Medical Scheme Options For Individuals
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Medical Scheme Options For Individuals

The right medical aid scheme can protect your health and your pocket.

The right medical scheme option should provide the benefits you and your family need and should be cost-effective in terms of what you get and can afford. Simeka Health is contracted to various open medical schemes and can provide you with a comprehensive range of value-for-money healthcare options, ensuring you get the best medical scheme option for your current circumstances and needs.

We have accredited healthcare advisers who can analyse your needs, provide you with a comparative quotation and give you advice on appropriate medical scheme solutions without any costs or obligation.

Get Advice

Find out how to choose the best medical aid for you.

Medical Schemes

Representing the best medical scheme for your employees.

Loyalty Programmes

Choose the programme that suits your needs.

Get a Quote

Do a needs analysis and get three personalised quotes.

Need Advice About Choosing a Medical Scheme?

  • Can you have peace of mind that you’ll be covered in an emergency?
  • Is it really good value for money?
  • Is your plan too comprehensive for what you actually need and you’re paying too much?

It’s important to have peace of mind that your medical scheme is right for you and your family. But it can be daunting to make the right choice with all the information available in the market and the complexity of this information. Simeka Health is a healthcare consulting and advisory business that can help you make the right choice for your needs and circumstances and help you manage your medical scheme membership and queries.

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.

Frequently Asked Questions

In most cases membership of a medical scheme is a condition of employment and compulsory. To be able to save adequately to ensure comprehensive health care when the time comes, will require discipline and dedication - and often than not, it will not be enough. Belonging to a medical scheme will give you peace of mind that your wellness and that of your family is taken care of when you need it.

It is important that you get appropriate advice to ensure that you have adequate health cover based on your medical needs and how much you can afford to spend on medical scheme cover. Healthcare brokers like Simeka Health can help you make the correct choice and help you understand the conditions or benefits a particular medical scheme doesn’t cover, such as co-payments and exclusions.

  • A hospital plan provides basic, yet important medical cover. It differs from medical scheme to medical scheme but in essence includes cover for most in-hospital procedures. When medical scheme members are admitted into hospital for a procedure or due to an accident or illness, their expenses are covered within the limits set by their particular plan.
  • Hospital insurance provides the policyholder with cash benefits when the insured is hospitalised due to illness, accidents or intensive care of convalescence. The money need not be used to cover medical expenses – it can be used for any purpose.

    It can include personal accident risk cover such as disability and loss of limbs, inability to work, salary protection, death and/or funeral covers.

Online Healthcare Needs Analysis

Tell us about your healthcare needs in 5 minutes, and we will recommend appropriate medical scheme and gap cover solutions.

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Loyalty Programmes

Loyalty programmes normally offer a variety of rewards - ranging from lifestyle, wellness, cash- back rewards and discounts to financial education programmes. Choose the programme that suits your needs.

Discovery Vitality

Vitality is a wellness programme that helps you live a healthier, more rewarding life.

Benefits include:

  • Up to 100% off gym membership
  • Healthy foods cash-back rewards (up to R1000 cash back)
  • Half price movies – plus kids watch free before 19h00
  • Savings up to 35% on flights and holidays
  • Up to 35% off hotel accommodation
  • HealthyGear cash-back rewards
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Discovery Vitality

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Sanlam Reality

Sanlam Reality empowers and rewards you as you improve your financial wellbeing.

Benefits include:

  • Cash-back money saver cards
  • Discounted local and international flights
  • Free 1GB AlwaysOn Wi-Fi
  • Discount grocery coupons
  • Buy-1-get-1-free at Computicket
  • Discounted gym membership (60% -80% on monthly fees)
  • Get personal services: personal assistant; Dial a teacher; legal assistance and trauma and medical assistance
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Sanlam Reality

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Momentum Multiply

Multiply is a wellness and rewards programme that inspires you to reach your goals.

Benefits include:

  • Up to R2 500 per family in Health Returns
  • Up to 60% off Myriad premiums
  • Discounted Mango flights up to 50%
  • Up to 25% off gym fees
  • Discounted movie tickets
  • 50% off AVBOB funeral services
  • 25% off online shopping vouchers
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Momentum Multiply

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