Medical aid that costs R5,000 – R6,000pm for main member:

Table of Contents:

Below are open medical aid plans that cost R5,000-R5,999 per month for principal members. To see other price points, click here.

Momentum Incentive (Network provider for chronic):

Main Adult Child
2025 cost: R 4,686 R 3,757 R 1,841
Day-to-Day Benefit:
Savings: R 5,628 R 4,512 R 2,208
Main Adult Child
2026 cost: R 5,149 R 4,128 R 2,023
Day-to-Day Benefit:
Savings: R 6,180 R 4,956 R 2,424
Hospital Choice: Unlimited
Child rates: Child rates for Under 21yrs ; Only pay for 3 children
View all benefits for this plan
.

Momentum Incentive Network (and any provider for chronic):

Main Adult Child
2025 cost: R 4,827 R 3,884 R 1,803
Day-to-Day Benefit:
Savings: R 5,796 R 4,656 R 2,160
Main Adult Child
2026 cost: R 5,333 R 4,292 R 1,993
Day-to-Day Benefit:
Savings: R 6,396 R 5,148 R 2,388
Hospital Choice: Network
Child rates: Child rates for Under 21yrs ; Only pay for 3 children
View all benefits for this plan
.

Bestmed Beat 3 Plus:

Main Adult Child
2025 cost: R 4,848 R 3,485 R 5,642
Day-to-Day Benefit:
Savings: R 14,544 R 10,464 R 5,304
Main Adult Child
2026 cost: R 5,042 R 3,746 R 1,902
Day-to-Day Benefit:
Savings: R 15,132 R 11,244 R 5,712
Hospital Choice: Unlimited
Child rates: Child rates for Under 24 unless registered student, then under 26; Only pay for 3 children
View all benefits for this plan
.

Bonitas Standard Select:

Main Adult Child
2025 cost: R 4,915 R 4,253 R 1,439
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R13,440
  • Main+1= R20,170
  • Main+2= R22,410
  • Main+3= R24,650
Main Adult Child
2026 cost: R 5,431 R 4,700 R 1,590
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R13,980
  • Main+1= R20,980
  • Main+2= R23,310
  • Main+3= R25,640
Hospital Choice: Network
Child rates: Child rates for Up to 24yrs; Only pay for 3 children
View all benefits for this plan
.

Medshield MediSaver:

Main Adult Child
2025 cost: R 4,977 R 4,122 R 1,212
Day-to-Day Benefit:
Savings: R 8,964 R 7,416 R 2,184
Main Adult Child
2026 cost: R 5,376 R 4,452 R 1,311
Day-to-Day Benefit:
Savings: R 9,672 R 8,016 R 2,364
Hospital Choice: Network
Child rates: Child rates for Under 21yrs, or students under 28 yrs; Only pay for 3 children (excl students)
View all benefits for this plan
.

Discovery Essential Priority:

Main Adult Child
2025 cost: R 4,981 R 3,917 R 1,989
Day-to-Day Benefit:
Savings: R 8,964 R 7,044 R 3,576
SPG*: R 16,436 R 12,046 R 4,884
ATB*: R19,370 R13,820 R6,770
Main Adult Child
2026 cost: R 5,327 R 4,189 R 2,127
Day-to-Day Benefit:
Savings: R 8,964 R 7,044 R 3,576
SPG*: R 18,196 R 13,366 R 5,474
ATB*: R20,080 R14,330 R7,020
Hospital Choice: Unlimited
Child rates: Child rates for Under 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once you've paid the Self Payment Gap. More info .
View all benefits for this plan
.

Medshield MediPlus:

Main Adult Child
2025 cost: R 4,989 R 3,561 R 1,116
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R11,000
  • Main+1= R15,000
  • Main+2= R17,000
  • Main+3= R18,500
  • Main+4+= R20,000
Main Adult Child
2026 cost: R 5,436 R 3,879 R 1,218
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R12,000
  • Main+1= R16,000
  • Main+2= R18,600
  • Main+3= R20,300
  • Main+4+= R22,000
Hospital Choice: Network
Child rates: Child rates for Under 21yrs, or students under 28 yrs; Only pay for 3 children (excl students)
View all benefits for this plan
.

Fedhealth FlexiFed 4 Grid:

Main Adult Child
2025 cost: R 5,180 R 4,737 R 1,561
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*:
  • Main= R18,500
  • Main+1= R33,700
  • Main+2= R38,200
  • Main+3= R42,700
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Main Adult Child
2026 cost: R 5,931 R 4,620 R 1,521
Day-to-Day Benefit:
Savings: R0, but Flexible Flexible Flexible
SPG*: 22,308
ATB*:
  • Some day-to-day claims, like GP consults, are covered by Fedhealth once you've paid the Self Payment Gap
Hospital Choice: Network
Child rates: Child rates for Up to 27yrs if student, otherwise up to 21yrs; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once a threshold is reached. More info .
View all benefits for this plan
.

