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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.

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.
 

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.

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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.

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 an independent healthcare consultancy and registered authorised Financial Service Provider, accredited by the Council for Medical Schemes. Simeka Health represents various medical schemes, gap cover providers and primary 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 2021 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 Pulse 1 Pulse Hospital network Bestmed listed Phy Day-to-day benefits R0 - R5 500 R1 694 R1 610 R1 019
Pulse Hospital network Bestmed listed Phy Day-to-day benefits R5 501 - R8 500 R2 035 R1 934 R1 221
Pulse Hospital network Bestmed listed Phy Day-to-day benefits R8 501+ R2 442 R2 198 R1 221
Pulse 2 Pulse Hospital network Bestmed listed Phy Day-to-day benefits N/A R6 012 R6 012 R1 429
Bonitas BonCap BonCap Hospital Networks Pharmacy Direct Day-to-day benefits R0 - R8 980 R1 212 R1 212 R571
BonCap Hospital Networks Pharmacy Direct Day-to-day benefits R8 981 - R14 590 R1 434 R1 434 R659
BonCap Hospital Networks Pharmacy Direct Day-to-day benefits R14 591 - R19 930 R2 311 R2 311 R874
BonCap Hospital Networks Pharmacy Direct Day-to-day benefits R19 931 + R2 837 R2 837 R1 076
BonStart BonStart Hospital Networks Pharmacy Direct Day-to-day benefits / Virtual N/A R1 452 R1 452 R1 452
Discovery Health KeyCare Plus KeyCare network hospital MedXpress Day-to-day benefits R13 801+ R2 595 R2 595 R695
KeyCare network hospital MedXpress Day-to-day benefits R8 551 to R13 800 R1 758 R1 758 R495
KeyCare network hospital MedXpress Day-to-day benefits R0 to R8 550 R1 279 R1 279 R464
KeyCare Core KeyCare network hospital MedXpress No day-to-day benefits R13 801+ R1 916 R1 916 R435
KeyCare network hospital MedXpress No day-to-day benefits R8 551 to R13 800 R1 253 R1 253 R310
KeyCare network hospital MedXpress No day-to-day benefits R0 to R8 550 R1 005 R1 005 R260
KeyCare Start KeyCare network hospital MedXpress Day-to-day benefits R13 801+ R2 536 R2 536 R688
KeyCare network hospital MedXpress Day-to-day benefits R9 151 to R13 800 R1 629 R1 629 R637
KeyCare network hospital MedXpress Day-to-day benefits R0 to R9 150 R968 R968 R583
Fedhealth myFED myFED network hospital Designated pharmacy network Day-to-day benefits R1 - R6 251 R1 128 R985 R543
myFED network hospital Designated pharmacy network Day-to-day benefits R6 252 - R10 219 R1 430 R1 242 R699
myFED network hospital Designated pharmacy network Day-to-day benefits R10 220 - R12 622 R2 005 R1 750 R769
myFED network hospital Designated pharmacy network Day-to-day benefits R12 623 - R14 426 R2 547 R2 100 R996
myFED network hospital Designated pharmacy network Day-to-day benefits > R14 427+ R3 455 R3 147 R1 317
Momentum Ingwe Option State Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network >R750 R455 R455 R392
Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network R751 - R7 450 R747 R747 R403
Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network R7 451 - R9 850 R856 R856 R413
Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network R9 851 - R14 050 R999 R999 R432
Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network R14 051 + R1 726 R1 726 R519
Ingwe Option Network Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network >R750 R455 R455 R410
Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network R751 - R7 450 R940 R940 R430
Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network R7 451 - R9 850 R1 196 R1 196 R447
Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network R9 851 - R14 050 R1 665 R1 666 R489
Ingwe Primary Care Network Ingwe Primary Care Network Ingwe Primary Care Network R14 051 + R2 358 R2 359 R694
Ingwe Option Any Ingwe Active Primary Care Network Ingwe Active Primary Care Network Ingwe Active Primary Care Network >R750 R455 R455 R455
Ingwe Active Primary Care Network Ingwe Active Primary Care Network Ingwe Active Primary Care Network R751 - R7 450 R1 221 R1 222 R484
Ingwe Active Primary Care Network Ingwe Active Primary Care Network Ingwe Active Primary Care Network R7 451 - R9 850 R1 708 R1 708 R516
Ingwe Active Primary Care Network Ingwe Active Primary Care Network Ingwe Active Primary Care Network R9 851 - R14 050 R2 326 R2 326 R543
Ingwe Active Primary Care Network Ingwe Active Primary Care Network Ingwe Active Primary Care Network R14 051 + R2 984 R2 985 R866
Evolve Option Evolve Network State State None N/A R1 345 R1 345 R1 345

