Simeka Health | Medical Schemes | Sanlam
Skip Ribbon Commands
Skip to main content

Invest

Advice

Service

Invest Online Back

Call me back

By clicking on CALL ME, you acknowledge that you have read our privacy policy.

Email us

By clicking on SEND, you acknowledge that you have read our privacy policy.

Back

Call me back

By clicking on CALL ME, you acknowledge that you have read our privacy policy.

Email us

By clicking on SEND, you acknowledge that you have read our privacy policy.

Email us

By clicking on SEND, you acknowledge that you have read our privacy policy.

Skip Navigation LinksSanlam Home

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.
 

Read More

Bestmed on the Coronavirus

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

Read More

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.
 

Read More

Fedhealth’s got you covered

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

Read More

FAQs on the Coronavirus

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

Read More

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 2023 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 2 Rhythm Hospital network Bestmed listed phy Day-to-day benefits R0 - R5 500 R1 917 R1 822 R1 154
Rhythm Hospital network Bestmed listed phy Day-to-day benefits R5 501 - R8 500 R2 303 R2 188 R1 382
Rhythm Hospital network Bestmed listed phy Day-to-day benefits R8 501+ R2 763 R2 488 R1 382
Rhythm 1 Rhythm Hospital network Bestmed listed phy Day-to-day benefits R0 - R9 000 R1 307 R1 307 R 539
Rhythm Hospital network Bestmed listed phy Day-to-day benefits R9 000 - R14 000 R1 525 R1 525 R 648
Rhythm Hospital network Bestmed listed phy Day-to-day benefits R14 001+ R2 723 R2 723 R1 410
Bonitas BonCap BonCap Hospital networks Pharmacy Direct Day-to-day benefits R0 - R10 020 R1 368 R1 368 R644
BonCap Hospital networks Pharmacy Direct Day-to-day benefits R10 021 - R16 270 R1 619 R1 619 R744
BonCap Hospital networks Pharmacy Direct Day-to-day benefits R16 271 - R21 160 R2 609 R2 609 R987
BonCap Hospital networks Pharmacy Direct Day-to-day benefits R21 161+ R3 203 R3 203 R1 215
BonStart Network C Day-to-day benefits N/A R1 338 R1 338 R1 338
BonStart Plus Network C Day-to-day benefits / Virtual N/A R1 703 R1 619 R750
Discovery Health KeyCare Plus KeyCare network hospital MedXpress Day-to-day benefits R0 to R9 450 R 1,489 R 1,489 R 542
KeyCare network hospital MedXpress Day-to-day benefits R9 451 to R15 250 R 2,047 R 2,047 R 577
KeyCare network hospital MedXpress Day-to-day benefits R15 251+ R 3,023 R3,023 R 809
KeyCare Core KeyCare network hospital MedXpress No day-to-day benefits R0 to R9 450 R 1,170 R1,170 R 306
KeyCare network hospital MedXpress No day-to-day benefits R9 451 to R15 250 R 1,459 R 1,459 R 362
KeyCare network hospital MedXpress No day-to-day benefits R15 251+ R 2,232 R 2,232 R 507
KeyCare Start KeyCare network hospital MedXpress Day-to-day benefits R0 to R10 100 R 1,127 R 1,127 R 687
KeyCare network hospital MedXpress Day-to-day benefits R10 101 to R15 250 R 1,897 R 1,897 R 743
KeyCare network hospital MedXpress Day-to-day benefits R15 251+ R 2,954 R 2,954 R 803
KeyCare Start Regional KeyCare network hospital MedXpress Day-to-day benefits R0 to R10 100 R 1, 003 R 1, 003 R 604
KeyCare network hospital MedXpress Day-to-day benefits R10 101 to R15 250 R 1,516 R 1,516 R 669
KeyCare network hospital MedXpress Day-to-day benefits R15 251+ R 2,363 R 2,363 R 723
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 918
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 495 R 495 R 426
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R826 - R8 150 R 859 R 859 R 463
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R8 151 - R10 775 R 983 R 983 R 475
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R10 776 - R15 325 R 1,148 R 1,148 R 496
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R15 326 + R 1,983 R 1,983 R 596
Ingwe Option network Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network <=R825 R 495 R 495 R 446
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R826 - R8 150 R 1,080 R 1,080 R 494
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R8 151 - R10 775 R 1,374 R 1,374 R 514
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R10 776 - R15 325 R 1,887 R 1,887 R 555
Ingwe Primary Care network Ingwe Primary Care network Ingwe Primary Care network R15 326 + R 2,709 R 2,709 R 798
Ingwe Option Any Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network <=R825 R 495 R 495 R 495
Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network R826 - R8 150 R 1,403 R 1,403 R 556
Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network R8 151 - R10 775 R 1,962 R 1,962 R 593
Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network R10 776 - R15 325 R 2,672 R 2,672 R 623
Ingwe Active Primary Care network Ingwe Active Primary Care network Ingwe Active Primary Care network R15 326 + R 3,429 R 3,429 R 995
Evolve Option Evolve network State State None R 1 539 R 1 539 R 1 539

