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Simeka Health Pty Ltd

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

Simeka Health Pty (Ltd) is 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.

Online Healthcare Needs Analysis

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

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Summary of 2019 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.

Capitation plans

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	Day-to-day	Monthly pensionable earnings (PEAR)	Principal member	Adult dependant	Child dependant
Momentum	Ingwe Option	State	Ingwe Primary Care Network	Ingwe Primary Care Network	<= R700	R407	R407	R350
		Ingwe Network	Ingwe Primary Care Network	Ingwe Primary Care Network		R407	R407	R367
		Any	Ingwe Active Primary Care Network	Ingwe Active Primary Care Network		R407	R407	R407
	Ingwe Option	State	Ingwe Primary Care Network	Ingwe Primary Care Network	R701 - R6 800	R664	R664	R358
		Ingwe Network	Ingwe Primary Care Network	Ingwe Primary Care Network		R835	R835	R382
		Any	Ingwe Active Primary Care Network	Ingwe Active Primary Care Network		R1 085	R1 085	R430
	Ingwe Option	State	Ingwe Primary Care Network	Ingwe Primary Care Network	R6 801 - R9 000	R761	R761	R366
		Ingwe Network	Ingwe Primary Care Network	Ingwe Primary Care Network		R1 062	R1 062	R397
		Any	Ingwe Active Primary Care Network	Ingwe Active Primary Care Network		R1 517	R1 517	R459
	Ingwe Option	State	Ingwe Primary Care Network	Ingwe Primary Care Network	R9 001 - R12 500	R887	R887	R384
		Ingwe Network	Ingwe Primary Care Network	Ingwe Primary Care Network		R1 479	R1 479	R435
		Any	Ingwe Active Primary Care Network	Ingwe Active Primary Care Network		R2 066	R2 066	R483
	Ingwe Option	State	Ingwe Primary Care Network	Ingwe Primary Care Network	R12 501 +	R1 533	R1 533	R461
		Ingwe Network	Ingwe Primary Care Network	Ingwe Primary Care Network		R2 094	R2 094	R617
		Any	Ingwe Active Primary Care Network	Ingwe Active Primary Care Network		R2 651	R2 651	R769
	Impact Option	Impact Network	Impact Primary Care Network	Impact Primary Care Network		R2 229	R2 229	R666
Bonitas	BonCap	N/A	N/A	N/A	R0 - R8 030	R1 009	R956	R475
		N/A	N/A	N/A	R8 031 - R13 050	R1 226	R1 159	R563
		N/A	N/A	N/A	R13 051 - R17 830	R2 000	R1 780	R757
		N/A	N/A	N/A	R17 831	R2 456	R2 187	R931
Fedhealth	myFED	N/A	N/A	N/A	R1 - R5 953	R916	R784	R440
		N/A	N/A	N/A	R5 954 - R9 732	R1 161	R989	R567
		N/A	N/A	N/A	R9 733 - R12 021	R1 627	R1 393	R624
		N/A	N/A	N/A	R12 022 - R13 739	R2 068	R1 672	R808
		N/A	N/A	N/A	R13 740	R2 804	R2 506	R1 068
Bestmed	Pulse 1	N/A	N/A	N/A	R0 - R5 500	R1 493	R1 419	R898
		N/A	N/A	N/A	R5 501 - R8 500	R1 793	R1 704	R1 076
		N/A	N/A	N/A	R8 501	R2 152	R1 937	R1 076
Discovery Smart	Classic Smart	N/A	N/A	N/A	None	R1 794	R1 415	R717
	Essential Smart	N/A	N/A	N/A	None	R1 285	R1 285	R1 285
Discovery Key Care	Key Care Plus	N/A	N/A	N/A	R0 - R8 550	R1 088	R1 088	R396
		N/A	N/A	N/A	R8 551 - R13 050	R1 523	R1 523	R429
		N/A	N/A	N/A	R13 051 +	R2 249	R2 249	R602
	Key Care Core	N/A	N/A	N/A	R0 - R8 550	R871	R871	R225
		N/A	N/A	N/A	R8 551 - R13 050	R1 086	R1 086	R268
		N/A	N/A	N/A	R13 051 +	R1 661	R1 661	R376
	Key Care Start	N/A	N/A	N/A	R0 - R9 150	R839	R839	R505
		N/A	N/A	N/A	R0 - R9 150	R839	R839	R505
		N/A	N/A	N/A	R9 151 - R13 050	R1 412	R1 412	R551
		N/A	N/A	N/A	R13 051 +	R2 198	R2 198	R596

