Medical aid plans
Medical aid plans

Non-income limited plans

Main Adult Child Savings? Fund? Threshold? Hospitals
Essential
Topmed
R 1,588 pm R 1,278 R 645 No No No Network
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, scopes, alternatives to hospital, extended rehab benefits, 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
Active Saver
Topmed
R 1,598 pm R 1,598 R 529 Yes No No Unlimited
Out-of-hospital, scheme pays for some: maternity, scopes, extended rehab benefits, birth control, preventative benefits. Limits apply. All else paid from savings 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
Limited
Topmed
R 2,267 pm R 990 R 416 No No No Network
Out-of-hospital, scheme pays for some: most out-of-hospital claims, with 20% co-payment. 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
Savings
Topmed
R 2,523 pm R 2,015 R 760 Yes No No Unlimited
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 from savings 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
Family
Topmed
R 3,836 pm R 3,066 R 1,048 Yes No Limited Unlimited
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 from savings, 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
Executive
Topmed
R 4,894 pm R 3,906 R 1,488 Yes No Unlimited Unlimited
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
Comprehensive
Topmed
R 6,672 pm R 5,506 R 1,566 No Yes Unlimited Unlimited
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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Network, income limited plans

Out-of-hospital, scheme pays for some: scopes, medicine, dentistry, optometry, supplementary services, radiology, pathology. Limits apply. All else paid from out of pocket, unless PMB.

Your Income: Main: Adult: Child: Hospital Choice:
R0-R1,000
R348 pm

R348 pm

R348 pm

Network
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R1,001-R8,000
R1,050 pm

R1,050 pm

R380 pm

Network
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R8,001-R11,000
R1,397 pm

R1,397 pm

R391 pm

Network
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R11,000+
R1,889 pm

R1,889 pm

R506 pm

Network
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