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 R1 917
Adult Dependant R1 822
Child Dependant R1 154

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 R2 303
Adult Dependant R2 188
Child Dependant R1 382

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 R2 763
Adult Dependant R2 488
Child Dependant R1 382

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 R1 200
Adult Dependant R1 200
Child Dependant R495

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 R1 400
Adult Dependant R1 400
Child Dependant R595

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 R2 500
Adult Dependant R2 500
Child Dependant R1 295

Bonitas BonCap

Hospital Provider BonCap Hospital networks
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R0 - R9 430
Principal Member R1 368
Adult Dependant R1 368
Child Dependant R644

Bonitas BonCap

Hospital Provider BonCap Hospital networks
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R9 431 - R15 320
Principal Member R1 619
Adult Dependant R1 619
Child Dependant R744

Bonitas BonCap

Hospital Provider BonCap Hospital networks
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R15 231 - R19 930
Principal Member R2 609
Adult Dependant R2 609
Child Dependant R987

Bonitas BonCap

Hospital Provider BonCap Hospital networks
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R19 931+
Principal Member R3 203
Adult Dependant R3 203
Child Dependant R1 215

Bonitas BonStart

Hospital Provider Network C
Chronic Provider
Out-of-hospital Benefit Day-to-day benefits / Virtual
Monthly Income N/A
Principal Member R1 338
Adult Dependant R1 338
Child Dependant R1 338

Bonitas BonStart Plus

Hospital Provider Network C
Chronic Provider
Out-of-hospital Benefit Day-to-day benefits / Virtual
Monthly Income N/A
Principal Member R1 703
Adult Dependant R1 619
Child Dependant R750

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 R1 489
Adult Dependant R1 489
Child Dependant R542

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 R2,047
Adult Dependant R2,047
Child Dependant R577

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 R3,023
Adult Dependant R3,023
Child Dependant R809

Discovery Health KeyCare Core

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit No day-to-day benefits
Monthly Income R0 to R9 450
Principal Member R1,170
Adult Dependant R1,170
Child Dependant R306

Discovery Health KeyCare Core

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit No day-to-day benefits
Monthly Income R9 451 to R15 250
Principal Member R1,459
Adult Dependant R1,4593
Child Dependant R362

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 R2,232
Adult Dependant R2,232
Child Dependant R507

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R0 to R10 100
Principal Member R1,127
Adult Dependant R1,127
Child Dependant R687

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R10 101 to R15 250
Principal Member R1,897
Adult Dependant R1,897
Child Dependant R743

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out-of-hospital Benefit Day-to-day benefits
Monthly Income R15 251+
Principal Member R2,954
Adult Dependant R2,954
Child Dependant R803

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 R918

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 R825
Principal Member R495
Adult Dependant R495
Child Dependant R426

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 R751 - R7 450
Principal Member R859
Adult Dependant R859
Child Dependant R463

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 R7 451 - R9 850
Principal Member R983
Adult Dependant R983
Child Dependant R475