Momentum Ingwe Option

Hospital Provider	State
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R<= R700
Principal member	R407
Adult dependant	R407
Child dependant	R350

Momentum Ingwe Option

Hospital Provider	Ingwe Network
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R<= R700
Principal member	R407
Adult dependant	R407
Child dependant	R367

Momentum Ingwe Option

Hospital Provider	Any
Chronic Provider	Ingwe Active Primary Care Network
Day-to-day	Ingwe Active Primary Care Network
Monthly pensionable earnings (PEAR)	R<= R700
Principal member	R407
Adult dependant	R407
Child dependant	R407

Momentum Ingwe Option

Hospital Provider	State
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R701 - R6 800
Principal member	R664
Adult dependant	R664
Child dependant	R358

Momentum Ingwe Option

Hospital Provider	Ingwe Network
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R701 - R6 800
Principal member	R835
Adult dependant	R835
Child dependant	R382

Momentum Ingwe Option

Hospital Provider	Any
Chronic Provider	Ingwe Active Primary Care Network
Day-to-day	Ingwe Active Primary Care Network
Monthly pensionable earnings (PEAR)	R701 - R6 800
Principal member	R1 085
Adult dependant	R1 085
Child dependant	R430

Momentum Ingwe Option

Hospital Provider	State
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R6 801 - R9 000
Principal member	R761
Adult dependant	R761
Child dependant	R366

Momentum Ingwe Option

Hospital Provider	Ingwe Network
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R6 801 - R9 000
Principal member	R1 062
Adult dependant	R1 062
Child dependant	R397

Momentum Ingwe Option

Hospital Provider	Any
Chronic Provider	Ingwe Active Primary Care Network
Day-to-day	Ingwe Active Primary Care Network
Monthly pensionable earnings (PEAR)	R6 801 - R9 000
Principal member	R1 517
Adult dependant	R1 517
Child dependant	R459

Momentum Ingwe Option

Hospital Provider	State
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R9 001 - R12 500
Principal member	R887
Adult dependant	R887
Child dependant	R384

Momentum Ingwe Option

Hospital Provider	Ingwe Network
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R9 001 - R12 500
Principal member	R1 479
Adult dependant	R1 479
Child dependant	R435

Momentum Ingwe Option

Hospital Provider	Any
Chronic Provider	Ingwe Active Primary Care Network
Day-to-day	Ingwe Active Primary Care Network
Monthly pensionable earnings (PEAR)	R9 001 - R12 500
Principal member	R2 066
Adult dependant	R2 066
Child dependant	R483

Momentum Ingwe Option

Hospital Provider	State
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R12 501 +
Principal member	R1 533
Adult dependant	R1 533
Child dependant	R461

Momentum Ingwe Option

Hospital Provider	Ingwe Network
Chronic Provider	Ingwe Primary Care Network
Day-to-day	Ingwe Primary Care Network
Monthly pensionable earnings (PEAR)	R12 501 +
Principal member	R2 094
Adult dependant	R2 094
Child dependant	R617

Momentum Ingwe Option

Hospital Provider	Any
Chronic Provider	Ingwe Active Primary Care Network
Day-to-day	Ingwe Active Primary Care Network
Monthly pensionable earnings (PEAR)	R12 501 +
Principal member	R2 651
Adult dependant	R2 651
Child dependant	R769

Impact Option

Hospital Provider	Impact Network
Chronic Provider	Impact Primary Care Network
Day-to-day	Impact Primary Care Network
Principal member	R2 229
Adult dependant	R2 229
Child dependant	R666

Bonitas BonCap

Monthly pensionable earnings (PEAR)	R0 - R8 030
Principal member	R1 009
Adult dependant	R956
Child dependant	R475

Bonitas BonCap

Monthly pensionable earnings (PEAR)	R8 031 - R13 050
Principal member	R1 226
Adult dependant	R1 159
Child dependant	R563

