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Hospital Plan – 2020 Comparisons

Hospital Plan: Will cover all the services provided in a hospital including the anesthetist and surgeon. You would have to be admitted to a hospital, out patients and trauma units are generally not considered a hospital event if you are not admitted.

Please feel free to use our convenient quote form provided. Our medical aid consultants will assist you when choosing the best plan, and supply easy to understand hospital plan comparisons and quotes.

View our latest 2020 plan updates below.

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Hospital Plans2020 Comparisons Made Easy!

BONITAS
BON ESSENTIAL - Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 1,877
Spouse/Adult Dependant R 1,436
Per Child (Max 3) R 550



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Co-payments apply for certain procedures.
*R390 Take home medicine.
Annual Sub-limits per person:
Psychiatric Treatment
R 32,210
Hospice Care
R 16,880
Oncology
R 344,500






CHRONIC MEDICATION
100% Scheme Rate
27 PMB Chronic Disease Conditions.
Subject to scheme formulary.
Only from Pharmacy Direct.






ANNUAL DAY TO DAY BENEFIT
(including Savings)
Does not apply except for:

6 Antenatal consultations,
4 postnatal consultations,
with Midwife, 2 scans, 1 amniocentesis.

R910 Wellness Extender Benefit per family for
GP, Physiotherapy, Biokineticist, Dietician visits.















ANNUAL THRESHOLD
Does not apply






DISCOVERY
CLASSIC CORE - Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 2,449
Spouse/Adult Dependant R 1,931
Per Child (Max 3) R 980



IN HOSPITAL BENEFIT
2020 BENEFITS
200% Scheme Rate
No Overall Annual Limit






Annual Sub-limits per person:
Psychiatric Treatment
21 days
Hospice Care
R 68,100
Oncology R 200 000 thereafter 20% co-payment.
Internal Prostheses: See detailed benefit schedule.



CHRONIC MEDICATION
100% Scheme Rate
27 PMB Chronic Disease Conditions.
Subject to scheme formulary.
Only from MedXpress, DSP
ANNUAL DAY TO DAY BENEFIT
(including Savings)
No benefit.













ANNUAL THRESHOLD
Does not apply






DISCOVERY
CLASSIC SMART - Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 1,954
Spouse/Adult Dependant R 1,542
Per Child (Max 3) R 781



IN HOSPITAL BENEFIT
2020 BENEFITS
200% Scheme Rate
No Overall Annual Limit
Network Hospitals to be used.



Annual Sub-limits per person:
Psychiatric Treatment
21 days
Hospice Care
R 68,100
Oncology R 200 000 thereafter 20% co-payment.
Internal Prostheses: See detailed benefit schedule.



CHRONIC MEDICATION
100% Scheme Rate
27 PMB Chronic Disease Conditions.
Subject to scheme formulary.
Only from MedXpress, Clicks or Dischem
ANNUAL DAY TO DAY BENEFIT
(including Savings)
Unlimited GP Benefit with R55 co-payment for face to face
consultations.
Video call consultations paid in full.

Prescribed medication limited to R1500 per person
or R2500 per family
Only from network pharmacy.

1 dental check-up with a R110 co-payment.

4 specialist consultations for sports related injuries only
with a R110 co-payment. Must be referred by Network GP.

1 eye test with a R55 co-payment.
ANNUAL THRESHOLD
Does not apply






DISCOVERY
COASTAL CORE - Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 1,946
Spouse/Adult Dependant R 1,462
Per Child (Max 3) R 774



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Full Cover Network Hospitals to be used.

Annual Sub-limits per person:
Psychiatric Treatment
21 days
Hospice Care
R 48,200
Oncology R 200 000 thereafter 20% co-payment.

Internal Prostheses: See detailed benefit schedule.




CHRONIC MEDICATION
100% Scheme Rate
27 PMB Chronic Disease Conditions.
Subject to scheme formulary.
Only from MedXpress, DSP
ANNUAL DAY TO DAY BENEFIT
(including Savings)
No benefit.