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 R9 851 - R14 050
Principal Member R1,148
Adult Dependant R1,148
Child Dependant R496

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 R14 051+
Principal Member R1 983
Adult Dependant R1 983
Child Dependant R596

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 <=R825
Principal Member R495
Adult Dependant R495
Child Dependant R446

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 R826 - R8 150
Principal Member R1,080
Adult Dependant R1,080
Child Dependant R494

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 151 - R10 775
Principal Member R1 374
Adult Dependant R1 374
Child Dependant R514

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 R10 776 - R15 325
Principal Member R1 887
Adult Dependant R1 887
Child Dependant R555

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 15 326+
Principal Member R2 709
Adult Dependant R2 709
Child Dependant R798

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 <=R825
Principal Member R495
Adult Dependant R495
Child Dependant R495

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 R826 - R8 150
Principal Member R1 403
Adult Dependant R1 403
Child Dependant R556

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 151 - R10 775
Principal Member R1 962
Adult Dependant R1 962
Child Dependant R593

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 R10 776 - R15 325
Principal Member R2 672
Adult Dependant R2 672
Child Dependant R623

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 R15 326 +
Principal Member R3 429
Adult Dependant R3 429
Child Dependant R995

Momentum Evolve Option Evolve Network

Hospital Provider State
Chronic Provider State
Out-of-hospital Benefit None
Monthly Income
Principal Member R1 539
Adult Dependant R1 539
Child Dependant R1 539
  • 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 Beat network Bestmed listed phy None R1 710 R 1 329 R 720
Beat 1 Non-network Any Bestmed listed phy None R1 901 R1 475 R 799
Bonitas Network A Any Pharmacy Direct None R2 722 R2 293 R1 035
BonEssential Network B Pharmacy Direct None R2 135 R1 578 R671
BonEssential Select Network B Pharmacy Direct None R1 873 R1 372 R599
Discovery Health Classic Smart Smart network MedXpress Yes, limited at network R 2,412 R 1,903 R 963
Essential Smart Smart network MedXpress Yes, limited at network R 1,727 R 1,727 R 1,727
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 3,022 R 2,384 R 1,209
Classic Delta Core Delta network MedXpress None R 2,419 R 1,907 R 967
Essential Core Any MedXpress None R 2,597 R 1,947 R 1,043
Essential Delta Core Delta network MedXpress None R 2,075 R 1,561 R 832
Coastal Core Coastal regions MedXpress None R 2,403 R 1,804 R 955
Fedhealth flexiFED Savvy Savvy Network hospitals Preferred provider Flexible Medi-Vault/Wallet R 945 R 945 R709
flexiFED 1 Network hospitals flexiFED 1 Network hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet R 2,031 R 1,591 R 743
flexiFED 1 Elect Elect network hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet R 1,583 R 1,237 R 576
flexiFED 2 All except 7 hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet R 2,934 R 2,611 R 866
flexiFED 2 GRID GRID network hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet R 2,608 R 2,325 R 770
flexiFED 2 Elect Elect network hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet R 2,196 R 1,963 R 652
flexiFED 3 All except 7 hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet R 3,347 R 3,066 R 1,186
flexiFED 3 GRID GRID network hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet R 2,975 R 2,729 R 1,055
flexiFED 3 Elect Elect network hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet R 2,508 R 2,299 R 890
flexiFED 4 All except 7 hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet and Threshold R 4,480 R 4,089 R 1,347
flexiFED 4 GRID GRID network hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet and Threshold R 3,978 R 3,639 R 1,199
flexiFED 4 Elect Elect network hospitals Preferred provider Nominal savings with flexible Medi-Vault/Wallet and Threshold R 3,355 R 3,126 R 1,029
Momentum Custom option Associated Any None R 2,811 R 2,218 R 991
Custom option Associated Associated None R 2,538 R 1,968 R 897
Custom option Associated State None R 1,960 R 1,483 R 695
Custom option Any Any None R 3,353 R 2,691 R 1,197
Custom option Any Associated None R 3,009 R 2,351 R 1,094
Custom option Any State None R 2,496 R 1,884 R 915