Bonitas BonCap

Monthly pensionable earnings (PEAR)	R13 051 - R17 830
Principal member	R2 000
Adult dependant	R1 780
Child dependant	R757

Bonitas BonCap

Monthly pensionable earnings (PEAR)	R17 831
Principal member	R2 456
Adult dependant	R2 187
Child dependant	R931

Bonitas BonCap

Fedhealth myFED

Monthly pensionable earnings (PEAR)	R1 - R5 953
Principal member	R916
Adult dependant	R784
Child dependant	R440

Fedhealth myFED

Monthly pensionable earnings (PEAR)	R5 954 - R9 732
Principal member	R1 161
Adult dependant	R989
Child dependant	R567

Fedhealth myFED

Monthly pensionable earnings (PEAR)	R9 733 - R12 021
Principal member	R1 627
Adult dependant	R1 393
Child dependant	R624

Fedhealth myFED

Monthly pensionable earnings (PEAR)	R12 022 - R13 739
Principal member	R2 068
Adult dependant	R1 672
Child dependant	R808

Fedhealth myFED

Monthly pensionable earnings (PEAR)	R13 740
Principal member	R2 804
Adult dependant	R2 506
Child dependant	R1 068

Bestmed Pulse 1

Monthly pensionable earnings (PEAR)	R0 - R5 500
Principal member	R1 493
Adult dependant	R1 419
Child dependant	R898

Bestmed Pulse 1

Monthly pensionable earnings (PEAR)	R5 501 - R8 500
Principal member	R1 793
Adult dependant	R1 704
Child dependant	R1 076

Bestmed Pulse 1

Monthly pensionable earnings (PEAR)	R8 501
Principal member	R2 152
Adult dependant	R1 937
Child dependant	R1 076

Discovery Smart Classic Smart

Monthly pensionable earnings (PEAR)	None
Principal member	R1 794
Adult dependant	R1 415
Child dependant	R717

Discovery Smart Essential Smart

Monthly pensionable earnings (PEAR)	None
Principal member	R1 285
Adult dependant	R1 285
Child dependant	R1 285

Discovery Key Care Plus

Monthly pensionable earnings (PEAR)	R0 - R8 550
Principal member	R1 088
Adult dependant	R1 088
Child dependant	R396

Discovery Key Care Plus

Monthly pensionable earnings (PEAR)	R8 551 - R13 050
Principal member	R1 523
Adult dependant	R1 523
Child dependant	R429

Discovery Key Care Plus

Monthly pensionable earnings (PEAR)	R13 051 +
Principal member	R2 249
Adult dependant	R2 249
Child dependant	R602

Discovery Key Care Core

Monthly pensionable earnings (PEAR)	R0 - R8 550
Principal member	R871
Adult dependant	R871
Child dependant	R225

Discovery Key Care Core

Monthly pensionable earnings (PEAR)	R8 551 - R13 050
Principal member	R1 086
Adult dependant	R1 086
Child dependant	R268

Discovery Key Care Core

Monthly pensionable earnings (PEAR)	R13 051 +
Principal member	R1 661
Adult dependant	>R1 661
Child dependant	R376

Discovery Key Care Start

Monthly pensionable earnings (PEAR)	R0 - R9 150
Principal member	R839
Adult dependant	R839
Child dependant	R505

Discovery Key Care Start

Monthly pensionable earnings (PEAR)	R9 151 - R13 050
Principal member	R1 412
Adult dependant	R1 412
Child dependant	R551

Discovery Key Care Start

Monthly pensionable earnings (PEAR)	R13 051 +
Principal member	R2 198
Adult dependant	R2 198
Child dependant	R596

Hospital plans

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	Principle Member	Adult dependant	Child dependant
Momentum	Custom Option	Associated	Any	R2 113	R1 667	R745
		Associated	Associated	R1 944	R1 507	R687
		Associated	State	R1 515	R1 146	R537
		Any	Any	R2 521	R2 024	R900
		Any	Associated	R2 304	R1 800	R837
		Any	State	R1 938	R1 462	R710
Bonitas	Hospital Standard	N/A	N/A	R2 040	R1 720	R776
	BonEssential	N/A	N/A	R1 731	R1 324	R507
	BonEssential Select	N/A	N/A	R1 499	R1 147	R439
Fedhealth	N/A	N/A	N/A	N/A	N/A	N/A
Bestmed	Beat 1 Network	N/A	N/A	R1 335	R1 038	R562
	Beat 1	N/A	N/A	R1 485	R1 152	R624
Discovery	Classic Core	N/A	N/A	R2 248	R1 772	R900
	Classic Delta Core	N/A	N/A	R1 799	R1 418	R720
	Essential Core	N/A	N/A	R1 931	R1 448	R776
	Essential Delta Core	N/A	N/A	R1 543	R1 161	R620
	Coastal Core	N/A	N/A	R1 770	R1 330	R704