Bestmed Pulse 1

Hospital Provider Pulse Hospital network
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Day-to-day benefits
Monthly income R0 - R5 500
Principal member R1 694
Adult dependant R1 610
Child dependant R1 019

Bestmed Pulse 1

Hospital Provider Pulse Hospital network
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Day-to-day benefits
Monthly income R5 501 - R8 500
Principal member R2 035
Adult dependant R1 934
Child dependant R1 221

Bestmed Pulse 1

Hospital Provider Pulse Hospital network
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Day-to-day benefits
Monthly income R8 501+
Principal member R2 442
Adult dependant R2 198
Child dependant R1 221

Bestmed Pulse 2

Hospital Provider Pulse Hospital network
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Day-to-day benefits
Monthly income N/A
Principal member R6 012
Adult dependant R6 012
Child dependant R1 429

Bonitas BonCap

Hospital Provider BonCap Hospital Networks
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Day-to-day benefits
Monthly income R0 - R8 980
Principal member R1 212
Adult dependant R1 212
Child dependant R571

Bonitas BonCap

Hospital Provider BonCap Hospital Networks
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Day-to-day benefits
Monthly income R8 981 - R14 590
Principal member R1 434
Adult dependant R1 434
Child dependant R659

Bonitas BonCap

Hospital Provider BonCap Hospital Networks
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Day-to-day benefits
Monthly income R14 591 - R19 930
Principal member R2 311
Adult dependant R2 311
Child dependant R874

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 R2 837
Adult dependant R2 837
Child dependant R1 076

Bonitas BonStart

Hospital Provider BonStart Hospital Networks
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Day-to-day benefits / Virtual
Monthly income N/A
Principal member R1 452
Adult dependant R1 452
Child dependant R1 452

Discovery Health KeyCare Plus

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out of Hospital Benefit Day-to-day benefits
Monthly income R13 801+
Principal member R2 595
Adult dependant R2 595
Child dependant R695

Discovery Health KeyCare Plus

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out of Hospital Benefit Day-to-day benefits
Monthly income R8 551 to R13 800
Principal member R1 758
Adult dependant R1 758
Child dependant R495

Discovery Health KeyCare Plus

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out of Hospital Benefit Day-to-day benefits
Monthly income R0 to R8 550
Principal member R1 279
Adult dependant R1 279
Child dependant R464

Discovery Health KeyCare Core

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out of Hospital Benefit No day-to-day benefits
Monthly income R13 801+
Principal member R1 916
Adult dependant R1 916
Child dependant R435

Discovery Health KeyCare Core

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out of Hospital Benefit No day-to-day benefits
Monthly income R8 551 to R13 800
Principal member R1 253
Adult dependant R1 253
Child dependant R310

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 R8 550
Principal member R1 005
Adult dependant R1 005
Child dependant R260

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out of Hospital Benefit Day-to-day benefits
Monthly income R13 801+
Principal member R2 536
Adult dependant R2 536
Child dependant R688

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out of Hospital Benefit Day-to-day benefits
Monthly income R9 151 to R13 800
Principal member R1 629
Adult dependant R1 629
Child dependant R637

Discovery Health KeyCare Start

Hospital Provider KeyCare network hospital
Chronic Provider MedXpress
Out of Hospital Benefit Day-to-day benefits
Monthly income R0 to R9 150
Principal member R968
Adult dependant R968
Child dependant R583

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 128
Adult dependant R985
Child dependant R543

Fedhealth myFED

Hospital Provider myFED network hospital
Chronic Provider Designated pharmacy network
Out of Hospital Benefit Day-to-day benefits
Monthly income R6 252 - R10 219
Principal member R1 430
Adult dependant R1 242
Child dependant R699

