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Simeka Health Pty Ltd

The right medical scheme and option, can protect your health and your pocket.

Simeka Health Pty (Ltd) is a healthcare consulting and advisory business. Simeka Health Pty (Ltd) is a registered authorised Financial Service Provider, accredited by the Council for Medical Schemes and represents various medical schemes, gap cover providers and primary care health insurance providers.

At Simeka Health we believe that your medical scheme option should provide you and your loved ones with benefits that cover all your needs, at a rate that’s affordable for you. Our mission is to provide health benefit solutions that suit our clients’ unique requirements for continuous enhancement of their well-being. Our specialised team of accredited healthcare consultants is equipped with the required knowledge and expertise to analyse your needs and provide you with obligation free quotations at no additional cost to you.

Individuals: We assist individuals with the appropriate healthcare solutions best suited for their needs.
For more information, please download the brochure.

Employers: At Simeka Health we can assist in implementing appropriate and cost-effective healthcare solutions for your employees. Alternatively, if you have a programme in place, we can help by maximising your employee benefits at more affordable levels.
For more information, please download the brochure.

Gap Cover: Simeka Health offers Gap Cover solutions that will protect you against unexpected medical expenses.
For more information, please download the brochure.

Summary of 2024 Options and Contributions

We understand that no two people or families’ health care needs are the same, and no one understands your own personal needs better than you. That’s why we are proud to work with some of the most trusted and reputable medical schemes in South Africa to bring you an extensive range of health plan options - because when it comes to the good health of your family, you deserve to choose from the best of the best.

  • Entry-level plans offering basic primary care via network providers, generally income based
  • Designed for lower-income earners and younger families with primary care needs who are willing to make use of network providers
Scheme Plan Hospital Provider Chronic Provider Out-of-hospital Benefit Monthly Income Principal Member Adult Dependant Child Dependant
Bestmed Rhythm 1 MediClinic and NHN DSP's Bestmed listed phy Day-to-day benefits R0 - R9 000 R 1 432 R 1 432 R 590
MediClinic and NHN DSP's Bestmed listed phy Day-to-day benefits R9 000 - R14 000 R 1 670 R 1 670 R 710
MediClinic and NHN DSP's Bestmed listed phy Day-to-day benefits R14 001+ R 2 983 R 2 983 R 1 545
Rhythm 2 MediClinic and NHN DSP's Bestmed listed phy Day-to-day benefits R0 - R5 500 R 2 100 R 1 996 R 1 264
MediClinic and NHN DSP's Bestmed listed phy Day-to-day benefits R5 501 - R8 500 R 2 523 R 2 397 R 1 514
MediClinic and NHN DSP's Bestmed listed phy Day-to-day benefits R8 501+ R 3 027 R 2 725 R 1 514
Bonitas BonCap BonCap Hospital networks Pharmacy Direct Day-to-day benefits R0 - R10 680 R 1 430 R 1 430 R 673
BonCap Hospital networks Pharmacy Direct Day-to-day benefits R10 681 - R17 330 R 1 745 R 1 745 R 802
BonCap Hospital networks Pharmacy Direct Day-to-day benefits R17 331 - R22 540 R 2 813 R 2 813 R 1 064
BonCap Hospital networks Pharmacy Direct Day-to-day benefits R22 541+ R 3 453 R 3 453 R 1 310
BonStart BonStart Hospital Networks Pharmacy Direct Day-to-day benefits / Virtual N/A R 1 378 R 1 378 R 1 378
BonStart Plus BonStart Hospital Networks Pharmacy Direct Day-to-day benefits / Virtual N/A R 1 754 R1 668 R 773
Discovery Health KeyCare Plus KeyCare network hospital MedXpress Day-to-day benefits R0 to R9 450 R 1 652 R 1 652 R 601
KeyCare network hospital MedXpress Day-to-day benefits R 9 451 - R 15 250 R 2 271 R 2 271 R 640
KeyCare network hospital MedXpress Day-to-day benefits R15 251 R 3 354 R 3 354 R 897
KeyCare Core KeyCare network hospital MedXpress No day-to-day benefits R0 - R 9450 R 1 239 R 1 239 R 755
KeyCare network hospital MedXpress No day-to-day benefits R 9 451 - R 15 250 R 2 085 R 2 085 R 817
KeyCare network hospital MedXpress No day-to-day benefits R 15 251 R 3 247 R 3 247 R 883
KeyCare Start KeyCare network hospital MedXpress Day-to-day benefits R0 - R10 100 R 1 286 R 1 286 R 336
KeyCare network hospital MedXpress Day-to-day benefits R 10 101 - R15 250 R 1 604 R 1 604 R 398
KeyCare network hospital MedXpress Day-to-day benefits R15 251 R 2 454 R 2 454 R 557
KeyCare Start Regional KeyCare network hospital MedXpress Day-to-day benefits R0 - R10 100 R 1 102 R 1 102 R 664
KeyCare network hospital MedXpress Day-to-day benefits R10 101 - R 15 250 R 1 666 R 1 666 R 735
KeyCare network hospital MedXpress Day-to-day benefits R15 251 R 2 597 R 2 597 R 795
Fedhealth myFED myFED network hospital Designated pharmacy network Day-to-day benefits R1 - R6 251 R 1,402 R 1,402 R 597
myFED network hospital Designated pharmacy network Day-to-day benefits R6 252 - R8 550 R 1,430 R 1,430 R 661
myFED network hospital Designated pharmacy network Day-to-day benefits R8 551 - R10 219 R 1,706 R 1,482 R 834
myFED network hospital Designated pharmacy network Day-to-day benefits R10 220 - R12 622 R 2,392 R 2,088 R 1 041
myFED network hospital Designated pharmacy network Day-to-day benefits R12 623 - R14 426 R 3,040 R 2,506 R 1,188
myFED network hospital Designated pharmacy network Day-to-day benefits R14 427+ R 4,123 R 3,756 R 1,571
Momentum Ingwe Option State Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network <=R825 R 541 R 541 R 466
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R876 - R8 550 R 942 R 942 R 508
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R8 551 - R11 325 R1 078 R1 078 R 521
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R11 326 - R16 100 R 1 259 R 1 259 R 544
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R16 101 + R 2 174 R 2 174 R 653
Ingwe Option network Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network <=R875 R 541 R 541 R 488
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R876 - R8 550 R 1 184 R 1 184 R 542
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R8 551 - R11 325 R 1 507 R 1 507 R 564
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R11 326 - R16 100 R2 069 R2 069 R 609
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R16 101 + R 2 970 R 2 970 R 875
Ingwe Option Any Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network <=R875 R 541 R 541 R 541
Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network R876 - R8 550 R1 538 R1 538 R 610
Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network R8 551 - R11 325 R2 151 R2 151 R 650
Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network R11 326 - R16 100 R2 930 R2 930 R 683
Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network R16 101 + R 3 760 R 3 760 R 1 091
Fusion Option Fusion Network State None <= R8 550 R1 199 R1 199 R 314
Fusion Network State None R8 551 - R11 325 R1 432 R1 432 R 356
Fusion Network State None R11 326 - R16 100 R1 476 R1 476 R 367
Fusion Network State None R16 101 - R22 200 R2 404 R2 404 R 546
Fusion Network State None R22 201 + R2 765 R2 765 R 628

