The Most Affordable Medical Aid Hospital Plans

hospital planHospital plans are basic medical aid products designed to provide cover for in-hospital procedures, treatments and diagnostic tests when part of an admission. They also include chronic medication cover and may include limited out-of-hospital treatment, restricted to prescribed minimum benefits (PMBs).

Hospital plans are the ideal choice for young healthy families in a position to pay for day-to-day expenses out of their own pockets.

Monthly contributions vary according to the scope of cover that’s offered. The general rule of thumb is the higher the premium, the more attractive the benefit structure.

Network Options

To keep costs as low as possible, many medical aid schemes negotiate set fees with networks of hospital and clinics. These network options are typically more affordable but do require that you use only the approved or network-linked providers.

If you use non-network providers, punitive co-payments may apply or you could end up paying the full account!

Unique Benefits

To sweeten the deal, medical aid service providers may offer various unique benefits as part of hospital plan packages. For example, these may include child illness benefits, free annual flu vaccinations, free preventative screening and even benefits for basic dentistry. Note that this is with certain options and not all schemes offer it!

Exclusions

Hospital plans provide limited medical cover, with various exclusions where applicable and based on your underwriting criteria. Typically  certain conditions, treatments and procedures may not be covered at all. It’s essential that you familiarise yourself with any exclusions before signing up or you could be in for a nasty surprise.

Co-payments

Co-payments are payments that plan members are required to make to cover certain procedures in or out of hospital and even on certain types of medication/consultations which may also have these co-payments. You should determine what payments you’ll be liable for whenever using healthcare services.

Choosing a Plan

Before selecting a hospital plan, it’s important to determine how much you can contribute each month and what your healthcare requirements are. Once you have a monetary amount in mind, you can begin looking for a hospital plan that offers the requisite cover.

Medical Aid Comparison

Our medical aid comparison tool allows you to compare the benefit structure and monthly contributions for a wide variety of hospital plans from top medical aid schemes in the country. You can also request medical aid quotes online or get useful advice from our helpful consultants.

Consult the table for an overview of the hospital plans offered by some of the leading medical aid schemes in South Africa.

 

Hospital Plan Major Medical Benefits Unique Benefits Contribution

Bonitas BonEssential

Major medical expenses at 100% of the scheme rate

Chronic medication for 26 PMBs at designated service providers (DSPs)

Antenatal and postnatal maternity benefits

Childhood illness benefit

Infant paediatric benefit

HIV test and flu vaccine

Mental health benefits

R979 for the main member

R749 per adult dependent

R287 per child dependent

 

Fedhealth Maxima Entry Zone

Unlimited private network  hospitalisation

Post-hospital treatment up to 30 days after discharge

Seven days take-home meds

Trauma treatment at casualty ward

Chronic medication of 25 PMBs

Free annual flu vaccinations for the family

One free GP visit per annum per beneficiary

Immunisation benefit

Screening benefit

Emergency medical transport

 

R883 for the main member

R660 per adult dependent

R297 per child dependent

 

Momentum Custom

Unlimited cover in private hospitals

Lower contributions for stat or associated hospitals

Associated specialists covered in full, all others at 100% of scheme rate

Chronic cover for 26 PMBs

Preventative screening benefits

Maternity programme

Cover for specified check-ups

Health Saver for day to day expenses

Associated hospital, chronic at state

R914 main member

Associated providers

R1085 main member

Any providers

R1196

Genesis Private Choice

Unlimited hospital cover at a hospital of your choice covered at scale of benefits

Limited in-hospital cover for certain major medical illnesses

Cover for 25 chronic conditions

Emergency medical evacuation

Basic dentistry benefits of R25,000 per beneficiary per annum

 

 

R795 per adult

R320 for the first child dependent

R85 for each additional child dependent

 

Contact us now if you would like one of professional consultants to help you find the right hospital plan for you.