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 005
Adult dependant R1 750
Child dependant R769

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 R2 547
Adult dependant R2 100
Child dependant R996

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 R3 455
Adult dependant R3 147
Child dependant R1 317

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 >R750
Principal member R455
Adult dependant R455
Child dependant R392

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 R747
Adult dependant R747
Child dependant R403

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 R856
Adult dependant R856
Child dependant R413

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 R999
Adult dependant R999
Child dependant R432

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 726
Adult dependant R1 726
Child dependant R519

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 >R750
Principal member R455
Adult dependant R455
Child dependant R410

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 R751 - R7 450
Principal member R940
Adult dependant R940
Child dependant R430

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 R7 451 - R9 850
Principal member R1 196
Adult dependant R1 196
Child dependant R447

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 R9 851 - R14 050
Principal member R1 665
Adult dependant R1 665
Child dependant R489

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 R14 051 +
Principal member R2 358
Adult dependant R2 359
Child dependant R694

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 >R750
Principal member R455
Adult dependant R455
Child dependant R455

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 R751 - R7 450
Principal member R1 221
Adult dependant R1 222
Child dependant R484

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 R7 451 - R9 850
Principal member R1 708
Adult dependant R1 708
Child dependant R516

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 R9 851 - R14 050
Principal member R2 326
Adult dependant R2 326
Child dependant R543

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 R14 051 +
Principal member R2 984
Adult dependant R2 985
Child dependant R866

Momentum Evolve Option Evolve Network

Hospital Provider State
Chronic Provider State
Out of Hospital Benefit None
Monthly income N/A
Principal member R1 345
Adult dependant R1 345
Child dependant R1 345
  • 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 511 R1 174 R636
Beat 1 Non-network Any Bestmed listed Phy None R1 680 R1 303 R706
Bonitas Hospital Standard Any Pharmacy Direct None R2 434 R2 051 R926
BonEssential Any Pharmacy Direct None R1 962 R1 501 R575
BonEssential Select Select Networks Pharmacy Direct None R1 675 R1 281 R491
Discovery Health Classic Smart Smart network MedXpress Yes, limited at network R2 070 R1 634 R827
Essential Smart Smart network MedXpress Yes, limited at network R1 483 R1 483 R1 483
Classic Core Any MedXpress None R2 594 R2 046 R1 038
Classic Delta Core Delta network MedXpress None R2 076 R1 637 R830
Essential Core Any MedXpress None R2 229 R1 671 R896
Essential Delta Core Delta network MedXpress None R1 781 R1 340 R715
Coastal Core Coastal regions MedXpress None R2 062 R1 548 R820
Fedhealth N/A N/A N/A N/A N/A N/A N/A
Momentum Custom Option Associated Any None R2 423 R1 912 R855
Custom Option Associated Associated None R2 194 R1 701 R775
Custom Option Associated State None R1 706 R1 291 R605
Custom Option Any Any None R2 891 R2 320 R1 032
Custom Option Any Associated None R2 601 R2 032 R945
Custom Option Any State None R2 173 R1 640 R796

Bestmed Beat 1 Network

Hospital Provider Beat Network
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit None
Principal member R1 511
Adult dependant R1 174
Child dependant R636

Bestmed Beat 1 Non-network

Hospital Provider Any
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit None
Principal member R1 680
Adult dependant R1 303
Child dependant R706

Bonitas Hospital Standard

Hospital Provider Any
Chronic Provider Pharmacy Direct
Out of Hospital Benefit None
Principal member R2 434
Adult dependant R2 051
Child dependant R926

Bonitas BonEssential

Hospital Provider Any
Chronic Provider Pharmacy Direct
Out of Hospital Benefit None
Principal member R1 962
Adult dependant R1 501
Child dependant R575

Bonitas BonEssential Select

Hospital Provider Select Networks
Chronic Provider Pharmacy Direct
Out of Hospital Benefit None
Principal member R1 675
Adult dependant R1 281
Child dependant R491