Bestmed Beat 1 Network

Hospital Provider Beat network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit None
Principal Member R1 570
Adult Dependant R1 220
Child Dependant R661

Bestmed Beat 1 Non-network

Hospital Provider Any
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit None
Principal Member R1 746
Adult Dependant R1 354
Child Dependant R734

Bonitas Hospital Standard

Hospital Provider Any
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit None
Principal Member R2 722
Adult Dependant R2 293
Child Dependant R1 035

Bonitas BonEssential

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit None
Principal Member R2 135
Adult Dependant R1 578
Child Dependant R671

Bonitas BonEssential Select

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit None
Principal Member R1 873
Adult Dependant R1 372
Child Dependant R599

Discovery Health Classic Smart

Hospital Provider Smart network
Chronic Provider MedXpress
Out-of-hospital Benefit Yes, limited at network
Principal Member R2 412
Adult Dependant R1 903
Child Dependant R963

Discovery Health Essential Smart

Hospital Provider Smart network
Chronic Provider MedXpress
Out-of-hospital Benefit Yes, limited at network
Principal Member R1 727
Adult Dependant R1 727
Child Dependant R1 727

Discovery Health Essential Dynamic Smart

Hospital Provider Smart network
Chronic Provider MedXpress
Out-of-hospital Benefit Yes, limited at network
Principal Member R1 565
Adult Dependant R1 565
Child Dependant R1 565

Discovery Health Classic Core

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R3 022
Adult Dependant R2 384
Child Dependant R1 209

Discovery Health Classic Delta Core

Hospital Provider Delta network
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R2 419
Adult Dependant R1 907
Child Dependant R967

Discovery Health Essential Core

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R2 597
Adult Dependant R1 947
Child Dependant R1 043

Discovery Health Essential Delta Core

Hospital Provider Delta network
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R2 075
Adult Dependant R1 561
Child Dependant R832

Discovery Health Coastal Core

Hospital Provider Coastal regions
Chronic Provider MedXpress
Out-of-hospital Benefit None
Principal Member R2 403
Adult Dependant R1 804
Child Dependant R955

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 945
Adult Dependant R 945
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 R2 031
Adult Dependant R1 591
Child Dependant R743

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 R1 583
Adult Dependant R1 237
Child Dependant R576

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 R2 934
Adult Dependant R2 611
Child Dependant R866

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 R2 608
Adult Dependant R2 325
Child Dependant R770

Fedhealth flexiFED 2 Elect

Hospital Provider Elect network hospitals
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R2 196
Adult Dependant R1 963
Child Dependant R652

Fedhealth flexiFED 3

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R3 347
Adult Dependant R3 066
Child Dependant R1 186

Fedhealth flexiFED 3 GRID

Hospital Provider GRID network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R2 975
Adult Dependant R2 729
Child Dependant R1 055

Fedhealth flexiFED 3 Elect

Hospital Provider Elect network hospitals
Chronic Provider Designated pharmacy network
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet
Principal Member R2 508
Adult Dependant R2 299
Child Dependant R890

Fedhealth flexiFED 4

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Nominal savings with flexible Medi-Vault/Wallet and Threshold
Principal Member R4 480
Adult Dependant R4 089
Child Dependant R1 347

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 R3 978
Adult Dependant R3 639
Child Dependant R1 199

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 R3 355
Adult Dependant R3 126
Child Dependant R991

Momentum Custom option

Hospital Provider Associated
Chronic Provider Any
Out-of-hospital Benefit None
Principal Member R2 811
Adult Dependant R2 218
Child Dependant R991

Momentum Custom option

Hospital Provider Associated
Chronic Provider Associated
Out-of-hospital Benefit None
Principal Member R2 538
Adult Dependant R1 968
Child Dependant R897

Momentum Custom option

Hospital Provider Associated
Chronic Provider State
Out-of-hospital Benefit None
Principal Member R1 960
Adult Dependant R1 483
Child Dependant R695

