Bestmed - BEAT 3 Network Medical Aid Plan

Bestmed - BEAT 3 Network

The same as the BEAT 3 plan but with the choice of hospitals limited to those in a designated network and lower monthly contributions. The plan offers extensive private hospital cover at network hospitals, with some out-of-hospital expenses paid through a savings account and some covered as insured benefits.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% scheme rate

Provider

Network hospitals

GP's & Specialists

Hospital accounts covered at negotiated rate, limits apply
Oncology: Subject to registration and DSP's
Organ Transplants: PMB'S ONLY
Dialysis: Protocols apply: DSP's
Internal Prosthesis: Various limits apply/procedure based

Chronic

26 PMBs+ additional

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R6 036

Spouse: R4 308

Per Child: R2 124

Pooled Day to Day Benefit

Savings + basic dentistry

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

6 Antenatal visits & Post-natal visits, 2 scans, Register for maternity benefit

Contributions

Contributions

Member: R3 352

Adult: R2 391

Per Child: R1 183

 

 

 

 

 

 

 

 


Finding it difficult to make sense of all this? Not to worry, you can:

Finding it difficult to make sense of all this? Not to worry, you can:

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