Discovery Health Classic Smart

Hospital Provider Smart network
Chronic Provider MedXpress
Out of Hospital Benefit Yes, limited at network
Principal member R2 070
Adult dependant R1 634
Child dependant R827

Discovery Health Essential Smart

Hospital Provider Smart network
Chronic Provider MedXpress
Out of Hospital Benefit Yes, limited at network
Principal member R1 483
Adult dependant R1 483
Child dependant R1 483

Discovery Health Classic Core

Hospital Provider Any
Chronic Provider MedXpress
Out of Hospital Benefit None
Principal member R2 594
Adult dependant R2 046
Child dependant R1 038

Discovery Health Classic Delta Core

Hospital Provider Delta network
Chronic Provider MedXpress
Out of Hospital Benefit None
Principal member R2 076
Adult dependant R1 637
Child dependant R830

Discovery Health Essential Core

Hospital Provider Any
Chronic Provider MedXpress
Out of Hospital Benefit None
Principal member R2 229
Adult dependant R1 671
Child dependant R896

Discovery Health Essential Delta Core

Hospital Provider Delta network
Chronic Provider MedXpress
Out of Hospital Benefit None
Principal member R1 781
Adult dependant R1 340
Child dependant R715

Discovery Health Coastal Core

Hospital Provider Coastal regions
Chronic Provider MedXpress
Out of Hospital Benefit None
Principal member R2 062
Adult dependant R1 548
Child dependant R820

Fedhealth

Hospital Provider N/A
Chronic Provider N/A
Out of Hospital Benefit N/A
Principal member N/A
Adult dependant N/A
Child dependant N/A

Momentum Custom Option

Hospital Provider Associated
Chronic Provider Any
Out of Hospital Benefit None
Principal member R2 423
Adult dependant R1 912
Child dependant R855

Momentum Custom Option

Hospital Provider Associated
Chronic Provider Associated
Out of Hospital Benefit None
Principal member R2 194
Adult dependant R1 701
Child dependant R775

Momentum Custom Option

Hospital Provider Associated
Chronic Provider State
Out of Hospital Benefit None
Principal member R1 706
Adult dependant R1 291
Child dependant R605

Momentum Custom Option

Hospital Provider Any
Chronic Provider Any
Out of Hospital Benefit None
Principal member R2 891
Adult dependant R2 320
Child dependant R1 032

Momentum Custom Option

Hospital Provider Any
Chronic Provider Associated
Out of Hospital Benefit None
Principal member R2 601
Adult dependant R2 032
Child dependant R945

Momentum Custom Option

Hospital Provider Any
Chronic Provider State
Out of Hospital Benefit None
Principal member R2 173
Adult dependant R1 640
Child dependant R796
  • 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 R1 847 R1 435 R777
Beat 2 Non-Network Any Bestmed listed Phy Savings R2 053 R1 594 R864
Beat 3 Network Beat Network Bestmed listed Phy Savings & Optometry R2 805 R1 995 R1 085
Beat 3 Non-Network Any Bestmed listed Phy Savings & Optometry R3 117 R2 215 R1 203
Bonitas Bonfit Select Select Networks Pharmacy Direct Savings R2 152 R1 668 R645
BonSave Any Pharmacy Direct Savings R2 847 R2 205 R852
Discovery Health Classic Saver Any MedXpress Savings R3 485 R2 750 R1 397
Classic Delta Saver Delta network MedXpress Savings R2 784 R2 200 R1 118
Essential Saver Any MedXpress Savings R2 770 R2 078 R1 110
Essential Delta Saver Delta network MedXpress Savings R2 209 R1 668 R887
Coastal Saver Coastal regions MedXpress Savings R2 763 R2 078 R1 116
Fedhealth flexiFED 1 Network hospitals FlexiFED 1 Network hospitals Designated pharmacy network Nominal savings with optional Medi-Vault/Wallet R1 788 R1 401 R653
flexiFED 1 Elect Elect Network hospitals Designated pharmacy network Nominal savings with optional Medi-Vault/Wallet R1 393 R1 089 R507
flexiFED 2 Any Preferred provider Nominal savings with optional Medi-Vault/Wallet R2 500 R2 171 R742
flexiFED 2 GRID GRID Network hospitals Designated pharmacy network Nominal savings with optional Medi-Vault/Wallet R2 222 R1 933 R660
flexiFED 2 Elect Elect Network hospitals Designated pharmacy network Nominal savings with optional Medi-Vault/Wallet R1 871 R1 631 R558
flexiFED 3 Any Preferred provider Nominal savings with optional Medi-Vault/Wallet R2 825 R2 549 R1 015
flexiFED 3 GRID GRID Network hospitals Preferred provider Nominal savings with optional Medi-Vault/Wallet R2 511 R2 267 R903
flexiFED 3 Elect Elect Network hospitals Designated pharmacy network Nominal savings with optional Medi-Vault/Wallet R2 117 R1 911 R762
flexiFED 4 Any Preferred provider Nominal savings/optional Medi-Vault/Wallet and Threshold R3 747 R3 399 R1 153
flexiFED 4 GRID GRID Network hospitals Preferred provider Nominal savings/optional Medi-Vault/Wallet and Threshold R3 326 R3 025 R1 027
flexiFED 4 Elect Elect Network hospitals Designated pharmacy network Nominal savings/optional Medi-Vault/Wallet and Threshold R2 806 R2 598 R881
Momentum Incentive Option Associated Any Savings R3 449 R2 774 R1 289
Incentive Option Associated Associated Savings R3 113 R2 477 R1 182
Incentive Option Associated State Savings R2 224 R1 756 R853
Incentive Option Any Any Savings R3 899 R3 168 R1 520
Incentive Option Any Associated Savings R3 388 R2 718 R1 331
Incentive Option Any State Savings R2 763 R2 178 R1 093

