tests, radiology and medicine PMB benefits must never be paid from your savings account Schemes usually impose the use of specific providers for treatment of PMBs. Read more about that here. See our Guide to PMBs for more information.
GP consultations:	Network GP: Unlimited
Childcare:	Ages 0-2 years: 3 baby growth and development assessments per year Immunisations: Covered
Specialists consultations:	Must be referred by network provider R1,742 per person and R2,903 per family
Pathology:	Scheme pays for basic blood tests
General radiology:	Basic X-rays as requested by network provider.
Specialised radiology:	MRI, CT scans, isotope studies: R18,000 per family with a R2,600 co-payment PET Scans: PMBs only In and out of hospital
Scopes:	R2,000 co-payment
Supplementary Services: (Physio, etc)	PMBs only
General Appliances:	Out of hospital: No benefit In-hospital: R7,901 per family
1.1. Hearing Aids:	No benefit
1.2. Wheelchairs:	No benefit
PMBs= Prescribed Minimum Benefits (more info) | DSP= Designated Service Provider

Medication Benefit (2025):

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

Bestmed: Rhythm 2 B
Assume scheme pays all these costs, unless otherwise stated
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.
Chronic:	27 PMB conditions: Covered. You can see the full PMB list here. If you voluntarily use medicine that is not on Bestmed's list ("formulary"), you pay a 30% co-payment
Acute (prescribed) medication:	Paid by Bestmed if on medicine list
Over-the-counter:	R350 per family
Birth Control:	R2,200 per person IUD insertion : once every 5 years
On Discharge:	7 days if part of hospital account R150 if from pharmacy, on day of discharge
Biological:	In-hospital: R17,414 per family
View 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.
PMBs= Prescribed Minimum Benefits (more info) | DSP= Designated Service Provider