ANNUAL THRESHOLD
Does not apply






DISCOVERY
ESSENTIAL CORE - Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 2,104
Spouse/Adult Dependant R 1,577
Per Child (Max 3) R 846



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit






Annual Sub-limits per person:
Psychiatric Treatment
21 days
Hospice Care
R 48,200
Oncology R 200 000 thereafter 20% co-payment.
Internal Prostheses: See detailed benefit schedule.



CHRONIC MEDICATION
100% Scheme Rate
27 PMB Chronic Disease Conditions.
Subject to scheme formulary.
Only from MedXpress, DSP
ANNUAL DAY TO DAY BENEFIT
(including Savings)
No benefit.













ANNUAL THRESHOLD
Does not apply






DISCOVERY
ESSENTIAL SMART - Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 1,400
Spouse/Adult Dependant R 1,400
Per Child (Max 3) R 1,400



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Network Hospitals to be used.



Annual Sub-limits per person:
Psychiatric Treatment
21 days
Hospice Care
R 68,100
Oncology R 200 000 thereafter 20% co-payment.
Internal Prostheses: See detailed benefit schedule.



CHRONIC MEDICATION
100% Scheme Rate
27 PMB Chronic Disease Conditions.
Subject to scheme formulary.
Only from MedXpress, Clicks or Dischem
ANNUAL DAY TO DAY BENEFIT
(including Savings)
Unlimited GP Benefit with R110 co-payment for face to face
consultations.
Video call consultations paid in full.

1 dental check-up with a R165 co-payment.

1 eye test with a R110 co-payment.







ANNUAL THRESHOLD
Does not apply






DISCOVERY
KEYCARE CORE - Hospital Plan
MONTHLY CONTRIBUTIONS
Income p/m R0-R8,550 R8,551-R13,800 R13,800 +
Principal Member R 949 R 1,183 R 1,809
Spouse/Adult Dependant R 949 R 1,183 R 1,809
Per Child (Max 3) R 245 R 292 R 410
IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Full Cover Network Hospitals to be used.
Certain procedure only covered at Network Day Clinics.
Annual Sub-limits per person:
Psychiatric Treatment

21 days
Hospice Care

R 48,200
Oncology

PMB








CHRONIC MEDICATION
100% Scheme Rate
27 PMB Chronic Disease Conditions.
Subject to scheme formulary.
Only from a DSP.
ANNUAL DAY TO DAY BENEFIT
(including Savings)
Does not apply

Specialist Benefit limited to R4 400 per person per annum,
must be referred by Network GP.










ANNUAL THRESHOLD
Does not apply




FEDHEALTH
FLEXIFED 3 ANY - Hospital Plan/Day to Day Cover
Note: Replaced FedHealth Maxima Core
MONTHLY CONTRIBUTIONS
Principal Member R 2,545
Spouse/Adult Dependant R 2,296
Per Child (Max 3) R 915



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Co-payments are due for certain procedures
(eg: R8 200 for Arthroscopy)
*30 days Post Hospital Cover
*7 days Take Home Medicine
*Emergency Trauma at Out Patients
Psychiatric Treatment
R 24,700
Hospice Care
R 32,300
Oncology (only at DSP)
R 290,400
Internal Prosthesis
R 26,100
CHRONIC MEDICATION
100% Scheme Rate
27 Chronic Disease Conditions.
Subject to Intermediate Scheme formulary.
Only from Medi-Rite, Clicks, Dis-Chem &
Pharmacy Direct.