Bestmed Beat 2 Network

Hospital Provider Beat Network
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings
Principal member R1 847
Adult dependant R1 435
Child dependant R777

Bestmed Beat 2 Non-Network

Hospital Provider Any
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings
Principal member R2 053
Adult dependant R1 594
Child dependant R864

Bestmed Beat 3 Network

Hospital Provider Beat Network
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings & Optometry
Principal member R2 805
Adult dependant R1 995
Child dependant R1 085

Bestmed Beat 3 Non-Network

Hospital Provider Any
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings & Optometry
Principal member R3 117
Adult dependant R2 215
Child dependant R1 203

Bonitas Bonfit Select

Hospital Provider Select Networks
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Savings
Principal member R2 152
Adult dependant R1 668
Child dependant R645

Bonitas BonSave

Hospital Provider Any
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Savings
Principal member R2 847
Adult dependant R2 205
Child dependant R852

Discovery Health Classic Saver

Hospital Provider Any
Chronic Provider MedXpress
Out of Hospital Benefit Savings
Principal member R3 485
Adult dependant R2 750
Child dependant R1 397

Discovery Health Classic Delta Saver

Hospital Provider Delta network
Chronic Provider MedXpress
Out of Hospital Benefit Savings
Principal member R2 784
Adult dependant R2 200
Child dependant R1 118

Discovery Health Essential Saver

Hospital Provider Any
Chronic Provider MedXpress
Out of Hospital Benefit Savings
Principal member R2 770
Adult dependant R2 078
Child dependant R1 110

Discovery Health Essential Delta Saver

Hospital Provider Delta network
Chronic Provider MedXpress
Out of Hospital Benefit Savings
Principal member R2 209
Adult dependant R1 668
Child dependant R887

Discovery Health Coastal Saver

Hospital Provider Coastal regions
Chronic Provider MedXpress
Out of Hospital Benefit Savings
Principal member R2 763
Adult dependant R2 078
Child dependant R1 116

Fedhealth flexiFED 1 Network hospitals

Hospital Provider FlexiFED 1 Network hospitals
Chronic Provider Designated pharmacy network
Out of Hospital Benefit Nominal savings with optional Medi-Vault/Wallet
Principal member R1 788
Adult dependant R1 401
Child dependant R653

Fedhealth flexiFED 1 Elect

Hospital Provider Elect Network hospitals
Chronic Provider Designated pharmacy network
Out of Hospital Benefit Nominal savings with optional Medi-Vault/Wallet
Principal member R1 393
Adult dependant R1 089
Child dependant R507