Momentum Custom Option

Hospital Provider	Associated
Chronic Provider	Any
Principal member	R2 113
Adult dependant	R1 667
Child dependant	R745

Momentum Custom Option

Hospital Provider	Associated
Chronic Provider	Associated
Principal member	R1 944
Adult dependant	R1 507
Child dependant	R687

Momentum Custom Option

Hospital Provider	Associated
Chronic Provider	State
Principal member	R1 515
Adult dependant	R1 146
Child dependant	R537

Momentum Custom Option

Hospital Provider	Any
Chronic Provider	Any
Principal member	R2 521
Adult dependant	R2 024
Child dependant	R900

Momentum Custom Option

Hospital Provider	Any
Chronic Provider	Associated
Principal member	R2 304
Adult dependant	R1 800
Child dependant	R837

Momentum Custom Option

Hospital Provider	Any
Chronic Provider	State
Principal member	R1 938
Adult dependant	R1 462
Child dependant	R710

Bonitas Hospital Standard

Principal member	R2 040
Adult dependant	R1 720
Child dependant	R776

Bonitas BonEssential

Principal member	R1 731
Adult dependant	R1 324
Child dependant	R507

Bonitas BonEssential Select

Principal member	R1 499
Adult dependant	R1 147
Child dependant	R439

Fedhealth

Principal member	NA
Adult dependant	NA
Child dependant	NA

Bestmed Beat 1 Network

Principal member	R1 335
Adult dependant	R1 038
Child dependant	R562

Bestmed Beat 1

Principal member	R1 485
Adult dependant	R1 152
Child dependant	R624

Discovery Classic Core

Principal member	R2 248
Adult dependant	R1 772
Child dependant	R900

Discovery Classic Delta Core

Principal member	R1 799
Adult dependant	R1 418
Child dependant	R720

Discovery Essential Core

Principal member	R1 931
Adult dependant	R1 448
Child dependant	R776

Discovery Essential Delta Core

Principal member	R1 543
Adult dependant	R1 161
Child dependant	R620

Discovery Coastal Core

Principal member	R1 770
Adult dependant	R1 330
Child dependant	R704

Savings plans

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	Principal member	Adult dependant	Child dependant
Momentum	Incentive Option	Associated	Any	R3 012	R2 423	R1 126
		Associated	Associated	R2 770	R2 203	R1 052
		Associated	State	R2 006	R1 583	R769
		Any	Any	R3 406	R2 767	R1 327
		Any	Associated	R3 014	R2 419	R1 184
		Any	State	R2 464	R1 942	R974
Bonitas	BonFit	N/A	N/A	R2 027	R1 570	R607
	BonSave	N/A	N/A	R2 486	R1 925	R744
Fedhealth (excluding Medi-Vault contributions)	flexiFED 1 Network hospitals	N/A	N/A	R1 611	R1 207	R525
	flexiFED 1 Elect	N/A	N/A	R1 208	R905	R394
	flexiFED 2 Any hospital	N/A	N/A	R2 086	R1 768	R615
	flexiFED 2 GRID	N/A	N/A	R1 856	R1 574	R548
	flexiFED 2 Elect	N/A	N/A	R1 565	R1 327	R462
	flexiFED 3 Any hospital	N/A	N/A	R2 294	R2 018	R818
	flexiFED 3 GRID	N/A	N/A	R2 041	R1 797	R728
	flexiFED 3 Elect	N/A	N/A	R1 721	R1 513	R614
Bestmed	Beat 2 Network	N/A	N/A	R1 633	R1 268	R687
	Beat 2	N/A	N/A	R1 814	R1 409	R764
	Beat 3 Network	N/A	N/A	R2 477	R1 761	R957
	Beat 3	N/A	N/A	R2 752	R1 956	R1 063
Discovery	Classic Saver	N/A	N/A	R3 021	R2 382	R1 209
	Classic Delta Saver	N/A	N/A	R2 412	R1 906	R969
	Coastal Saver	N/A	N/A	R2 373	R1 783	R958
	Essential Saver	N/A	N/A	R2 400	R1 800	R962
	Essential Delta Saver	N/A	N/A	R1 915	R1 444	R768