Momentum Custom option

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit None
Principal Member R3 353
Adult Dependant R2 691
Child Dependant R1 197

Momentum Custom option

Hospital Provider Any
Chronic Provider Associated
Out-of-hospital Benefit None
Principal Member R3 009
Adult Dependant R2 351
Child Dependant R1 094

Momentum Custom option

Hospital Provider Any
Chronic Provider State
Out-of-hospital Benefit None
Principal Member R2 496
Adult Dependant R1 884
Child Dependant R915
  • 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 Beat network Bestmed listed phy Savings R2 090 R1 624 R 879
Beat 2 Non-network Any Bestmed listed phy Savings R2 323 R1 804 R 978
Beat 3 network Beat network Bestmed listed phy Savings R3 060 R2 183 R1 080
Beat 3 Non-network Any Bestmed listed phy Savings and Optometry R3 400 R2 425 R1 200
Bonitas Bonfit Select Network B Pharmacy Direct Savings R2 236 R1 674 R729
BonSave Network A Pharmacy Direct Savings R3 228 R2 500 R966
Discovery Health Classic Saver Any MedXpress Savings R 4,060 R 3,202 R 1,626
Classic Delta Saver Delta network MedXpress Savings R 3,244 R 2,562 R 1,302
Essential Saver Any MedXpress Savings R 3,227 R 2,421 R 1,293
Essential Delta Saver Delta network MedXpress Savings R 2,574 R 1,943 R 1,033
Coastal Saver Coastal regions MedXpress Savings R 3,220 R 2,420 R 1,300
Fedhealth flexiFED Savvy Savvy Network hospitals Preferred provider Fixed Medi-Vault/Wallet R 1,345 R 945 R 709
flexiFED 1 Network hospitals FlexiFED 1 network hospitals Preferred provider Fixed Medi-Vault/Wallet R 2,343 R 1,747 R 846
flexiFED 1 Elect Elect network hospitals Preferred provider Fixed Medi-Vault/Wallet R 1,895 R 1,393 R 679
flexiFED 2 All except 7 hospitals Preferred provider Fixed Medi-Vault/Wallet R 3,349 R 2,820 R 1,228
flexiFED 2 GRID GRID network hospitals Preferred provider Fixed Medi-Vault/Wallet R 3,023 R 2,534 R 1,132
flexiFED 2 Elect Elect network hospitals Preferred provider Fixed Medi-Vault/Wallet R 2,611 R 2,172 R 1,014
flexiFED 3 All except 7 hospitals Preferred provider Fixed Medi-Vault/Wallet R 3,971 R 3,272 R 1,448
flexiFED 3 GRID GRID network hospitals Preferred provider Fixed Medi-Vault/Wallet R 3,599 R 2,935 R 1,317
flexiFED 3 Elect Elect network hospitals Preferred provider Fixed Medi-Vault/Wallet R 3,132 R 2,505 R 1,152
flexiFED 4 All except 7 hospitals Preferred provider Fixed Medi-Vault/Wallet R 5,519 R 4,869 R 1,603
flexiFED 4 GRID GRID network hospitals Preferred provider Fixed Medi-Vault/Wallet R 5,017 R 4,419 R 1,455
flexiFED 4 Elect Elect network hospitals Preferred provider Fixed Medi-Vault/Wallet R 4,394 R 3,906 R 1,285
Momentum Incentive Option Associated Any Savings R 4,001 R 3,219 R 1,494
Incentive Option Associated Associated Savings R 3,602 R 2,866 R 1,368
Incentive Option Associated State Savings R 2,549 R 2,011 R 978
Incentive Option Any Any Savings R 4,522 R 3,676 R 1,763
Incentive Option Any Associated Savings R 3,920 R 3,143 R 1,540
Incentive Option Any State Savings R 3,166 R 2,494 R 1,252

Bestmed Beat 2 Network

Hospital Provider Beat network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings
Principal Member R1 919
Adult Dependant R1 491
Child Dependant R807

Bestmed Beat 2 Non-network

Hospital Provider Any
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings
Principal Member R2 133
Adult Dependant R1 656
Child Dependant R898