Bestmed Rhythm 2

Hospital Provider Rhythm Hospital network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R0 - R5 500
Principal Member R 2 100
Adult Dependant R 1 996
Child Dependant R 1 264

Bestmed Rhythm 2

Hospital Provider Rhythm Hospital network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R5 501 - R8 500
Principal Member R 2 523
Adult Dependant R 2 397
Child Dependant R 1 514

Bestmed Rhythm 2

Hospital Provider Rhythm Hospital network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R8 501+
Principal Member R 3 027
Adult Dependant R 2 725
Child Dependant R 1 514

Bestmed Rhythm 1

Hospital Provider Rhythm Hospital network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R0 - R9 000
Principal Member R 1 432
Adult Dependant R 1 432
Child Dependant R 590

Bestmed Rhythm 1

Hospital Provider Rhythm Hospital network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R9 000 - R14 000
Principal Member R 1 670
Adult Dependant R 1 670
Child Dependant R710

Bestmed Rhythm 1

Hospital Provider Rhythm Hospital network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R14 000+
Principal Member R 2 983
Adult Dependant R 2 983
Child Dependant R 1 545

Bonitas BonCap

Hospital Provider BonCap Hospital networks
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R0 - R10 680
Principal Member R 1 430
Adult Dependant R 1 430
Child Dependant R673

Bonitas BonCap

Hospital Provider BonCap Hospital networks
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R10 681 - R17 330
Principal Member R 1 745
Adult Dependant R 1 745
Child Dependant R802

Bonitas BonCap

Hospital Provider BonCap Hospital networks
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R17 331 - R22 540
Principal Member R 2 813
Adult Dependant R 2 813
Child Dependant R1 064

Bonitas BonCap

Hospital Provider BonCap Hospital networks
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R22 541+
Principal Member R 3 453
Adult Dependant R 3 453
Child Dependant R1 310

Bonitas BonStart

Hospital Provider Network C
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits / Virtual
Monthly Income N/A
Principal Member R 1 378
Adult Dependant R 1 378
Child Dependant R 1 378

Bonitas BonStart Plus

Hospital Provider Network C
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits / Virtual
Monthly Income N/A
Principal Member R 1 754
Adult Dependant R 1 668
Child Dependant R773

Discovery Health KeyCare Plus

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R0 to R9 450
Principal Member R 1 652
Adult Dependant R 1 652
Child Dependant R601

Discovery Health KeyCare Plus

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R9 451 to R15 250
Principal Member R 2 271
Adult Dependant R 2 271
Child Dependant R640

Discovery Health KeyCare Plus

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R15 251
Principal Member R 3 354
Adult Dependant R 3 354
Child Dependant R897

Discovery Health KeyCare Core

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit No day-to-day benefits
Monthly Income R 0 - R 9450
Principal Member R 1 239
Adult Dependant R 1 239
Child Dependant R755

Discovery Health KeyCare Core

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit No day-to-day benefits
Monthly Income R 9 451 - R 15 250
Principal Member R 2 085
Adult Dependant R 2 085
Child Dependant R817

Discovery Health KeyCare Core

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit No day-to-day benefits
Monthly Income R15 251
Principal Member R 3 354
Adult Dependant R 3 354
Child Dependant R897

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R0 - R10 100
Principal Member R 1 286
Adult Dependant R 1 286
Child Dependant R 336

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R 10 101 - R 15 250
Principal Member R 1 604
Adult Dependant R 1 604
Child Dependant R398

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R 15 251
Principal Member R 2 454
Adult Dependant R 2 454
Child Dependant R557

Discovery Health KeyCare Regional

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R0 - R10 100
Principal Member R 1 102
Adult Dependant R 1 102
Child Dependant R664

Discovery Health KeyCare Regional

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R10 101 - R15 250
Principal Member R 1 666
Adult Dependant R 1 666
Child Dependant R735

Discovery Health KeyCare Regional

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income 15251
Principal Member R 2 597
Adult Dependant R 2 597
Child Dependant R795

Fedhealth myFED

Hospital Provider myFED network hospital
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R1 - R6 251
Principal Member R1 402
Adult Dependant R1 402
Child Dependant R597

Fedhealth myFED

Hospital Provider myFED network hospital
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R6 252 - R8 550
Principal Member R1 430
Adult Dependant R1 430
Child Dependant R661