Momentum Incentive Option

Hospital Provider	Associated
Chronic Provider	Any
Principal member	R3 012
Adult dependant	R2 423
Child dependant	R1 126

Momentum Incentive Option

Hospital Provider	Associated
Chronic Provider	Associated
Principal member	R2 770
Adult dependant	R2 203
Child dependant	R1 052

Momentum Incentive Option

Hospital Provider	Associated
Chronic Provider	State
Principal member	R2 006
Adult dependant	R1 583
Child dependant	R769

Momentum Incentive Option

Hospital Provider	Any
Chronic Provider	Any
Principal member	R3 406
Adult dependant	R2 767
Child dependant	R1 327

Momentum Incentive Option

Hospital Provider	Any
Chronic Provider	Associated
Principal member	R3 014
Adult dependant	R2 419
Child dependant	R1 184

Momentum Incentive Option

Hospital Provider	Any
Chronic Provider	State
Principal member	R2 464
Adult dependant	R1 942
Child dependant	R974

Bonitas BonFit

Principal member	R2 027
Adult dependant	R1 570
Child dependant	R607

Bonitas BonSave

Principal member	R2 486
Adult dependant	R1 925
Child dependant	R744

Fedhealth (excluding Medi-Vault contributions) flexiFED 1 Network hospitals

Principal member	R1 611
Adult dependant	R1 207
Child dependant	R525

Fedhealth (excluding Medi-Vault contributions) flexiFED 1 Elect

Principal member	R1 208
Adult dependant	R905
Child dependant	R394

Fedhealth (excluding Medi-Vault contributions) flexiFED 2 Any hospital

Principal member	R2 086
Adult dependant	R1 768
Child dependant	R615

Fedhealth (excluding Medi-Vault contributions) flexiFED 2 GRID

Principal member	R1 856
Adult dependant	R1 574
Child dependant	R548

Fedhealth (excluding Medi-Vault contributions) flexiFED 2 Elect

Principal member	R1 565
Adult dependant	R1 327
Child dependant	R462

Fedhealth (excluding Medi-Vault contributions) flexiFED 3 Any hospital

Principal member	R2 294
Adult dependant	R2 018
Child dependant	R818

Fedhealth (excluding Medi-Vault contributions) flexiFED 3 GRID

Principal member	R2 041
Adult dependant	R1 797
Child dependant	R728

Fedhealth (excluding Medi-Vault contributions) flexiFED 3 Elect

Principal member	R1 721
Adult dependant	R1 513
Child dependant	R614

Bestmed Beat 2 Network

Principal member	R1 633
Adult dependant	R1 268
Child dependant	R687

Bestmed Beat 2

Principal member	R1 814
Adult dependant	R1 409
Child dependant	R764

Bestmed Beat 3 Network

Principal member	R2 477
Adult dependant	R1 761
Child dependant	R957

Bestmed Beat 3

Principal member	R2 752
Adult dependant	R1 956
Child dependant	R1 063

Discovery Classic Saver

Principal member	R3 021
Adult dependant	R2 382
Child dependant	R1 209

Discovery Classic Delta Saver

Principal member	R2 412
Adult dependant	R1 906
Child dependant	R969

Discovery Coastal Saver

Principal member	R2 373
Adult dependant	R1 783
Child dependant	R958

Discovery Essential Saver

Principal member	R2 400
Adult dependant	R1 800
Child dependant	R962

Discovery Essential Delta Saver

Principal member	R1 915
Adult dependant	R1 444
Child dependant	R768

Traditional plans

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	Principal member	Adult dependant	Child dependant
Momentum	Summit Option	R9 269	R7 413	R2 129
Bonitas	Primary	R2 240	R1 752	R713
	Primary Select	R1 904	R1 489	R606
	Standard	R3 556	R3 083	R1 043
	Standard Select	R3 080	R2 665	R902
Fedhealth	N/A	N/A	N/A	N/A
Bestmed	N/A	N/A	N/A	N/A

