Compcare SaverCare Plus:
in-and-out of hospital benefits (2025)

This page has overview information on: Costs, In-hospital, Out of Hospital and Medicine benefits for Compcare SaverCare Plus. 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)

Compcare: SaverCare Plus
Assume scheme pays all these costs, at 100% scheme rate, unless otherwise stated
GPs and Specialists:	100% scheme rate
Hospital Choice:	Any hospital
Penalty for using other hospital:	n/a
Co-payments:	Specialised radiology: R3,800 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: R30,000 per family, with R3,800 co-payment unless PMB In and out of hospital benefit
Scopes:
Supplementary Services: (Physio, etc)	R3,500 per family
Transplants:	PMBs only
Dialysis:	PMBs only
Exclusions:	. NB: See scheme's rules for all exclusions. All schemes have plenty!
Alternatives to hospitals:	Step-down nursing, hospice and rehab, or in-lieu of hospitalisation: Unlimited, as authorised
Casualty/ER:	From day to day benefit
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)

Compcare: SaverCare Plus
Assume scheme pays all these costs, at 100% scheme rate, unless otherwise stated
Main Member: Adult: Child: Savings: R7,188 R6,000 R2,148 Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account R4,809 R4,020 R1,446
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:	From day to day benefit
Childcare:	Newborn hearing screening test Newborn congenital hypothyroidism test Baby Wellness consult Immunisations Initial Occupational Therapy consultation Preschool eye, hearing and dental screening School readiness assessments Kid’s active benefit assessment and exercise prescription programme Kid’s nutritional benefit assessment and healthy eating programme
Specialists consultations:	From day to day benefit
Pathology:	From day to day benefits
General radiology:	From day to day benefits
Specialised radiology:	MRI, CT Scans: R30,000 per family, with R3,800 co-payment unless PMB In and out of hospital benefit
Scopes:
Supplementary Services: (Physio, etc)	From day to day benefits
General Appliances:	From day-to-day benefit
1.1. Hearing Aids:	No benefit
1.2. Wheelchairs:	See above
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)

Compcare: SaverCare Plus
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Savings: R7,188 R6,000 R2,148 Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account R4,809 R4,020 R1,446
Chronic:	27 PMB conditions: Covered. You can see the full PMB list here. .
Acute (prescribed) medication:	From day to day benefits
Over-the-counter:	From day to day benefits
Birth Control:	From day-to-day benefit , or Care Maximizer
On Discharge:	7 days per admission
Biological:	PMBs only
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 Compcare plans, with costs and brief summary. Find all other open medical aid plans here.
PMBs= Prescribed Minimum Benefits (more info) | DSP= Designated Service Provider