Fedhealth myFED

Hospital Provider myFED network hospital
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R8 551 - R10 219
Principal Member R1 706
Adult Dependant R1 482
Child Dependant R834

Fedhealth myFED

Hospital Provider myFED network hospital
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R10 220 - R12 622
Principal Member R2 392
Adult Dependant R2 088
Child Dependant R 1 041

Fedhealth myFED

Hospital Provider myFED network hospital
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R12 623 - R14 426
Principal Member R3 040
Adult Dependant R2 506
Child Dependant R1 188

Fedhealth myFED

Hospital Provider myFED network hospital
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R14 427+
Principal Member R4 123
Adult Dependant R3 756
Child Dependant R1 571

Momentum Ingwe Option State

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R875
Principal Member R 541
Adult Dependant R 541
Child Dependant R466

Momentum Ingwe Option State

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R876 - R8 550
Principal Member R 942
Adult Dependant R 942
Child Dependant R508

Momentum Ingwe Option State

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R8 551 - R11 325
Principal Member R1 078
Adult Dependant R1 078
Child Dependant R521

Momentum Ingwe Option State

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R11 326 - R16 100
Principal Member R 1 259
Adult Dependant R 1 259
Child Dependant R544

Momentum Ingwe Option State

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R16 101 +
Principal Member R 2 174
Adult Dependant R 2 174
Child Dependant R 653

Momentum Ingwe Option Network

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income <=R875
Principal Member R 541
Adult Dependant R 541
Child Dependant R488

Momentum Ingwe Option Network

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R876 - R8 550
Principal Member R 1 184
Adult Dependant R 1 184
Child Dependant R542

Momentum Ingwe Option Network

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R8 551 - R11 325
Principal Member R 1 507
Adult Dependant R 1 507
Child Dependant R564

Momentum Ingwe Option Network

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R11 326 - R16 100
Principal Member R2 069
Adult Dependant R2 069
Child Dependant R609

Momentum Ingwe Option Network

Hospital Provider Ingwe Primary Care network
Chronic Provider Ingwe Primary Care network
Out-of-hospital Benefit Ingwe Primary Care network
Monthly Income R16 101 +
Principal Member R 2 970
Adult Dependant R 2 970
Child Dependant R 875

Momentum Ingwe Option Any

Hospital Provider Ingwe Active Primary Care network
Chronic Provider Ingwe Active Primary Care network
Out-of-hospital Benefit Ingwe Active Primary Care network
Monthly Income <=R875
Principal Member R 541
Adult Dependant R 541
Child Dependant R 541

Momentum Ingwe Option Any

Hospital Provider Ingwe Active Primary Care network
Chronic Provider Ingwe Active Primary Care network
Out-of-hospital Benefit Ingwe Active Primary Care network
Monthly Income R876 - R8 550
Principal Member R1 538
Adult Dependant R1 538
Child Dependant R610

Momentum Ingwe Option Any

Hospital Provider Ingwe Active Primary Care network
Chronic Provider Ingwe Active Primary Care network
Out-of-hospital Benefit Ingwe Active Primary Care network
Monthly Income R8 551 - R11 325
Principal Member R2 151
Adult Dependant R2 151
Child Dependant R650

Momentum Ingwe Option Any

Hospital Provider Ingwe Active Primary Care network
Chronic Provider Ingwe Active Primary Care network
Out-of-hospital Benefit Ingwe Active Primary Care network
Monthly Income R11 326 - R16 100
Principal Member R2 930
Adult Dependant R2 930
Child Dependant R683

Momentum Ingwe Option Any

Hospital Provider Ingwe Active Primary Care network
Chronic Provider Ingwe Active Primary Care network
Out-of-hospital Benefit Ingwe Active Primary Care network
Monthly Income R16 101 +
Principal Member R 3 760
Adult Dependant R 3 760
Child Dependant R 1 091

Momentum Fusion Option

Hospital Provider Fusion Network
Chronic Provider State
Out-of-hospital Benefit None
Monthly Income <= R8 550
Principal Member R1 199
Adult Dependant R1 199
Child Dependant R314

Momentum Fusion Option

Hospital Provider Fusion Network
Chronic Provider State
Out-of-hospital Benefit None
Monthly Income R8 551 - R11 325
Principal Member R1 432
Adult Dependant R1 432
Child Dependant R356

Momentum Fusion Option

Hospital Provider Fusion Network/td>
Chronic Provider State
Out-of-hospital Benefit None
Monthly Income R11 326 - R16 100
Principal Member R1 476
Adult Dependant R1 476
Child Dependant R367

Momentum Fusion Option

Hospital Provider Fusion Network
Chronic Provider State
Out-of-hospital Benefit None
Monthly Income R16 101 - R22 200
Principal Member R2 404
Adult Dependant R2 404
Child Dependant R546