Momentum Summit Option

Principal member	R9 269
Adult dependant	R7 413
Child dependant	R2 129

Bonitas Primary

Principal member	R2 240
Adult dependant	R1 752
Child dependant	R713

Bonitas Primary Select

Principal member	R1 904
Adult dependant	R1 489
Child dependant	R606

Bonitas Standard

Principal member	R3 556
Adult dependant	R3 083
Child dependant	R1 043

Bonitas Standard Select

Principal member	R3 080
Adult dependant	R2 665
Child dependant	R902

Fedhealth

Principal member	N/A
Adult dependant	N/A
Child dependant	N/A

Bestmed

Principal member	N/A
Adult dependant	N/A
Child dependant	N/A

Hybrid plans

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	Principal member	Adult dependant	Child dependant
Bonitas	BonClassic	R4 470	R3 838	R1 104
Fedhealth	Maxima Exec Grid	R4 750	R4 116	R1 482
	Maxima Exec	R5 336	R4 625	R1 666
	Maxima Plus	R8 354	R7 204	R2 610
Bestmed	Beat 4	R4 302	R3 553	R1 064
	Pace 1	R3 609	R2 534	R911
	Pace 2	R5 111	R5 012	R1 127
	Pace 3	R5 868	R4 723	R1 009
	Pace 4	R7 330	R7 330	R1 717

Bonitas BonClassic

Principal member	R4 470
Adult dependant	R3 838
Child dependant	R1 104

Fedhealth Maxima Exec Grid

Principal member	R4 750
Adult dependant	R4 116
Child dependant	R1 482

Fedhealth Maxima Exec

Principal member	R5 336
Adult dependant	R4 625
Child dependant	R1 666

Fedhealth Maxima Plus

Principal member	R8 354
Adult dependant	R7 204
Child dependant	R2 610

Bestmed Beat 4

Principal member	R4 302
Adult dependant	R3 553
Child dependant	R1 064

Bestmed Pace 1

Principal member	R3 609
Adult dependant	R2 534
Child dependant	R911

Bestmed Pace 2

Principal member	R5 111
Adult dependant	R5 012
Child dependant	R1 127

Bestmed Pace 3

Principal member	R5 868
Adult dependant	R4 723
Child dependant	R1 009

Bestmed Pace 4

Principal member	R7 330
Adult dependant	R7 330
Child dependant	R1 717

Threshold plans

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	Principal member	Adult dependant	Child dependant
Momentum	Extender Option	Associated	Any	R5 684	R4 579	R1 608
		Associated	Associated	R5 240	R4 217	R1 507
		Associated	State	R4 580	R3 473	R1 347
		Any	Any	R6 464	R5 205	R1 855
		Any	Associated	R5 813	R4 683	R1 673
		Any	State	R5 249	R4 309	R1 543
Bonitas	BonComplete	N/A	N/A	R3 581	R2 868	R973
	BonComprehensive	N/A	N/A	R6 438	R6 072	R1 310
Fedhealth (excluding Medi-Vault contributions)	flexiFED 4 Any hospital	N/A	N/A	R3 031	R2 684	R927
	flexiFED 4 GRID	N/A	N/A	R2 698	R2 389	R825
	flexiFED 4 Elect**	N/A	N/A	R2 274	R2 052	R709
Discovery	Executive	N/A	N/A	R6 541	R6 541	R1 248
	Executive	N/A	N/A	R6 541	R6 541	R1 248
	Classic Comprehensive	N/A	N/A	R5 368	R5 077	R1 070
	Classic Delta Comp	N/A	N/A	R4 834	R4 577	R962
	Classic Comp Zero MSA	N/A	N/A	R4 026	R3 808	R803
	Essential Comp	N/A	N/A	R4 509	R4 265	R908
	Essential Delta Comp	N/A	N/A	R4 062	R3 8375	R815
	Classic Priority	N/A	N/A	R3 501	R2 761	R1 401
	Essential Priority	N/A	N/A	R3 010	R2 365	R1 202