Fedhealth flexiFED 2

Hospital Provider Any
Chronic Provider Preferred provider
Out of Hospital Benefit Nominal savings with optional Medi-Vault/Wallet
Principal member R2 500
Adult dependant R2 171
Child dependant R742

Fedhealth flexiFED 2 GRID

Hospital Provider GRID Network hospitals
Chronic Provider Designated pharmacy network
Out of Hospital Benefit Nominal savings with optional Medi-Vault/Wallet
Principal member R2 222
Adult dependant R1 933
Child dependant R660

Fedhealth flexiFED 2 Elect

Hospital Provider Elect Network hospitals
Chronic Provider Designated pharmacy network
Out of Hospital Benefit Nominal savings with optional Medi-Vault/Wallet
Principal member R1 871
Adult dependant R1 631
Child dependant R558

Fedhealth flexiFED 3

Hospital Provider Any
Chronic Provider Preferred provider
Out of Hospital Benefit Nominal savings with optional Medi-Vault/Wallet
Principal member R2 825
Adult dependant R2 549
Child dependant R1 015

Fedhealth flexiFED 3 GRID

Hospital Provider GRID Network hospitals
Chronic Provider Preferred provider
Out of Hospital Benefit Nominal savings with optional Medi-Vault/Wallet
Principal member R2 511
Adult dependant R2 267
Child dependant R903

Fedhealth flexiFED 3 Elect

Hospital Provider Elect Network hospitals
Chronic Provider Designated pharmacy network
Out of Hospital Benefit Nominal savings with optional Medi-Vault/Wallet
Principal member R2 117
Adult dependant R1 911
Child dependant R762

Fedhealth flexiFED 4

Hospital Provider Any
Chronic Provider Preferred provider
Out of Hospital Benefit Nominal savings/optional Medi-Vault/Wallet and Threshold
Principal member R3 747
Adult dependant R3 399
Child dependant R1 153

Fedhealth flexiFED 4 GRID

Hospital Provider GRID Network hospitals
Chronic Provider Preferred provider
Out of Hospital Benefit Nominal savings/optional Medi-Vault/Wallet and Threshold
Principal member R3 326
Adult dependant R3 025
Child dependant R1 027

Fedhealth flexiFED 4 Elect

Hospital Provider Elect Network hospitals
Chronic Provider Designated pharmacy network
Out of Hospital Benefit Nominal savings/optional Medi-Vault/Wallet and Threshold
Principal member R2 806
Adult dependant R2 598
Child dependant R881

Momentum Incentive Option

Hospital Provider Associated
Chronic Provider Any
Out of Hospital Benefit Savings
Principal member R3 449
Adult dependant R2 774
Child dependant R1 289

Momentum Incentive Option

Hospital Provider Associated
Chronic Provider Associated
Out of Hospital Benefit Savings
Principal member R3 113
Adult dependant R2 477
Child dependant R1 182

Momentum Incentive Option

Hospital Provider Associated
Chronic Provider State
Out of Hospital Benefit Savings
Principal member R2 224
Adult dependant R1 756
Child dependant R853

Momentum Incentive Option

Hospital Provider Any
Chronic Provider Any
Out of Hospital Benefit Savings
Principal member R3 899
Adult dependant R3 168
Child dependant R1 520

Momentum Incentive Option

Hospital Provider Any
Chronic Provider Associated
Out of Hospital Benefit Savings
Principal member R3 388
Adult dependant R2 718
Child dependant R1 331

Momentum Incentive Option

Hospital Provider Any
Chronic Provider State
Out of Hospital Benefit Savings
Principal member R2 763
Adult dependant R2 178
Child dependant R1 093
  • 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 044 R3 506 R1 186
Standard Select Select Networks Pharmacy Direct Day-to-day benefits R3 589 R3 105 R1 051
Primary Any Hospital Pharmacy Direct Day-to-day benefits R2 537 R1 985 R 807
Primary Select Select Networks Pharmacy Direct Day-to-day benefits R2 180 R1 705 R 693
Momentum Summit Option Any Hospital Freedom of choice Freedom of choice R10 642 R8 511 R2 445