Momentum Fusion Option

Hospital Provider Fusion Network
Chronic Provider State
Out-of-hospital Benefit None
Monthly Income R22 201 +
Principal Member R2 765
Adult Dependant R2 765
Child Dependant R628
  • Primarily covers in-hospital treatment
  • Designed for healthier individuals who require cover for major medical expenses and manage their out-of-hospital costs in their own capacity
Scheme Plan Hospital Provider Chronic Provider Out-of-hospital Benefit Principal Member Adult Dependant Child Dependant
Bestmed Beat 1 Network MediClinic and NHN DSP's Bestmed listed phy None R 1 873 R 1 456 R 789
Beat 1 Non-network Any Bestmed listed phy None R 2 082 R1616 R 875
Bonitas Hospital Standard Network A Pharmacy Direct None R 2 964 R 2 497 R1 127
BonEssential Any Pharmacy Direct None R 2 287 R 1 690 R739
BonEssential Select Network B Pharmacy Direct None R 1998 R 1 464 R 659
Discovery Health Classic Smart Smart network MedXpress Yes, limited at network R 2 627 R 2 073 R1 049
Essential Smart Smart network MedXpress Yes, limited at network R 1 881 R 1 881 R 1 881
Essential Dynamic Smart Smart network MedXpress Yes, limited at network R 1 565 R 1 565 R 1 565
Classic Core Any MedXpress None R 3 322 R 2 621 R 1 329
Classic Delta Core Delta network MedXpress None R 2 659 R 2 097 R 1 063
Essential Core Any MedXpress None R 2 855 R 2 141 R 1 146
Essential Delta Core Delta network MedXpress None R 2 281 R 1 716 R 915
Coastal Core Coastal regions MedXpress None R 2 714 R 2 037 R 1 078
Fedhealth flexiFED Savvy Savvy Network hospitals Any Flexible Medi-Vault R 965 R 965 R709
flexiFED 1 Network hospitals flexiFED 1 Network hospitals Any Nominal savings with flexible Medi-Vault R 2 201 R 1 725 R 806
flexiFED 1 Elect Elect network hospitals Any Nominal savings with flexible Medi-Vault R 1 716 R 1 341 R 625
flexiFED 2 All except 7 hospitals Any Nominal savings with flexible Medi-Vault R 3 328 R 2 961 R 982
flexiFED 2 GRID GRID network hospitals Any Nominal savings with flexible Medi-Vault R 2,984 R 2,660 R 881
flexiFED 2 Elect Elect network hospitals Any Nominal savings with flexible Medi-Vault R2 491 R2 227 R740
flexiFED 3 All except 7 hospitals Any Nominal savings with flexible Medi-Vault R 3 796 R 3 477 R 1 345
flexiFED 3 GRID GRID network hospitals Any Nominal savings with flexible Medi-Vault R 3 404 R 3 122 R 1 207
flexiFED 3 Elect Elect network hospitals Any Nominal savings with flexible Medi-Vault R 2 844 R 2 608 R 1 009
flexiFED 4 All except 7 hospitals Any Nominal savings with flexible Medi-Vault and Threshold R 5 081 R 4 637 R 1 528
flexiFED 4 GRID GRID network hospitals Any Nominal savings with flexible Medi-Vault and Threshold R 4 552 R 4 163 R 1 372
flexiFED 4 Elect Elect network hospitals Any Nominal savings with flexible Medi-Vault and Threshold R 3 805 R 3 546 R 1 167
Momentum Custom option Associated Any None R3 089 R2 437 R1 089
Custom option Associated Associated None R2 770 R2 148 R 979
Custom option Associated State None R2 149 R1 626 R 762
Custom option Any Any None R3 685 R2 957 R1 315
Custom option Any Associated None R 3 284 R2 566 R1 194
Custom option Any State None R2 737 R2 066 R1 003
Evolve Option Evolve Network State None R1 687 R1 687 R1 687

Bestmed Beat 1 Network

Hospital Provider MediClinic and NHN DSP's
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit None
Principal Member R 1 873
Adult Dependant R 1 456
Child Dependant R 789

Bestmed Beat 1 Non-network

Hospital Provider Any
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit None
Principal Member R 2 082
Adult Dependant R 1 616
Child Dependant R 875

Bonitas Hospital Standard

Hospital Provider Network A
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit None
Principal Member R 2 964
Adult Dependant R 2 497
Child Dependant R 1 127

Bonitas BonEssential

Hospital Provider Any
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit None
Principal Member R 2 287
Adult Dependant R 1 690
Child Dependant R 739

Bonitas BonEssential Select

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit None
Principal Member R 1 998
Adult Dependant R 1 464
Child Dependant R 659

Discovery Health Classic Smart

Hospital Provider Smart network
Chronic Provider MedXpress
Out-of-hospital Benefit Yes, limited at network
Principal Member R 2 627
Adult Dependant R 2 073
Child Dependant R 1 049

Discovery Health Essential Smart

Hospital Provider Smart network
Chronic Provider MedXpress
Out-of-hospital Benefit Yes, limited at network
Principal Member R 1 881
Adult Dependant R 1 881
Child Dependant R 1 881

Discovery Health Essential Dynamic Smart

Hospital Provider Smart network
Chronic Provider MedXpress
Out-of-hospital Benefit Yes, limited at network
Principal Member R 1 565
Adult Dependant R 1 565
Child Dependant R 1 565

Discovery Health Classic Core

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R33 22
Adult Dependant R 2 621
Child Dependant R 1 329

Discovery Health Classic Delta Core

Hospital Provider Delta network
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R 2 659
Adult Dependant R 2 097
Child Dependant R 1 063

Discovery Health Essential Core

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R 2 855
Adult Dependant R 2 141
Child Dependant R 1 146

Discovery Health Essential Delta Core

Hospital Provider Delta network
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R 2 281
Adult Dependant R 1 716
Child Dependant R 915

Discovery Health Coastal Core

Hospital Provider Coastal regions
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R 2 714
Adult Dependant R 2 037
Child Dependant R 1 078

Fedhealth flexiFED 1 Network hospitals

Hospital Provider flexiFED Savvy network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Flexible Medi-Vault/Wallet
Principal Member R 965
Adult Dependant R 965
Child Dependant R709
Hospital Provider flexiFED 1 network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R 2 201
Adult Dependant R 1 725
Child Dependant R 806

Fedhealth flexiFED 1 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R 1 716
Adult Dependant R 1 341
Child Dependant R 625

Fedhealth flexiFED 2

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R 3 328
Adult Dependant R 2 961
Child Dependant R 982

Fedhealth flexiFED 2 GRID

Hospital Provider GRID network hospitals
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R 2 984
Adult Dependant R2 660
Child Dependant R 881