Momentum Extender Option

Hospital Provider	Associated
Chronic Provider	Any
Principal member	R5 684
Adult dependant	R4 579
Child dependant	R1 608

Momentum Extender Option

Hospital Provider	Associated
Chronic Provider	Associated
Principal member	R5 240
Adult dependant	R4 217
Child dependant	R1 507

Momentum Extender Option

Hospital Provider	Associated
Chronic Provider	State
Principal member	R4 580
Adult dependant	R3 473
Child dependant	R1 347

Momentum Extender Option

Hospital Provider	Any
Chronic Provider	Any
Principal member	R6 464
Adult dependant	R5 205
Child dependant	R1 855

Momentum Extender Option

Hospital Provider	Any
Chronic Provider	Associated
Principal member	R5 813
Adult dependant	R4 683
Child dependant	R1 673

Momentum Extender Option

Hospital Provider	Any
Chronic Provider	State
Principal member	R5 249
Adult dependant	R4 309
Child dependant	R1 543

Bonitas BonComplete

Principal member	R3 581
Adult dependant	R2 868
Child dependant	R973

Bonitas BonComprehensive

Principal member	R6 438
Adult dependant	R6 072
Child dependant	R1 310

Fedhealth (excluding Medi-Vault contributions) flexiFED 4 Any hospital

Principal member	R3 031
Adult dependant	R2 684
Child dependant	R927

Fedhealth (excluding Medi-Vault contributions) flexiFED 4 GRID

Principal member	R2 698
Adult dependant	R2 389
Child dependant	R825

Fedhealth (excluding Medi-Vault contributions) flexiFED 4 Elect**

Principal member	R2 274
Adult dependant	R2 052
Child dependant	R709

Discovery Executive

Principal member	R6 541
Adult dependant	R6 541
Child dependant	R1 248

Discovery Classic Comprehensive

Principal member	R5 368
Adult dependant	R5 077
Child dependant	R1 070

Discovery Classic Delta Comp

Principal member	R4 834
Adult dependant	R4 577
Child dependant	R962

Discovery Classic Comp Zero MSA

Principal member	R4 026
Adult dependant	R3 808
Child dependant	R803

Discovery Essential Comp

Principal member	R4 509
Adult dependant	R4 265
Child dependant	R908

Discovery Essential Delta Comp

Principal member	R4 062
Adult dependant	R3 837
Child dependant	R815

Discovery Classic Priority

Principal member	R3 501
Adult dependant	R2 761
Child dependant	R1 401

Discovery Essential Priority

Principal member	R3 010
Adult dependant	R2 365
Child dependant	R1 202

Medical Scheme Options For Your Employees	http://www.sanlam.co.za/simekahealth/Pages/medical-scheme-options-for-employees.aspx	Medical Scheme Options For Your Employees		Simeka Health offers appropriate advice when it comes to providing healthcare solutions for your employees.	http://www.sanlam.co.za/CoZaBannerImages/CompletemedBanner_enployee.jpg?RenditionID=5, /CoZaBannerImages/CompletemedBanner_enployee.jpg?RenditionID=5
Medical Scheme Options For Individuals	http://www.sanlam.co.za/simekahealth/Pages/medical-scheme-options-for-individuals.aspx	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.	http://www.sanlam.co.za/CoZaBannerImages/CompletemedBanner_individual.jpg?RenditionID=5, /CoZaBannerImages/CompletemedBanner_individual.jpg?RenditionID=5
Gap Cover	http://www.sanlam.co.za/simekahealth/Pages/gapcover.aspx	Gap Cover	With the increasing cost of medical scheme plans, you need to protect yourself against unexpected excess payments. Buy Sanlam Gap Cover online – it’s simple and hassle-free	With the increasing cost of medical scheme plans, you need to protect yourself against unexpected excess payments.	http://www.sanlam.co.za/CoZaBannerImages/CompletemedBanner_gap.jpg?RenditionID=5, /CoZaBannerImages/CompletemedBanner_gap.jpg?RenditionID=5

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.

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.

Get in touch

Please fill in your details below and one of our consultants will call you.

Healthcare Insights

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.

Below is a selection of our most recent newsletters. For more newsletters, please visit our blog.

