Bestmed - RHYTHM 1 Medical Aid Plan

Bestmed - RHYTHM 1

Affordable, income-based medical aid for those comfortable with using designated service providers. Includes basic cover for hospitalisation at network hospitals (up to prescribed minimum benefits or, for some benefits, at 100% of the scheme rate); limited cover for GP visits, specialist visits (subject to referral) and basic dentistry; and preventative care benefits, including vaccines and contraception.

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

BASIC DAY TO DAY COVER AT NETWORK PROVIDERS

Pooled Day to Day Benefit

NOT APPLICABLE

Threshhold / Safety Net

NOT APPLICABLE

Self-Payment Gap Before Threshold

NOT APPLICABLE

Above Threshold Limits

NOT APPLICABLE

Maternity Care

Subject to Provider Network - 6 Antenatal visits at GP/Gynae/Midwife, 1 x 2D pregnancy scan (10 - 12 weeks and 20 - 24 weeks) at FP, gynae OR radiologist. All benefits paid at 100% of Scheme Tariff / Rate.

Contributions

Contributions

R0-R9000 CONTRIBUTIONS:

Member: R1432

Adult: R1432

Per Child: R590

 

R0-R9001-R14 000 CONTRIBUTIONS:

Member: R1670

Adult: R1670

Per Child: R710

 

R14 001+ CONTRIBUTIONS:

Member: R2983

Adult: R2983

Per Child: R1545

 

 

 

 

 

 


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

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