Sizwe:
All the 2025 medical aid plans

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Hospital Plans

Sizwe Essential Copper:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 3,023 R 3023 R 1046 No No No Network
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Child rates: Up to age 26. Only pay for 3 children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Sizwe Access Core:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 2,636 R 2,273 R 530 No No No Network
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Child rates: Up to age 26. Only pay for 3 children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Saver or Funds

Sizwe Access Saver 25%:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 3,371 R 2,911 R 676 R 10080 No No Network
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Child rates: Up to age 26. Only pay for 3 children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Sizwe Gold Ascend:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 3,726 R 3,578 R 1029 No R 7,589 No
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Child rates: Up to age 26. Only pay for 3 children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Sizwe Gold Ascend EDO:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 3,543 R 3,400 R 976 No R 7,589 No Network
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Child rates: Up to age 26. Only pay for 3 children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Comprehensive

Sizwe Value Platinum:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 5,583 R 5,242 R 1,528 R 14328 No R 6197
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Child rates: Up to age 26. Only pay for 3 children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Sizwe Value Platinum Core:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 5,306 R 5,082 R 1,353 No R 6197 Network
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Child rates: Up to age 26. Only pay for 3 children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.

Sizwe Titanium Executive:

Year Main Adult Child Savings (Main) Fund (Main) ATB (Main) Hospitals
2025 R 9,788 R 8,661 R 2,000 R 24432 No Unlimited
View Full Plan
Child rates: Up to age 26. Only pay for 3 children.
ATB: Above Threshold Benefit = extra amount scheme will pay for claims once a threshold is reached.


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.