Fedhealth flexiFED 2 Elect

Hospital Provider Elect network hospitals
Chronic Provider Any
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R 2 491
Adult Dependant R 2 227
Child Dependant R 740

Fedhealth flexiFED 3

Hospital Provider All except 7 hospitals
Chronic Provider Any
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R 3 796
Adult Dependant R 3 477
Child Dependant R 1 345

Fedhealth flexiFED 3 GRID

Hospital Provider GRID network hospitals
Chronic Provider Any
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R 3 404
Adult Dependant R 3 122
Child Dependant R 1 207

Fedhealth flexiFED 3 Elect

Hospital Provider Elect network hospitals
Chronic Provider Any
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R 2 844
Adult Dependant R 2 608
Child Dependant R 1 009

Fedhealth flexiFED 4

Hospital Provider All except 7 hospitals
Chronic Provider Any
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet and Threshold
Principal Member R 5 081
Adult Dependant R 4 637
Child Dependant R 1 528

Fedhealth flexiFED 4 GRID

Hospital Provider GRID network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet and Threshold
Principal Member R 4 552
Adult Dependant R 4 163
Child Dependant R 1 372

Fedhealth flexiFED 4 Elect

Hospital Provider Elect network hospitals
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet and Threshold
Principal Member R 3 805
Adult Dependant R 3 546
Child Dependant R 1 167

Momentum Custom option

Hospital Provider Associated
Chronic Provider Any
Out-of-hospital Benefit None
Principal Member R3 089
Adult Dependant R2 437
Child Dependant R1 089

Momentum Custom option

Hospital Provider Associated
Chronic Provider Associated
Out-of-hospital Benefit None
Principal Member R2 770
Adult Dependant R2 148
Child Dependant R 979

Momentum Custom option

Hospital Provider Associated
Chronic Provider State
Out-of-hospital Benefit None
Principal Member R2 149
Adult Dependant R1 626
Child Dependant R 762

Momentum Custom option

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit None
Principal Member R3 685
Adult Dependant R2 957
Child Dependant R1 315

Momentum Custom option

Hospital Provider Any
Chronic Provider Associated
Out-of-hospital Benefit None
Principal Member R 3 284
Adult Dependant R2 566
Child Dependant R1 194

Momentum Custom option

Hospital Provider Any
Chronic Provider State
Out-of-hospital Benefit None
Principal Member R2 737
Adult Dependant R2 066
Child Dependant R1 003

Evolve Option

Hospital Provider Evolve Network
Chronic Provider State
Out-of-hospital Benefit None
Principal Member R1 687
Adult Dependant R1 687
Child Dependant R1 687
  • Includes a limited savings component to fund out-of-hospital expenses
  • Designed for younger, healthier families who require flexibility in terms of their cover for basic out-of-hospital expenses
Scheme Plan Hospital Provider Chronic Provider Out-of-hospital Benefit Principal Member Adult Dependant Child Dependant
Bestmed Beat 2 network MediClinic and NHN DSP's Bestmed listed phy MSA16% R 2 289 R 1 779 R 963
Beat 2 Non-network Any Bestmed listed phy Savings R 2 545 R 1 976 R 1 071
Beat 3 network MediClinic and NHN DSP's Bestmed listed phy MSA15% R 3 352 R 2 391 R 1 183
Beat 3 Non-network Any Bestmed listed phy Savings and Optometry R 3 724 R 2 656 R 1 314
Bonitas Bonfit Select Network A Pharmacy Direct Savings R 2 295 R 1 719 R 772
BonSave Network A Pharmacy Direct Savings R 3 447 R 2 671 R 1 032
Discovery Health Classic Saver Any MedXpress MSA 20% R 4 182 R 3 299 R 1 676
Classic Delta Saver Delta Network Hospitals MedXpress MSA 20% R 3 342 R 2 640 R 1 342
Essential Saver Any MedXpress MSA 10% R 3 351 R 2 514 R 1 342
Essential Delta Saver Delta network MedXpress MSA 10% R 2 673 R 2 017 R 1 072
Coastal Saver Coastal Hospitals MedXpress MSA 15% R 3 423 R 2 574 R 1 382
Fedhealth flexiFED Savvy Savvy Network hospitals Any MediVault R965 + MediVault R965 + MediVault R709 + MediVault
flexiFED 1 Network hospitals FlexiFED 1 network hospitals Any MediVault R2,201 + MediVault R1,725 + MediVault R806 + MediVault
flexiFED 1 Elect Elect network hospitals Any MediVault R1,716 + MediVault R1,341 + MediVault R625 + MediVault
flexiFED 2 All except 7 hospitals Any MediVault R3,328 + MediVault R2,961 + MediVault R982 + MediVault
flexiFED 2 GRID GRID network hospitals Any MediVault R2,984 + MediVault R2,660 + MediVault R881 + MediVault
flexiFED 2 Elect Elect network hospitals Any MediVault R2,491 + MediVault R2,227 + MediVault R740 + MediVault
flexiFED 3 All except 7 hospitals Any MediVault R3,796 + MediVault R3,477 + MediVault R1,345 + MediVault
flexiFED 3 GRID GRID network hospitals Any MediVault R3,404 + MediVault R3,122 + MediVault R1,207 + MediVault
flexiFED 3 Elect Elect network hospitals Any MediVault R2,844 + MediVault R2,608 + MediVault R1,009 + MediVault
flexiFED 4 All except 7 hospitals Any MediVault R5,081 + MediVault R4,637 + MediVault R1,528 + MediVault
flexiFED 4 GRID GRID network hospitals Any MediVault R4,552 + MediVault R4,163 + MediVault R1,372 + MediVault
flexiFED 4 Elect Elect network hospitals Any MediVault R3,805 + MediVault R3,546 + MediVault R1,167 + MediVault
Momentum Incentive Option Associated Any Savings R4 397 R3 538 R1 642
Incentive Option Associated Associated Savings R3 932 R3 128 R1 493
Incentive Option Associated State Savings R2 794 R2 206 R1 072
Incentive Option Any Any Savings R4 970 R4 039 R1 938
Incentive Option Any Associated Savings R4 279 R3 431 R1 681
Incentive Option Any State Savings R3 471 R2 734 R1 373