Comments on National Health Insurance Bill	http://www.sanlam.co.za/simekahealth/marketinsights/articles/Pages/comments-on-national-health-insurance-bill.aspx	Comments on National Health Insurance Bill	The recent publication of the National Health Insurance (‘NHI’) Bill in South Africa has provoked vigorous debate.	http://www.sanlam.co.za/simekahealth/marketinsights/PublishingImages/nationalHealthBillPreview.jpg, /simekahealth/marketinsights/PublishingImages/nationalHealthBillPreview.jpg
NHI Bill developments	http://www.sanlam.co.za/simekahealth/marketinsights/articles/Pages/nhi-bill-developments.aspx	NHI Bill developments	The proposed National Health Insurance (NHI) system to be introduced in South Africa has drawn much attention in the media over the past months.	http://www.sanlam.co.za/simekahealth/marketinsights/PublishingImages/billDevelopmentsPreview.png, /simekahealth/marketinsights/PublishingImages/billDevelopmentsPreview.png
CMS Report 2018 – interesting facts	http://www.sanlam.co.za/simekahealth/marketinsights/articles/Pages/cms-report-2018.aspx	CMS Report 2018 – interesting facts	The latest Annual Report 2017/2018 of the Council for Medical Schemes (CMS) highlights a number of interesting statistics regarding the medical schemes industry.	http://www.sanlam.co.za/simekahealth/marketinsights/PublishingImages/CMS-report-preview.png, /simekahealth/marketinsights/PublishingImages/CMS-report-preview.png

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.

Medical Scheme 2020 Launch Highlights

Zoom – Transfer funds to your wallet
Medical Scheme 2020 Launch Highlights

Medical Scheme 2020 Launch Highlights

Individual Contributions 2020
Marketing Health Brochure 2020
Medical Scheme 2020 Launch Highlights
Health contributions 2020

Directors

Richard Tyler

Director and Chair – B.Com

Sharon Rubens

Managing Director – B.Com. Hons

Avishal Seeth

Director - BCom Honours (Accounting Sciences)

Viresh Maharaj

Director – MBA

Jocelyn Hathaway

Director – B.Com

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Client Comments

05 September 2019

Service is fantastic, all the consultants from Jacque to Garlie were fantastic. Keep up the good work.

SALIM MOHAMED CHOONANA

19 September 2019

Yolisa has been a huge help to me in sorting out the claims.

NATALIE-ANN COCHRANE

20 September 2019

I was really impressed by the speedy and professional assistance by Bee Mfundisi. Great service!

BRENDA CORNELISEEN

24 September 2019

Very very efficient. From the time I made a call to enquire about the procedures for a claim up to payment, there service was excellent from all staff members. Thank you very much.

CORNELIUS ERASMUS

30 September 2019

Very good, quick response and answered my question promptly. Jackqueline assisted me in my language, Afrikaans!!.Awesome!

ANENE VERCUIEL

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Simeka Health Pty Ltd

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

Online Healthcare Needs Analysis

Summary of 2019 Options and contributions

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Momentum Ingwe Option

Impact Option

Bonitas BonCap

Bonitas BonCap

Bonitas BonCap

Bonitas BonCap

Bonitas BonCap

Fedhealth myFED

Fedhealth myFED

Fedhealth myFED

Fedhealth myFED

Fedhealth myFED

Bestmed Pulse 1

Bestmed Pulse 1

Bestmed Pulse 1

Discovery Smart Classic Smart

Discovery Smart Essential Smart

Discovery Key Care Plus

Discovery Key Care Plus

Discovery Key Care Plus

Discovery Key Care Core

Discovery Key Care Core

Discovery Key Care Core

Discovery Key Care Start

Discovery Key Care Start

Discovery Key Care Start

Momentum Custom Option

Momentum Custom Option

Momentum Custom Option

Momentum Custom Option

Momentum Custom Option

Momentum Custom Option

Bonitas Hospital Standard

Bonitas BonEssential

Bonitas BonEssential Select

Fedhealth

Bestmed Beat 1 Network

Bestmed Beat 1

Discovery Classic Core

Discovery Classic Delta Core

Discovery Essential Core

Discovery Essential Delta Core

Discovery Coastal Core

Simeka Health Complete Med