Comprehensive cover for hospitalisation and most in-hospital services via an unrestricted network of hospitals
Certain categories subject to Rand limits
Organ transplants and oncology limited to PMBs

100% of cost at contracted rate, subject to available savings for Bankmed Network Specialists (DSPs)
100% of Scheme rate for non-DSPs

Chronic medication limit:

Limited to Core Saver formulary for PMB conditions and paid as follows:

• 100% of the Scheme’s Maximum Medical Aid Prices (MMAP) for Bankmed Network GPs (DSPs) or Bankmed Pharmacy Network (DSP)
• 80% of Scheme’s Maximum Medical Aid Prices (MMAP) for non-DSPs

This Plan has a Medical Savings Account (MSA) only

This Plan has access to all Netcare, National Hospital Network (NHN), Life Healthcare, Mediclinic and Clinix hospitals, any other independent private hospitals contracted to the Scheme

Deductibles: Member to pay hospital or day clinic on admission

For certain procedures performed in-hospital and at a day clinic a deductible will apply, except for emergencies, readmissions within six weeks of discharge, confinements and PMB-related conditions

• Day clinics: R275 per admission
• Private hospitals: R690 per admission