Bonitas Standard

Hospital Provider Any Hospital
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Day-to-day benefits
Principal member R4 044
Adult dependant R3 506
Child dependant R1 186

Bonitas Standard Select

Hospital Provider Select Networks
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Day-to-day benefits
Principal member R3 589
Adult dependant R3 105
Child dependant R1 051

Bonitas Primary

Hospital Provider Any Hospital
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Day-to-day benefits
Principal member R2 537
Adult dependant R1 985
Child dependant R 807

Bonitas Primary Select

Hospital Provider Select Networks
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Day-to-day benefits
Principal member R2 180
Adult dependant R1 705
Child dependant R 693

Momentum Summit Option

Hospital Provider Any Hospital
Chronic Provider Freedom of choice
Out of Hospital Benefit Freedom of choice
Principal member R10 642
Adult dependant R8 511
Child dependant R2 445
  • 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 & Scheme benefits R4 872 R4 024 R1 204
Pace 1 Any Hospital Bestmed listed Phy Savings & Scheme benefits R4 083 R2 868 R1 031
Pace 2 Any Hospital Bestmed listed Phy Savings & Scheme benefits R5 800 R5 687 R1 279
Pace 3 Any Hospital Bestmed listed Phy Savings & Scheme benefits R6 658 R5 360 R1 145
Pace 4 Any Hospital Bestmed listed Phy Savings & Scheme benefits R8 318 R8 318 R1 949
Bonitas BonClassic Any Hospital Pharmacy Direct Savings / Day-to-day benefits combined R5 330 R4 577 R1 316
BonComplete Any Hospital Pharmacy Direct Savings / Day-to-day benefits combined R4 291 R3 436 R1 165

Bestmed Beat 4

Hospital Provider Any Hospital
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings & Scheme benefits
Principal member R4 872
Adult dependant R4 024
Child dependant R1 204

Bestmed Pace 1

Hospital Provider Any Hospital
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings & Scheme benefits
Principal member R4 083
Adult dependant R2 868
Child dependant R1 031

Bestmed Pace 2

Hospital Provider Any Hospital
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings & Scheme benefits
Principal member R5 800
Adult dependant R5 687
Child dependant R1 279

Bestmed Pace 3

Hospital Provider Any Hospital
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings & Scheme benefits
Principal member R6 658
Adult dependant R5 360
Child dependant R1 145

Bestmed Pace 4

Hospital Provider Any Hospital
Chronic Provider Bestmed listed Phy
Out of Hospital Benefit Savings & Scheme benefits
Principal member R8 318
Adult dependant R8 318
Child dependant R1 949

Bonitas BonClassic

Hospital Provider Any Hospital
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Savings / Day-to-day benefits combined
Principal member R5 330
Adult dependant R4 577
Child dependant R1 316

Bonitas BonComplete

Hospital Provider Any Hospital
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Savings / Day-to-day benefits combined
Principal member R4 291
Adult dependant R3 436
Child dependant R1 165
  • 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 R7 715 R7 276 R1 570
Discovery Health Executive Any Any Savings & above threshold R7 688 R7 688 R1 468
Classic Comprehensive Any Any Savings & above threshold R6 309 R5 966 R1 258
Classic Delta Comp Delta network Any Savings & above threshold R5 681 R5 378 R1 132
Classic Smart Comp Smart network Any Smart benefits R4 585 R4 230 R1 459
Essential Comp Any Any Savings & above threshold R5 301 R5 010 R1 069
Essential Delta Comp Delta network Any Savings & above threshold R4 775 R4 510 R957
Classic Priority Any MedXpress Savings & above threshold R4 041 R3 186 R1 617
Essential Priority Any MedXpress Savings & above threshold R3 472 R2 731 R1 388
Fedhealth Maxima Plus Any Any Savings and Threshold R10 772 R9 298 R3 426
Maxima Exec Any Any Savings, OHEB and Threshold R6 816 R5 917 R2 168
Momentum Extender Option Associated Any Savings R6 532 R5 255 R1 845
Extender Option Associated Associated Savings R5 969 R4 805 R1 717
Extender Option Associated State Savings R5 231 R3 967 R1 537
Extender Option Any Any Savings R7 419 R5 975 R2 128
Extender Option Any Associated Savings R6 624 R5 335 R1 905
Extender Option Any State Savings R5 941 R4 877 R1 745

