Medical aid plans that cost R5,001+ pm for main member (2019):

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

Main Adult Child Savings? Fund? Threshold? Hospitals
Pace 2
Bestmed
R 5,111 pm R 5,012 R 1,127 Yes Yes No Unlimited
Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, specialised radiology, contraceptives, medicine, trauma rehab and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender Network hospital (and Network provider for chronic)
Momentum
R 5,240 pm R 4,217 R 1,507 Yes No Unlimited Network
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender (State provider for chronic)
Momentum
R 5,249 pm R 4,309 R 1,543 Yes No Unlimited Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Pulse 2
Bestmed
R 5,298 pm R 5,298 R 1,124 No Yes No Network
Out-of-hospital, scheme pays for some: GP and specialist consults, dentistry, optometry, appliances, wound care, maternity, radiology and pathology, specialised radiology, medication, contraceptives and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Maxima Exec
Fedhealth
R 5,336 pm R 4,625 R 1,666 Yes Yes Limited Unlimited
Comprehensive plan with extended fund and threshold benefits (with 10% co-payment) that can be used for most out-of-hospital claims.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Classic Comprehensive
Discovery
R 5,368 pm R 5,077 R 1070 Yes No Unlimited Unlimited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits). Thereis a self payment gap.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Topmed Executive
Topmed
R 5,359 pm R 4,227 R 1,629 Yes
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid for from day-to-day benefits, which include an unlimited above threshold benefit or out-of pocket, unless PMB. Sub-limits apply.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Full Benefit B
Sizwe
R 5,273 pm R 4987 R 1052 No Yes No


Only available for income level:
R32,500+

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender Network hospital (and any provider for chronic)
Momentum
R 5,684 pm R 4,579 R 1,608 Yes No Unlimited Network
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender (Network provider for chronic)
Momentum
R 5,813 pm R 4,683 R 1,673 Yes No Unlimited Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Pace 3
Bestmed
R 5,868 pm R 4,723 R 1009 Yes Yes No Unlimited
Out-of-hospital, scheme pays for some: Preventative dentistry, optometry, maternity, specialised radiology, contraceptives, medicine, trauma rehab and preventative benefits. Limits apply. All else paid from savings, from extended fund or from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
BonComprehensive
Bonitas
R 6,438 pm R 6,072 R 1,310 Yes No Unlimited Unlimited
Out-of-hospital, scheme pays for some: specialised radiology, mental health, refractive surgery, medical appliances, hearing aids, optometry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings, above threshold or from out of pocket.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender (Any provider for chronic)
Momentum
R 6,464 pm R 5,205 R 1,855 Yes No Unlimited Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Executive
Discovery
R 6,541 pm R 6,541 R 1,248 Yes No Unlimited Unlimited
Offers comprehensive cover for most out-of-hospital benefits (with sub limits). There is a self payment gap.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Pace 4
Bestmed
R 7,330 pm R 7,330 R 1,665 Yes Yes No Unlimited
Out-of-hospital, scheme pays for some: Optometry, maternity, specialised radiology, trauma rehab, medication, contraceptives and preventative benefits. Limits apply. All else paid from extended fund, from savings or out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
ProPinnacle Savvy
Profmed
R 6,661 pm R 6,179 R 1,998 No Yes No Network


Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Comprehensive
Topmed
R 7,306 pm R 6,029 R 1,715 No
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment), maternity, scopes, alternatives to hospitalisation, extended rehab benefits, preventative benefits. Limits apply. All else paid for from day-to-day benefits, which include an unlimited above threshold benefit or out-of pocket, unless PMB. Sub-limits apply.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Platinum
Keyhealth
R 8,112 pm R 5,687 R 1,711 No Yes Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), dentistry, medicine, optometry, maternity, medical appliances, sub-acute facilities, preventative benefits. Limits apply. All else paid from fund, from above threshold benefit or from out of pocket, unless PMB.

Only available for income level:


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Main Adult Child Savings? Fund? Threshold? Hospitals
Maxima Plus
Fedhealth
R 8,354 pm R 7,204 R 2,610 Yes Yes Unlimited Unlimited
Comprehensive plan with extended fund and threshold benefits that can be used for most out-of-hospital claims.

Only available for income level:
All income levels

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