Bestmed - BEAT 4 Medical Aid Plan

Bestmed - BEAT 4

A hospital plan with savings and day-to-day benefits. The BEAT 4 plan offers comprehensive private hospital cover at any hospital. It also provides a generous amount of day-to-day medical cover for consultations, dentistry, chronic medications and a wide range of preventative care benefits.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% scheme rate

Provider

Any hospital

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: R10 176

Spouse: R8 412

Per Child: R2 520

Pooled Day to Day Benefit

Savings first + OVERALL DAY TO DAY LIMIT/SUB-LIMITS APPLY

Member: R 14831

M+1=R29 661

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

9 Antenatal visits & Post-natal visits, 2 scans, Register for maternity benefit, supplements up to R127 per claim for max of 9 months

Contributions

Contributions

Member: R6059

Adult: R5004

Per Child: R1498

 

 

 

 

 

 

 

 


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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