Bestmed Beat 3 Network

Hospital Provider Beat network
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings
Principal Member R3 060
Adult Dependant R2 183
Child Dependant R1 080

Bestmed Beat 3 Non-network

Hospital Provider Any
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and Optometry
Principal Member R3 239
Adult Dependant R2 301
Child Dependant R1 250

Bonitas Bonfit Select

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Savings
Principal Member R2 236
Adult Dependant R1 674
Child Dependant R729

Bonitas BonSave

Hospital Provider Network A
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Savings
Principal Member R3 228
Adult Dependant R2 500
Child Dependant R966

Discovery Health Classic Saver

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit Savings
Principal Member R4 060
Adult Dependant R3 202
Child Dependant R1 626

Discovery Health Classic Delta Saver

Hospital Provider Delta network
Chronic Provider MedXpress
Out-of-hospital Benefit Savings
Principal Member R3 244
Adult Dependant R2 562
Child Dependant R1 302

Discovery Health Essential Saver

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit Savings
Principal Member R3 227
Adult Dependant R2 421
Child Dependant R1 293

Discovery Health Essential Delta Saver

Hospital Provider Delta network
Chronic Provider MedXpress
Out-of-hospital Benefit Savings
Principal Member R2 574
Adult Dependant R1 943
Child Dependant R1 033

Discovery Health Coastal Saver

Hospital Provider Coastal regions
Chronic Provider MedXpress
Out-of-hospital Benefit Savings
Principal Member R3 220
Adult Dependant R2 420
Child Dependant R1 300

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 R1 345
Adult Dependant R945
Child Dependant R709
Hospital Provider FlexiFED 1 Network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R2 343
Adult Dependant R1 747
Child Dependant R846

Fedhealth flexiFED 1 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R1 895
Adult Dependant R1 393
Child Dependant R679

Fedhealth flexiFED 2

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R3 349
Adult Dependant R2 820
Child Dependant R1 228

Fedhealth flexiFED 2 GRID

Hospital Provider GRID network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R3 023
Adult Dependant R2 534
Child Dependant R1 132

Fedhealth flexiFED 2 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R2 611
Adult Dependant R2 172
Child Dependant R1 014

Fedhealth flexiFED 3

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R3 971
Adult Dependant R3 272
Child Dependant R1 448

Fedhealth flexiFED 3 GRID

Hospital Provider GRID network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R3 599
Adult Dependant R2 935
Child Dependant R1 317

Fedhealth flexiFED 3 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R3 132
Adult Dependant R2 505
Child Dependant R1 152

Fedhealth flexiFED 4

Hospital Provider All except 7 hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R5 519
Adult Dependant R4 869
Child Dependant R1 603

Fedhealth flexiFED 4 GRID

Hospital Provider GRID network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R5 017
Adult Dependant R4 419
Child Dependant R1 455

Fedhealth flexiFED 4 Elect

Hospital Provider Elect network hospitals
Chronic Provider Preferred provider
Out-of-hospital Benefit Fixed Medi-Vault/Wallet
Principal Member R4 394
Adult Dependant R3 906
Child Dependant R1 285

Momentum Incentive option

Hospital Provider Associated
Chronic Provider Any
Out-of-hospital Benefit Savings
Principal Member R4 001
Adult Dependant R3 219
Child Dependant R1 494

Momentum Incentive option

Hospital Provider Associated
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R3 602
Adult Dependant R2 866
Child Dependant R1 368

Momentum Incentive option

Hospital Provider Associated
Chronic Provider State
Out-of-hospital Benefit Savings
Principal Member R2 549
Adult Dependant R2 011
Child Dependant R978

Momentum Incentive option

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings
Principal Member R4 522
Adult Dependant R3 676
Child Dependant R1 763

Momentum Incentive option

Hospital Provider Any
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R3 920
Adult Dependant R3 143
Child Dependant R1 540

