Bestmed - PACE 4
BestMed’s most generous comprehensive medical aid, with private hospital cover at 100% of the scheme rate, day-to-day expenses paid from scheme risk and, once out-of-hospital risk benefits are depleted, further claims paid from savings. Includes cover for GP and specialist visits, dentistry, optometry, a range of assistive devices and more.
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 |
| Chronic |
26 PMBs+ additional 29 at 90% of scheme rate with limits |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
Member: R3 720 Spouse: R3 720 Per Child: R876 |
|---|---|
| Pooled Day to Day Benefit |
Savings first + OVERALL DAY TO DAY LIMIT/SUB-LIMITS APPLY: Member: R41 472, M+1=R66 878 |
| 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 R133 per claim for max of 9 months |
Contributions
| Contributions |
Member: R10343 Adult: R10 343 Per Child: R2423
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