Compcare ExecuCare:
cancer, maternity and mental health (2025)

This page has information on: Costs, Maternity, Oncology, Mental Health for Compcare ExecuCare

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Monthly Costs (2025)

ExecuCare 2025 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R9,766	R8,789	R3,418
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	R22,050	R16,800	R6,100
Self Payment Gap: (What you need to pay out of pocket before you can access the "Above Threshold" benefit)	R5,000	R3,000	R1,000
"Above Threshold" benefit (ATB): Additional cover the scheme makes available to you, once you've paid* the self payment gap.*	Main= R11,250 Main+1= R23,000
Children Rates:
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 Compcare plans, with costs and brief summary. Find all other open medical aid plans here.
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Compcare: ExecuCare
Assume scheme pays all these costs, unless otherwise stated
Overall cancer coverage (in and out of hospital):	Chemotherapy and radiotherapy: Unlimited Biological medication: R160,000 per family with a 25% co-payment unless PMB 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 Compcare plans, with costs and brief summary. Find all other open medical aid plans here.
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Compcare: ExecuCare
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:	Compcare pays for: 12 antenatal consults Antenatal classes: R880
Scans:	Compcare pays for: 2 x 2D scans 1 amniocentesis
Note:	If you are pregnant and don't have medical aid, your pregnancy will most likely be excluded for new cover, but your baby will be covered from birth. Read more about pregnancy cover if you don’t have medical aid.
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 Compcare plans, with costs and brief summary. Find all other open medical aid plans here.
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Compcare: ExecuCare

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.
Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account	R22,050	R16,800	R6,100
Self Payment Gap: (What you need to pay out of pocket before you can access the "Above Threshold" benefit)	R5,000	R3,000	R1,000
"Above Threshold" benefit (ATB): Additional cover the scheme makes available to you, once you've paid* the self payment gap.*	Main= R11,250 Main+1= R23,000

PMB conditions are covered for in and out of hospital treatment. For a full list see here.
Example of PMB condition: Acute stress disorder accompanied by recent significant trauma, including physical or sexual abuse. Treatment includes hospital admission for psychotherapy / counselling up to 3 days, or up to 12 outpatient psychotherapy / counselling contacts

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

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