Momentum Incentive option

Hospital Provider Any
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R3 166
Adult Dependant R2 494
Child Dependant R1 252
  • 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 R4 543 R3 938 R1 333
Standard Select Network B Pharmacy Direct Day-to-day benefits R4 105 R3 552 R1 202
Primary Network B Pharmacy Direct Day-to-day benefits R2 792 R2 184 R 888
Primary Select Network B Pharmacy Direct Day-to-day benefits R2 442 R1 910 R 776
Momentum Summit Option Any hospital Freedom of choice Freedom of choice R 12,345 R 9,873 R 2,836

Bonitas Standard

Hospital Provider Network A
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Principal Member R4 543
Adult Dependant R3 938
Child Dependant R1 333

Bonitas Standard Select

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Principal Member R4 105
Adult Dependant R3 552
Child Dependant R1 202

Bonitas Primary

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Principal Member R2 792
Adult Dependant R2 184
Child Dependant R 888

Bonitas Primary Select

Hospital Provider Network B
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Day-to-day benefits
Principal Member R2 443
Adult Dependant R1 910
Child Dependant R 776

Momentum Summit Option

Hospital Provider Any hospital
Chronic Provider Freedom of choice
Out-of-hospital Benefit Freedom of choice
Principal Member R12 345
Adult Dependant R9 873
Child Dependant R2 836
  • 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 4 Any hospital Bestmed listed phy Savings and scheme benefits R5 513 R4 553 R1 362
Pace 1 Any hospital Bestmed listed phy Savings and scheme benefits R4 620 R3 245 R1 166
Pace 2 Any hospital Bestmed listed phy Savings and scheme benefits R6 562 R6 435 R1 447
Pace 3 Any hospital Bestmed listed phy Savings and scheme benefits R7 534 R6 065 R1 296
Pace 4 Any hospital Bestmed listed phy Savings and scheme benefits R9 411 R9 411 R2 205
Bonitas BonClassic Any hospital Pharmacy Direct Savings/day-to-day benefits combined R6 143 R5 273 R1 516
BonComplete Any hospital Pharmacy Direct Savings/day-to-day benefits combined R4 890 R3 916 R1 328
Fedhealth Maxima Plus Any Any Savings with scheme benefits and threshold R 13,122 R 11,326 R 4,054

Bestmed Beat 4

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R5 062
Adult Dependant R4 181
Child Dependant R1 251

Bestmed Pace 1

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R4 242
Adult Dependant R2 980
Child Dependant R1 071

Bestmed Pace 2

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R6 026
Adult Dependant R5 909
Child Dependant R1 329

Bestmed Pace 3

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R6 918
Adult Dependant R5 569
Child Dependant R1 190

Bestmed Pace 4

Hospital Provider Any hospital
Chronic Provider Bestmed listed phy
Out-of-hospital Benefit Savings and scheme benefits
Principal Member R8 642
Adult Dependant R8 642
Child Dependant R2 025

Bonitas BonClassic

Hospital Provider Network A
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Savings/day-to-day benefits combined
Principal Member R6 143
Adult Dependant R5 273
Child Dependant R1 516

Bonitas BonComplete

Hospital Provider Network A
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Savings/day-to-day benefits combined
Principal Member R4 890
Adult Dependant R3 916
Child Dependant R1 328

Fedhealth Maxima Plus

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings with scheme benefits and threshold
Principal Member R11 790
Adult Dependant R10 176
Child Dependant R3 642
  • 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 Savings R8 990 R8 478 R1 830
Discovery Health Executive Any Any Savings and above threshold R 9,122 R 9,122 R 1,744
Classic Comprehensive Any Any Savings and above threshold R 7,487 R 7,081 R 1,493
Classic Delta Comp Delta network Any Savings and above threshold R 6,742 R 6,382 R 1,342
Classic Smart Comp Smart network Any Smart benefits R 5,441 R 5,022 R 1,730
Essential Comp Any Any Savings and above threshold R 6,292 R 5,942 R 1,269
Essential Delta Comp Delta network Any Savings and above threshold R 5,667 R 5,352 R 1,134
Classic Priority Any MedXpress Savings and above threshold R 4,795 R 3,782 R 1,918
Essential Priority Any MedXpress Savings and above threshold R 4,121 R 3,240 R 1,645
Fedhealth Maxima Exec Any Any Savings and threshold benefit R 8,305 R 7,209 R 2,566
Momentum Extender Option Associated Any Savings R 7,567 R 6,095 R 2,141
Extender Option Associated Associated Savings R 6,905 R 5,559 R 1,987
Extender Option Associated State Savings R 6,009 R 4,557 R 1,767
Extender Option Any Any Savings R 8,605 R 6,931 R 2,468
Extender Option Any Associated Savings R 7,664 R 6,172 R 2,205
Extender Option Any State Savings R 6,827 R 5,604 R 2,004