ANNUAL DAY TO DAY BENEFIT
(including Savings)
100% Scheme Rate
Member
R 300
Spouse
R 264
Per Child (Max 3)
R 108
MediVault Savings amounts are not pro-rated and can be
transferred to your Wallet at any time and paid back
interest-free over a period of 12 months:
Member
Member + 1
Member + 2
Member + 2 +





ANNUAL THRESHOLD
Member
R 5,400
Member + 1
R 10,200
Member + 2
R 11,700
Member + 2 +
R 13,800
FEDHEALTH
FLEXIFED 4 ANY - Hospital Plan/Day to Day Cover
Note: Replaced FedHealth Maxima Standard
MONTHLY CONTRIBUTIONS
Principal Member R 3,367
Spouse/Adult Dependant R 3,054
Per Child (Max 3) R 1,036



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Co-payments are due for certain procedures
(eg: R2 400 for Arthroscopy)
*30 days Post Hospital Cover
*7 days Take Home Medicine
*Emergency Trauma at Out Patients
Psychiatric Treatment
R 26,200
Hospice Care
R 32,300
Oncology (only at DSP)
R 464,700
Internal Prosthesis
R 26,100
CHRONIC MEDICATION
100% Scheme Rate
43 Chronic Disease Conditions.
Subject to Intermediate Scheme formulary.
Only from Medi-Rite, Clicks, Dis-Chem &
Pharmacy Direct.



ANNUAL DAY TO DAY BENEFIT
(including Savings)
100% Scheme Rate
Member
R 300
Spouse
R 264
Per Child (Max 3)
R 96
MediVault Savings amounts are not pro-rated and can be
transferred to your Wallet at any time and paid back
interest-free over a period of 12 months:
Member
Member + 1
Member + 2
Member + 2 +


Unlimited Network GP Benefit


ANNUAL THRESHOLD
Member
R 14,400
Member + 1
R 25,800
Member + 2
R 29,400
Member + 2 +
R 33,000
FEDHEALTH
MYFED - Network Plan
Note: Replaced FedHealth Entryzone
MONTHLY CONTRIBUTIONS
Income p/m R1-R6,251 R6,252-R10,219 R10,220-R12,622 R12,623-R14,426 R14,427+
Principal Member R 1,023 R 1,297 R 1,818 R 2,310 R 3,133
Spouse/Adult Dependant R 893 R 1,126 R 1,587 R 1,904 R 2,854
Per Child (Max 3) R 492 R 634 R 697 R 903 R 1,194
IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Network Hospitals to be used.
R12 000 co-payment on voluntary
non-network admissions.
*7 days Take Home Medicine
*Emergency Trauma at Out Patients
Psychiatric Treatment



R 9,100
Hospice Care



n/a
Oncology



PMB
Internal Prosthesis



PMB
CHRONIC MEDICATION
100% Scheme Rate
27 Chronic Disease Conditions.
Subject to Basic Scheme formulary.
Only from Medi-Rite, Clicks, Dis-Chem &
Pharmacy Direct.






ANNUAL DAY TO DAY BENEFIT
(including Savings)
100% Scheme Rate

GP's No Limit from Network Providers.

(2 out-of-network visits)






Specialists: 2 visits limited to R 1 800 per person from Network Providers.

(must be referred by Network GP)




Conservative Dentistry: Only from a Network Provider.

(Fillings, extractions, consultations)

Plastic dentures limited to one set per person every 2 years.


ANNUAL THRESHOLD
Does not apply


















HEALTH SQUARED
ASPIRE - Hospital Plan
Note: Old Resolution Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 2,055
Spouse/Adult Dependant R 1,693
Per Child (Max 3) R 747



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Co-payments are due for certain procedures
(eg: R4 000 Arthroscopy)
*7 days Take Home Medicine




Annual Sub-limits per person:
Psychiatric Treatment (Network Provider)
PMB
Hospice Care (per family)
10 days
Oncology (Subject to ICON network
R 197,594
and scheme protocols)

Internal Prosthesis: Subject to sub-limits & scheme protocols

CHRONIC MEDICATION
100% Scheme Rate
27 PMB Chronic Disease Conditions
Subject to scheme formulary & DSP
40% co-payment for non-DSP






ANNUAL DAY TO DAY BENEFIT
(including Savings)
Does not apply

2 GP consultations per family per annum
with a R150 co-payment.

Specialist consultations
subject to PMB and pre-authorisation
only at contracted providers.