Bestmed Beat 2 Network

Hospital Provider MediClinic and NHN DSP's
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit MSA16%
Principal Member R 2 289
Adult Dependant R 1 779
Child Dependant R 963

Bestmed Beat 2 Non-network

Hospital Provider Any
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings
Principal Member R 2 545
Adult Dependant R 1 976
Child Dependant R 1 071

Bestmed Beat 3 Network

Hospital Provider MediClinic and NHN DSP's
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit MSA15%
Principal Member R 3 352
Adult Dependant R 2 391
Child Dependant R 1 183

Bestmed Beat 3 Non-network

Hospital Provider Any
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and Optometry
Principal Member R 3 724
Adult Dependant R 2 656
Child Dependant R 1 314

Bonitas Bonfit Select

Hospital Provider Network A
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Savings
Principal Member R 2 295
Adult Dependant R 1 719
Child Dependant R722

Bonitas BonSave

Hospital Provider Network A
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Savings
Principal Member R 3 447
Adult Dependant R 2 671
Child Dependant R 1 032

Discovery Health Classic Saver

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit MSA 20%
Principal Member R 4 182
Adult Dependant R 3 299
Child Dependant R 1 676

Discovery Health Classic Delta Saver

Hospital Provider Delta Network Hospitals
Chronic Provider MedXpress
Out-of-hospital Benefit MSA 10%
Principal Member R 3 342
Adult Dependant R 2 640
Child Dependant R 1 342

Discovery Health Essential Saver

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit MSA 10%
Principal Member R 3 351
Adult Dependant R 2 514
Child Dependant R 1 342

Discovery Health Essential Delta Saver

Hospital Provider Delta Network Hospitals
Chronic Provider MedXpress
Out-of-hospital Benefit MSA 10%
Principal Member R 2 673
Adult Dependant R 2 017
Child Dependant R 1 072

Discovery Health Coastal Saver

Hospital Provider Coastal Hospitals
Chronic Provider MedXpress
Out-of-hospital Benefit MSA 15%
Principal Member R 3 423
Adult Dependant R 2 574
Child Dependant R 1 382

Fedhealth flexiFED 1 Network hospitals

Hospital Provider flexiFED Savvy Network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 1 365
Adult Dependant R 965
Child Dependant R709
Hospital Provider FlexiFED 1 Network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 2 513
Adult Dependant R 1 881
Child Dependant R909

Fedhealth flexiFED 1 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 2 028
Adult Dependant R 1 497
Child Dependant R728

Fedhealth flexiFED 2

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 3 743
Adult Dependant R 3 170
Child Dependant R 1 344

Fedhealth flexiFED 2 GRID

Hospital Provider GRID network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 3 399
Adult Dependant R 2 869
Child Dependant R 1 243

Fedhealth flexiFED 2 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 2 906
Adult Dependant R 2 436
Child Dependant R 1 102

Fedhealth flexiFED 3

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 4 420
Adult Dependant R 3 683
Child Dependant R 1 607

Fedhealth flexiFED 3 GRID

Hospital Provider GRID network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 4 028
Adult Dependant R 3 328
Child Dependant R 1 469

Fedhealth flexiFED 3 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 3 468
Adult Dependant R 2 814
Child Dependant R 1 271

Fedhealth flexiFED 4

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 6 120
Adult Dependant R 5 417
Child Dependant R 1 784

Fedhealth flexiFED 4 GRID

Hospital Provider GRID network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 5 591
Adult Dependant R 4 943
Child Dependant R 1 628

Fedhealth flexiFED 4 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R 4 844
Adult Dependant R 4 326
Child Dependant R 1 423

Momentum Incentive option

Hospital Provider Associated
Chronic Provider Any
Out-of-hospital Benefit Savings
Principal Member R4 397
Adult Dependant R3 538
Child Dependant R1 642

Momentum Incentive option

Hospital Provider Associated
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R3 932
Adult Dependant R3 128
Child Dependant R1 493

Momentum Incentive option

Hospital Provider Associated
Chronic Provider State
Out-of-hospital Benefit Savings
Principal Member R2 794
Adult Dependant R2 206
Child Dependant R1 072

Momentum Incentive option

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings
Principal Member R4 970
Adult Dependant R4 039
Child Dependant R1 938

Momentum Incentive option

Hospital Provider Any
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R4 279
Adult Dependant R3 431
Child Dependant R1 681

Momentum Incentive option

Hospital Provider Any
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R3 471
Adult Dependant R2 734
Child Dependant R1 373
  • Provides a set amount of day-to-day scheme benefits per benefit category, e.g. GP visits, dentistry, optical benefits, etc.
  • Designed for families and individuals with specific healthcare needs
Scheme Plan Hospital Provider Chronic Provider Out-of-hospital Benefit Principal Member Adult Dependant Child Dependant
Bonitas Standard Any hospital Pharmacy Direct Day-to-day benefits R 4 922 R 4 267 R 1 444
Standard Select Network B Pharmacy Direct / Bonitas Networks Day-to-day benefits R 4 448 R 3 849 R 1 302
Primary Any Hospital Pharmacy Direct / Bonitas Networks Day-to-day benefits R 2 993 R 2 341 R 952
Primary Select Network B Pharmacy Direct / Bonitas Networks Day-to-day benefits R 2 619 R 2 048 R 832
Momentum Summit Option Any hospital Freedom of choice Freedom of choice R13 573 R10 855 R3 118