Bonitas BonComprehensive

Hospital Provider Any
Chronic Provider Pharmacy Direct
Out of Hospital Benefit Savings
Principal member R7 715
Adult dependant R7 276
Child dependant R1 570

Discovery Health Executive

Hospital Provider Any
Chronic Provider Any
Out of Hospital Benefit Savings & above threshold
Principal member R7 688
Adult dependant R7 688
Child dependant R1 468

Discovery Health Classic Comprehensive

Hospital Provider Any
Chronic Provider Any
Out of Hospital Benefit Savings & above threshold
Principal member R6 309
Adult dependant R5 966
Child dependant R1 258

Discovery Health Classic Delta Comp

Hospital Provider Delta network
Chronic Provider Any
Out of Hospital Benefit Savings & above threshold
Principal member R5 681
Adult dependant R5 378
Child dependant R1 132

Discovery Health Classic Smart Comp

Hospital Provider Smart network
Chronic Provider Any
Out of Hospital Benefit Smart benefits
Principal member R4 585
Adult dependant R4 230
Child dependant R1 459

Discovery Health Essential Comp

Hospital Provider Any
Chronic Provider Any
Out of Hospital Benefit Savings & above threshold
Principal member R5 301
Adult dependant R5 010
Child dependant R1 069

Discovery Health Essential Delta Comp

Hospital Provider Delta network
Chronic Provider Any
Out of Hospital Benefit Savings & above threshold
Principal member R4 775
Adult dependant R4 510
Child dependant R957

Discovery Health Classic Priority

Hospital Provider Any
Chronic Provider MedXpress
Out of Hospital Benefit Savings & above threshold
Principal member R4 041
Adult dependant R3 186
Child dependant R1 617

Discovery Health Essential Priority

Hospital Provider Any
Chronic Provider MedXpress
Out of Hospital Benefit Savings & above threshold
Principal member R3 472
Adult dependant R2 731
Child dependant R1 388

Fedhealth Maxima Plus

Hospital Provider Any
Chronic Provider Any
Out of Hospital Benefit Savings and Threshold
Principal member R10 772
Adult dependant R9 298
Child dependant R3 426

Fedhealth Maxima Exec

Hospital Provider Any
Chronic Provider Any
Out of Hospital Benefit Savings, OHEB and Threshold
Principal member R6 816
Adult dependant R5 917
Child dependant R2 168

Momentum Extender Option

Hospital Provider Associated
Chronic Provider Any
Out of Hospital Benefit Savings
Principal member R6 532
Adult dependant R5 255
Child dependant R1 845

Momentum Extender Option

Hospital Provider Associated
Chronic Provider Associated
Out of Hospital Benefit Savings
Principal member R5 969
Adult dependant R4 805
Child dependant R1 717

Momentum Extender Option

Hospital Provider Associated
Chronic Provider State
Out of Hospital Benefit Savings
Principal member R5 231
Adult dependant R3 967
Child dependant R1 537

Momentum Extender Option

Hospital Provider Any
Chronic Provider Any
Out of Hospital Benefit Savings
Principal member R7 419
Adult dependant R5 975
Child dependant R2 128

Momentum Extender Option

Hospital Provider Any
Chronic Provider Associated
Out of Hospital Benefit Savings
Principal member R6 624
Adult dependant R5 335
Child dependant R1 905

Momentum Extender Option

Hospital Provider Any
Chronic Provider State
Out of Hospital Benefit Savings
Principal member R5 941
Adult dependant R4 877
Child dependant R1 745

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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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.

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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.

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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

Jocelyn Hathaway

Jocelyn Hathaway

Director – B.Com

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Richard Tyler

Richard Tyler

Director and Chair – B.Com

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Rigitté van Zyl

Rigitté van Zyl

Chief Client Officer – BCom Honours (Actuarial Science)

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Sharon Rubens

Sharon Rubens

Managing Director – B.Com. Hons

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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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