Profmed ProSecure Savvy B:

Main Adult Child
2025 cost: R 5,287 R 4,895 R 2,065
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R12,588
  • Main+1= R19,146
  • Max per family= R24,647
Main Adult Child
2026 cost: R 5,684 R 5,262 R 2,220
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R13,200
  • Main+1= R20,000
  • Max per family= R25,800
Hospital Choice: Network
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Only pay for 3 children
View all benefits for this plan
.

Medihelp MedPrime:

Main Adult Child
2025 cost: R 5,304 R 4,482 R 1,548
Day-to-Day Benefit:
Savings: R 6,336 R 5,400 R 1,872
Fund:
  • Main= R7,200
  • Main+1= R13,300
Main Adult Child
2026 cost: R 5,790 R 4,896 R 1,692
Day-to-Day Benefit:
Savings: R 6,984 R 4,896 R 1,692
Fund:
  • Main= R7,550
  • Main+1= R13,900
Hospital Choice: Any hospital
Child rates: Child rates for Up to age 26yrs; Only pay for 2 children under 18yrs
View all benefits for this plan
.

Sizwe Value Platinum Core:

Main Adult Child
2025 cost: R 5,306 R 5,082 R 1,353
Day-to-Day Benefit:
SPG*: R 2345 R 1986 R 512
ATB*: 6197 3645 1585
Main Adult Child
2026 cost: R 6,363 R 6,094 R 1,624
Day-to-Day Benefit:
SPG*: R 2462 R 2085 R 538
ATB*: 6507 3827 1664
Hospital Choice: Network
Child rates: Child rates for Up to age 26; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once you've paid the Self Payment Gap. More info .
View all benefits for this plan
.

Keyhealth Silver:

Main Adult Child
2025 cost: R 5,423 R 2,918 R 1,133
Day-to-Day Benefit:
Savings: None None None
Fund: R9,300 R6,760 R1,880
Main Adult Child
2026 cost: R 5,857 R 3,152 R 1,224
Day-to-Day Benefit:
Savings: None None None
Fund: R9,300 R6,760 R1,880
Hospital Choice: Netcare, Life and selected Mediclinics
Child rates: Child rates for Under 21yrs, unless student. Then, under 27yrs. Spouses/partners who are under 27 and full time students pay child rates. ; Only pay for 3 children
View all benefits for this plan
.

Bonitas Standard:

Main Adult Child
2025 cost: R 5,439 R 4,715 R 1,596
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R13,440
  • Main+1= R20,170
  • Main+2= R22,410
  • Main+3= R24,650
Main Adult Child
2026 cost: R 5,929 R 5,139 R 1,740
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R13,980
  • Main+1= R20,980
  • Main+2= R23,310
  • Main+3= R25,640
Hospital Choice: Unlimited
Child rates: Child rates for Up to 24yrs; Only pay for 3 children
View all benefits for this plan
.

Sizwe Value Platinum:

Main Adult Child
2025 cost: R 5,583 R 5,242 R 1,528
Day-to-Day Benefit:
Savings: R 14328 R 13728 R 3660
SPG*: R 2345 R 1986 R 512
ATB*: 6197 3645 1585
Main Adult Child
2026 cost: R 6,696 R 6,287 R 1,834
Day-to-Day Benefit:
Savings: R 15267 R 14334 R 4182
SPG*: R 2462 R 2085 R 538
ATB*: 6507 3827 1664
Hospital Choice:
Child rates: Child rates for Up to age 26; Only pay for 3 children
*SPG: Self Payment Gap. The least amount you can expect to pay out of pocket before ATB kicks in (see below). More info .
*ATB: Above Threshold Benefit = extra amount scheme will pay for out of hospital claims once you've paid the Self Payment Gap. More info .
View all benefits for this plan
.

Bestmed Pace 1:

Main Adult Child
2025 cost: R 5,706 R 4,008 R 1440
Day-to-Day Benefit:
Savings: R 13,008 R 9,132 R 3,288
Fund:
  • Main= R13,187
  • Main+1= R26,373
Main Adult Child
2026 cost: R 5,934 R 4,289 R 1541
Day-to-Day Benefit:
Savings: R 13,524 R 9,780 R 3,516
Fund:
  • Main= R13,794
  • Main+1= R27,586
Hospital Choice: Unlimited
Child rates: Child rates for Under 24 unless registered student, then under 26; Only pay for 3 children
View all benefits for this plan
.

Compcare ExtraCare:

Main Adult Child
2025 cost: R 5,812 R 5,812 R 2,034
Day-to-Day Benefit:
Savings: None None None
Fund: R6,700 (additional R6,700/p and R10,440/family for some treatments) R4,700 R2,400
Main Adult Child
2025 cost: R 5,812 R 5,812 R 2,034
Day-to-Day Benefit:
Savings: None None None
Fund: R6,700 (additional R6,700/p and R10,440/family for some treatments) R4,700 R2,400
Hospital Choice: Netcare or Mediclinic
Child rates: Child rates for Under 21yrs; Only pay for 3 children
View all benefits for this plan
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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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