Bonitas Standard

Hospital Provider Any hospital
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Principal Member R 4 922
Adult Dependant R 4 267
Child Dependant R 1 444

Bonitas Standard Select

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Principal Member R 4 448
Adult Dependant R 3 849
Child Dependant R 1 302

Bonitas Primary

Hospital Provider Any hospital
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Principal Member R 2 993
Adult Dependant R 2 341
Child Dependant R 952

Bonitas Primary Select

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Principal Member R 2 619
Adult Dependant R 2 048
Child Dependant R 832

Momentum Summit Option

Hospital Provider Any hospital
Chronic Provider Freedom of choice
Out-of-hospital Benefit Freedom of choice
Principal Member R13 573
Adult Dependant R10 855
Child Dependant R3 118
  • Offers a combination of day-to-day scheme benefits and savings for out-of-hospital expenses
  • Designed for families who require generous benefits for out-of-hospital expenses
Scheme Plan Hospital Provider Chronic Provider Out-of-hospital Benefit Principal Member Adult Dependant Child Dependant
Bestmed Beat 3 Plus Any hospital Bestmed listed phy Savings & supplementary benefits and optometry R 4 300 R 3 091 R 1 569
Bestmed Beat3Plus (new) Any hospital Bestmed listed phy Savings & supplementary benefits and optometry R4 300 R 3 091 R 1 569
Beat 4 Any hospital Bestmed listed phy Savings and scheme benefits R 6 059 R 5 004 R 1 498
Pace 1 Any hospital Bestmed listed phy Savings and scheme benefits R 5 061 R 3 555 R 1 277
Pace 2 Any hospital Bestmed listed phy Savings and scheme benefits R 7 212 R 7 072 R 1 590
Pace 3 Any hospital Bestmed listed phy Savings and scheme benefits R 8 280 R 6 665 R 1 424
Pace 4 Any hospital Bestmed listed phy Savings and scheme benefits R 10 343 R 10 343 R 2 423
Bonitas BonClassic Network A Pharmacy Direct / Bonitas Network Savings/day-to-day benefits combined R 6 732 R 5 780 R 1 662
BonComplete Network A Pharmacy Direct / Bonitas Network Savings/day-to-day benefits combined R 5 359 R 4 293 R 1 455
Fedhealth Maxima Plus Any Any Savings with scheme benefits and threshold R 14 883 R 12 846 R 4 598

Bestmed Beat 3 Plus

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings & supplementary benefits and optometry
Principal Member R 4 300
Adult Dependant R 3 091
Child Dependant R 1 569

Bestmed Beat 4

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R 6 059
Adult Dependant R 5 004
Child Dependant R 1 498

Bestmed Pace 1

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R 5 061
Adult Dependant R 3 555
Child Dependant R 1 277

Bestmed Pace 2

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R 7 212
Adult Dependant R 7 072
Child Dependant R 1 590

Bestmed Pace 3

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R 8 280
Adult Dependant R 6 665
Child Dependant R 1 424

Bestmed Pace 4

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R 10 343
Adult Dependant R 10 343
Child Dependant R2 423

Bonitas BonClassic

Hospital Provider Network A
Chronic Provider Pharmacy Direct / Bonitas Network
Out-of-hospital Benefit Savings/day-to-day benefits combined
Principal Member R 6 732
Adult Dependant R 5 780
Child Dependant R 1 662

Bonitas BonComplete

Hospital Provider Network A
Chronic Provider Pharmacy Direct / Bonitas Network
Out-of-hospital Benefit Savings/day-to-day benefits combined
Principal Member R 5 359
Adult Dependant R 4 293
Child Dependant R 1 455

Fedhealth Maxima Plus

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings with scheme benefits and threshold
Principal Member R 14 883
Adult Dependant R 12 846
Child Dependant R 4 598
  • Comprehensive plans with extensive cover for out-of-hospital expenses subject to sub-limits
  • Designed for families and individuals who require generous benefits for out-of-hospital expenses, as well as cover for additional chronic conditions
Scheme Plan Hospital Provider Chronic Provider Out-of-hospital Benefit Principal Member Adult Dependant Child Dependant
Bonitas BonComprehensive Any Pharmacy Direct / Bonitas Network Savings R 9 853 R 9 292 R2 006
Discovery Health Executive Any Any Savings and above threshold R 10 303 R 10 303 R 1 969
Classic Comprehensive Any Any Savings and above threshold R 8 381 R 7 927 R 1 671
Classic Smart Comp Smart network Any Smart benefits R 7 163 R 6 611 R 1 671
Classic Priority Any MedXpress Savings and above threshold R 5 272 R 4 158 R 2 108
Essential Priority Any MedXpress Savings and above threshold R 4 531 R 3 562 R 1 809
Fedhealth Maxima Exec Any Any Savings and threshold benefit R 9 419 R 8 176 R 2 910
Momentum Extender Option Associated Any Savings R8 315 R6 697 R2 353
Extender Option Associated Associated Savings R7 537 R6 067 R2 168
Extender Option Associated State Savings R6 589 R4 997 R1 937
Extender Option Any Any Savings R9 456 R7 616 R2 712
Extender Option Any Associated Savings R8 365 R6 737 R2 407
Extender Option Any State Savings R7 485 R6 144 R2 197

Bonitas BonComprehensive

Hospital Provider Any
Chronic Provider Pharmacy Direct / Bonitas Network
Out-of-hospital Benefit Savings
Principal Member R 9 853
Adult Dependant R 9 292
Child Dependant R2 006

Discovery Health Executive

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings and above threshold
Principal Member R 10 303
Adult Dependant R 10 303
Child Dependant R 1 969

Discovery Health Classic Comprehensive

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings and above threshold
Principal Member R 8 381
Adult Dependant R 7 927
Child Dependant R 1 671

