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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