Find your plan

Table of Contents:

We list all the main benefits of every open medial aid plan in South Africa.

You can see benefits for:

  • In hospital procedures
  • Out of Hospital procedures
  • Scopes
  • Medicine
  • Oncology
  • Dentistry
  • Optometry
  • Prosthetics
  • Mental Health
  • Maternity
  • Preventative care
  • Travel Benefits
  • …and more

To find your benefits, first click on your scheme below. You will then be taken to a page with all the plans. Find your plan, and click on “View Benefits“. Bookmark the page for easy future reference!

Find your plan benefits:

Can’t find your scheme? If you don’t see your scheme above, it means you are a part of a closed medical aid (ie. it’s only available to a select industry or specific employer). We do not list benefits for closed schemes.

You can also compare any two plans side by side. Useful if you are thinking of switching plans!

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What does a “PMBs only” restriction mean?
In this case, the scheme will only pay for diagnosis, treatment and management of a claim for one of 270 pre-defined conditions (PMBs). Read more, and see full list of PMB conditions. 

What does “From Risk” mean?
The scheme will pay for this claim from its own funds, not from your savings or other day-to-day benefits. 

What is a DSP?
A Designated Service Provider. The scheme has a network of providers, and will often only pay claims in full if you use a DSP. If you choose another provider, you might have a co-payment, or even no cover. 

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