Discovery Health Classic Delta Comp

Hospital Provider Delta network
Chronic Provider Any
Out-of-hospital Benefit Savings and above threshold
Principal Member R6 742
Adult Dependant R6 382
Child Dependant R1 342

Discovery Health Classic Smart Comp

Hospital Provider Smart network
Chronic Provider Any
Out-of-hospital Benefit Smart benefits
Principal Member R 7 163
Adult Dependant R 6 611
Child Dependant R 1 671

Discovery Health Essential Comp

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings and above threshold
Principal Member R6 292
Adult Dependant R5 942
Child Dependant R1 269

Discovery Health Essential Delta Comp

Hospital Provider Delta network
Chronic Provider Any
Out-of-hospital Benefit Savings and above threshold
Principal Member R5 667
Adult Dependant R5 352
Child Dependant R1 134

Discovery Health Classic Priority

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit Savings and above threshold
Principal Member R 5 272
Adult Dependant R 4 158
Child Dependant R2 108

Discovery Health Essential Priority

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit Savings and above threshold
Principal Member R 4 531
Adult Dependant R 3 562
Child Dependant R1 809

Fedhealth Maxima Exec

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings and threshold benefit
Principal Member R 9 419
Adult Dependant R 8 176
Child Dependant R 2 910

Momentum Extender Option

Hospital Provider Associated
Chronic Provider Any
Out-of-hospital Benefit Savings
Principal Member R8 315
Adult Dependant R6 697
Child Dependant R2 353

Momentum Extender Option

Hospital Provider Associated
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R7 537
Adult Dependant R6 697
Child Dependant R2 168

Momentum Extender Option

Hospital Provider Associated
Chronic Provider State
Out-of-hospital Benefit Savings
Principal Member R6 589
Adult Dependant R4 997
Child Dependant R1 937

Momentum Extender Option

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings
Principal Member R9 456
Adult Dependant R7 616
Child Dependant R2 712

Momentum Extender Option

Hospital Provider Any
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R8 365
Adult Dependant R6 737
Child Dependant R2 407

Momentum Extender Option

Hospital Provider Any
Chronic Provider State
Out-of-hospital Benefit Savings
Principal Member R7 485
Adult Dependant R6 144
Child Dependant R2 197

Medical Scheme Options For Your Employees

Simeka Health offers appropriate advice when it comes to providing healthcare solutions for your employees.

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Medical Scheme Options For Individuals

The right medical scheme can protect your health and your pocket. The right medical scheme option should provide the benefits you and your family need.

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Gap Cover

With the increasing cost of medical scheme plans, you need to protect yourself against unexpected excess payments.

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Healthcare Articles

The health care industry is constantly evolving and, in order to make the best decisions about your health care, it’s essential that you stay informed of all the latest developments. That’s why we’ve gone to great lengths to bring you the most recent industry news and healthcare insights that might be of interest to you, our valued client.

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Medical Schemes Represented

Simeka Health is proud to represent several of the most trusted and reputable medical schemes in South Africa. Click on the link below to download a PDF brochure for more information on the individual service providers.

Directors

Richard Tyler

Richard Tyler

Director and Chair – BCom

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Mbali Khumalo

Mbali Khumalo

Managing Director – MBA

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Sharon Rubens

Mbuso Mtshali

Non-Executive Director

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Shameema Harneka

Shameema Harnekar

Head of Finance: Health – Postgraduate Diploma in Accounting

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Coronavirus Anxiety? We Can Help

In times like these, it might be difficult for some people to stay calm. However, you can rest assured that we are with you every step of the way. Visit our blog to get information on your medical aid and how to stay safe during this time. You are welcome to contact us should you have any questions regarding your medical aid.

FAQ regarding the Coronavirus vaccine

Discovery answers questions regarding the Coronavirus vaccine.
 

Read More

Momentum on the Coronavirus

Get information on the symptoms of the virus, how you can protect yourself, and how Momentum will cover you.
 

COVID-19 Vaccinations
Post-acute COVID-19 Care

How your medical scheme will cover you

Bestmed, Fedhealth, Discovery Health and Bonitas describe how you’ll be covered should you contract the Coronavirus.
 

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Bestmed on the Coronavirus

Get information on the symptoms of the virus, how you can protect yourself, and how Bestmed will cover you.
 

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Bonitas Insurance against the Coronavirus

Bonitas describes how you will be covered if you have an illness related to the Coronavirus, and also how to be vigilant.
 

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Fedhealth’s got you covered

Fedhealth provides background information on the virus, when to call your GP, and how the fund will cover you.
 

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FAQs on the Coronavirus

Bonitas answers the questions you may have regarding the virus – from getting tested to treatment for the virus.
 

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Client Comments

11 March 2021  

Don't change the way you treat your customers ever; you are top of the game thank you.

 
20 April 2021  

The service was excellent and professional. Babalwa was exemplary; listened and resolved the issue. I am indebted to her.

 
28 April 2021  

Chantal Fisher was very helpful, and she assisted me in record time. Thanks Chantal: I really appreciate your effort.

 
18 June 2021  

I found Rosetta very helpful at short notice. She is efficient and in control of the situation. She kept me informed of all aspects. Thank you.

 
19 June 2021  

So happy; my application was attended so quick and professional; thanks to you Debbie.

 
26 June 2021  

Excellent personable and professional service from Mrs Denice Fray; many thanks!

 
30 June 2021  

Excellent service received from the staff. Prompt and clear explanations and guidance. Thank you very much.

 

Contact Us Today

Direct Client Care

086 012 2340
info@simekahealth.co.za

Gap Cover

086 000 0952
gapcover@simekahealth.co.za

Street address: Sanlam Head Office, 2 Strand Road, Bellville, South Africa.

Postal: PO Box 1, Sanlamhof, 7532

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