Sizwe:
All the 2025 medical aid plans

Table of Contents:

Hospital Plans

Sizwe Essential Copper:

Main Adult Child
2025 cost: R 3,023 R 3023 R 1046
Day-to-Day Benefit:
Savings: None None None
Main Adult Child
2026 cost: R 3,625 R 3625 R 1255
Day-to-Day Benefit:
Savings: None None None
Hospital Choice: Network
Child rates: Child rates for Up to age 26; Only pay for 3 children
View all benefits for this plan
.

Sizwe Access Core:

Main Adult Child
2025 cost: R 2,636 R 2,273 R 530
Day-to-Day Benefit:
Savings: None None None
Main Adult Child
2026 cost: R 3,161 R 2,726 R 636
Day-to-Day Benefit:
Savings: None None None
Hospital Choice: Network
Child rates: Child rates for Up to age 26; Only pay for 3 children
View all benefits for this plan
.

Saver or Funds

Sizwe Access Saver 25%:

Main Adult Child
2025 cost: R 3,371 R 2,911 R 676
Day-to-Day Benefit:
Savings: R 10080 R 8736 R 1992
Main Adult Child
2026 cost: R 3,911 R 3,378 R 785
Day-to-Day Benefit:
Savings: R 11733 R 10134 R 2355
Hospital Choice: Network
Child rates: Child rates for Up to age 26; Only pay for 3 children
View all benefits for this plan
.

Sizwe Gold Ascend:

Main Adult Child
2025 cost: R 3,726 R 3,578 R 1029
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R7,589
  • Main+1= R11,239
  • Main+2= R13,152
  • Main+3= R15,041
  • Main+4= R16,953
  • Main+5= R18,854
  • Main+6+= R20,743
Main Adult Child
2026 cost: R 4,468 R 4,291 R 1234
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R7,589
  • Main+1= R11,239
  • Main+2= R13,152
  • Main+3= R15,041
  • Main+4= R16,953
  • Main+5= R18,854
  • Main+6+= R20,743
Hospital Choice:
Child rates: Child rates for Up to age 26; Only pay for 3 children
View all benefits for this plan
.

Sizwe Gold Ascend EDO:

Main Adult Child
2025 cost: R 3,543 R 3,400 R 976
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R7,589
  • Main+1= R11,239
  • Main+2= R13,152
  • Main+3= R15,041
  • Main+4= R16,953
  • Main+5= R18,854
  • Main+6+= R20,743
Main Adult Child
2026 cost: R 4,249 R 4,077 R 1171
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R7,589
  • Main+1= R11,239
  • Main+2= R13,152
  • Main+3= R15,041
  • Main+4= R16,953
  • Main+5= R18,854
  • Main+6+= R20,743
Hospital Choice: Network
Child rates: Child rates for Up to age 26; Only pay for 3 children
View all benefits for this plan
.

Comprehensive

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
.

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
.

Sizwe Titanium Executive:

Main Adult Child
2025 cost: R 9,788 R 8,661 R 2,000
Day-to-Day Benefit:
Savings: R 24432 R 21624 R 5004
SPG*: R 5335 R 4422 R 2023
Main Adult Child
2026 cost: R 11,737 R 10,385 R 2,399
Day-to-Day Benefit:
Savings: R 29296 R 25921 R 5988
SPG*: R 5602 R 4643 R 2124
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
.
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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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