ANNUAL THRESHOLD
Does not apply






MEDIHELP
PRIME 1 - Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 2,082
Spouse/Adult Dependant R 1,716
Per Child (Max 2) R 630



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
Co-payments on specified procedures may apply.
(eg. Arthroscopy R2 100 at a Day Clinic and
R3 200 in Hospital)



*30 days Post Hospital Cover limited to R1 800 single
member and R2 500 per family per annum.
Annual Sub-limits per person:
Psychiatric Treatment (per family)
R 29,300
Hospice Care
Unlimited
Oncology (PMB)
Unlimited
Oncology (non PMB)
R 210,800
CHRONIC MEDICATION
100% Scheme Rate
26 Chronic Disease Conditions.
Subject to scheme formulary.
Only from a DSP.






ANNUAL DAY TO DAY BENEFIT
(including Savings)
Does not apply
GP's
Single R 1,200
Family R 2,400
Shared limit with Acute / Prescribed Medication



Specialists
Shared limit with GP Consultations.

Conservative Dentistry
Removal of impacted wisdom teeth only.












ANNUAL THRESHOLD
Does not apply






MOMENTUM CUSTOM OPTION
ASSOCIATED HOSPITAL & ANY FOR CHRONIC
Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 2,319
Spouse/Adult Dependant R 1,830
Per Child (Max 3) R 818



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
*7 days Take Home Medicine
*R1,570 co-payment except for Emergencies, MVA's and
maternity.
Associated Hospitals to be used (Life and Mediclinics)
Annual Sub-limits per person:
Psychiatric Treatment
R 35,600
Hospice Care (including Rehab & Step-down)
R 48,700
Oncology R 300 000 thereafter 20% co-payment
Internal Prosthesis: See detailed benefits
CHRONIC MEDICATION
100% Scheme Rate
26 Chronic Disease Conditions.
Subject to scheme formulary.




ANNUAL DAY TO DAY BENEFIT
(including Savings)
Does not apply

For more savings please enquire about the
Health Saver.











ANNUAL THRESHOLD
Does not apply






MOMENTUM CUSTOM OPTION
ASSOCIATED HOSPITAL & STATE FOR CHRONIC
Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 1,642
Spouse/Adult Dependant R 1,242
Per Child (Max 3) R 582



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
*7 days Take Home Medicine
*R1,570 co-payment except for Emergencies, MVA's and
maternity.
Associated Hospitals to be used (Life and Mediclinics)
Annual Sub-limits per person:
Psychiatric Treatment
R 35,600
Hospice Care (including Rehab & Step-down)
R 48,700
Oncology R 300 000 thereafter 20% co-payment
Internal Prosthesis: See detailed benefits
CHRONIC MEDICATION
100% Scheme Rate
26 Chronic Disease Conditions.
Subject to scheme formulary.
Only from state hospital.



ANNUAL DAY TO DAY BENEFIT
(including Savings)
Does not apply

For more savings please enquire about the
Health Saver.











ANNUAL THRESHOLD
Does not apply






As additional Hospital Plan comparisons are made available we will continue to update this page in our effort to provide our clients with the most up to date information and advice on the medical aid industry in South Africa. If you are still deciding which plan type is best suited to your situation, why not take a look at the Medical Aid Plans page to see the full range of plans.

For more detailed information on any of the above Hospital Plan comparisons simply contact us. If you already know what you want, why not make use of our site to download the relevant Medical Aid Application form and then fax it back to us on 0866 200 320 . Alternatively, if you would like us to confirm some of the finer details and pricing just fill in our free Medical Aid Quote Request form and we will get back to you promptly.

Finally, we invite you to contact us on +27 21 712 8866 at any point in your decision making process for further information on these Hospital Plan comparisons.

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