Bonitas BonComprehensive

Hospital Provider Any
Chronic Provider Pharmacy Direct
Out-of-hospital Benefit Savings
Principal Member R8 990
Adult Dependant R8 478
Child Dependant R1 830

Discovery Health Executive

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings and above threshold
Principal Member R9 122
Adult Dependant R9 122
Child Dependant R1 744

Discovery Health Classic Comprehensive

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings and above threshold
Principal Member R7 487
Adult Dependant R7 081
Child Dependant R1 493

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 R5 441
Adult Dependant R5 022
Child Dependant R1 730

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 R4 795
Adult Dependant R3 782
Child Dependant R1 918

Discovery Health Essential Priority

Hospital Provider Any
Chronic Provider MedXpress
Out-of-hospital Benefit Savings and above threshold
Principal Member R4 121
Adult Dependant R3 240
Child Dependant R1 645

Fedhealth Maxima Exec

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings and threshold benefit
Principal Member R7 460
Adult Dependant R6 476
Child Dependant R2 305

Momentum Extender Option

Hospital Provider Associated
Chronic Provider Any
Out-of-hospital Benefit Savings
Principal Member R7 567
Adult Dependant R6 095
Child Dependant R2 141

Momentum Extender Option

Hospital Provider Associated
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R6 905
Adult Dependant R5 559
Child Dependant R1 987

Momentum Extender Option

Hospital Provider Associated
Chronic Provider State
Out-of-hospital Benefit Savings
Principal Member R6 009
Adult Dependant R4 557
Child Dependant R1 767

Momentum Extender Option

Hospital Provider Any
Chronic Provider Any
Out-of-hospital Benefit Savings
Principal Member R8 605
Adult Dependant R6 931
Child Dependant R2 468

Momentum Extender Option

Hospital Provider Any
Chronic Provider Associated
Out-of-hospital Benefit Savings
Principal Member R7 664
Adult Dependant R6 172
Child Dependant R2 205

Momentum Extender Option

Hospital Provider Any
Chronic Provider State
Out-of-hospital Benefit Savings
Principal Member R6 827
Adult Dependant R5 604
Child Dependant R2 004

Medical Scheme Options For Your Employees

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

More

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.

More

Gap Cover

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

More

Individual Wellness

Your health is one of your greatest assets, so it is important to make your wellness a priority. Simeka Health can help you reach your health and fitness goals, and live the life you’ve always wanted.

More

Corporate Wellness

Simeka Health can assist with developing impactful Employee Benefits solutions. Our wide range of bespoke healthcare solutions, includes consulting on Medical Scheme options, Gap Cover Options, Primary healthcare solutions, On-site Clinics, Wellness programmes, Employee education and other Employee Assistance Programmes.

More

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.

More

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

More
Mbali Khumalo

Mbali Khumalo

Managing Director – MBA

More
Sharon Rubens

Sharon Rubens

Director – BCom Honours (Economics)

More
Shameema Harneka

Shameema Harnekar

Head of Finance: Health – Postgraduate Diploma in Accounting

More
  • 1of

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

Invest

Advice

Service

Invest Online Back

Call me back

Email us

Back

Call me back

Email us

Email us

Sanlam Life Insurance is a licensed financial service provider.
Copyright © Sanlam