The cheapest and most expensive medical aids in South Africa in 2017

The latest GTC Medical Aid Survey for 2017 has been released, which compares local medical aid schemes on cost to members across various levels of cover.

According to GTC, medical aids are complicated schemes, and comparing them is an almost impossible task; however it has developed a review process that compares schemes across specific categories, rather than on specific services offered.

For its 2017 review, GTC screened 23 medical aids (22 open and 1 closed scheme) offering 144 plans.

The rankings in the GTC Medical Aid Survey are based on the concept of a total cost or a risk rating for each medical aid plan.

This risk rating is derived from a risk premium, which represents the premium paid monthly minus the allocation to what is known as the ‘savings’ or out-of-hospital account.

“This approach removes any differences in personal circumstances, priorities or behaviours that may influence an individual’ eventual healthcare costs,” the group said.

The savings have not totally been discarded, however, and have been included in a separate column in the tables below.

Comprehensive and hospital plans are slightly different, where the medical aids are ranked by their complete cost (assuming that costs for the year are all only at 100% of the medical aid rate).

The plan categories include:

  • Entry Level (in and out-of-hospital benefits within very defined networks and formularies),
  • Hospital Only (in-hospital cover only),
  • Saver (out-of-hospital provided by benefits or savings account),
  • Saver Plus (two separate savings accounts, separated by a self-payment gap) and
  • Comprehensive (unlimited above threshold benefit)

The full report also includes core and student entry level schemes as well as traditional schemes.

These are the top and bottom 5 medical aids in each category, for a single member.

Schemes marked with [*] indicate they for state-only hospital cover. Salary-banded schemes (i.e. prices vary depending on a member’s specific income) show the salary band in parenthesis.

Entry-level – low-salary

# Plan Complete Cost
1  Makoti Primary* R239
2  Momentum Ingwe* R560
3  Discovery KeyCare Access* R644
4  Momentum Ingwe R701
5  Fedhealth Blue Door Plus R776
17  Medihelp Necesse R1 404
18  CompCare Wellness NetworX R1 614
19  Momentum Access R1 842
20  Bonitas Primary R1 924
21  Hosmed Access R2 124

Entry-level – mid-salary

# Plan Complete Cost
1 Makoti Primary* R530
2 Momentum Ingwe* R641
3 Discovery KeyCare Access* R859
4 Suremed Explorer R860
5 Momentum Ingwe R892
17 CompCare Wellness NetworX R1 614
18 Medihelp Necesse R1 656
19 Momentum Access R1 842
20 Bonitas Primary R1 924
21 Hosmed Access R2 124

Hospital plan

# Plan Complete Cost
1 Profmed ProActive (R0 – R5 000) R635
2 Genesis Private Choice R1 000
3 Profmed ProActive (R5 001 – R9 000) R1 049
4 Discovery Essential Smart R1 100
5 BestMed Beat1 Network R1 131
35 Discovery Classic Core R1 918
36 Medshield MediCore R1 926
37 Momentum Custom R2 059
38 Bonitas Hospital Plus R2 636
39 Selfmed Med Elite R4 406

Saver plan

# Plan Risk Rating Savings
1  BestMed Beat2 Network R1 161 R2 856
2  Topmed Active Saver R1 270 R2 904
3  BestMed Beat2 R1 290 R3 168
4  Commed Shina (R0 – R6 000) R1 348 R1 798
5  Fedhealth Maxima EntrySaver R1 376 R3 168
44  Bonitas BonClassic R3 648 R6 192
45  KeyHealth Gold R3 729 R9 158
46  Cape Medical Plan HealthPact Select R4 698 R3 600
47  Profmed ProPinnacle R6 007 R16 000
48  Momentum Summit R7 637 R22 300

Saver Plus plan

# Plan Risk Rating Savings
1 Medimed Medisave Standard (R0 – R8 500) R495 R13 980
2 Medimed Medisave Standard (R8 501 – R13 000) R570 R14 280
3 Medimed Medisave Standard (R13 001 – R17 000) R788 R15 150
4 Medimed Medisave Standard (R17 001 +) R923 R15 690
5 Discovery Essential Priority R1 240 R15 734
24 BestMed Pace3 (R8 209 +) R3 082 R24 180
25 CompCare Wellness Pinnacle R3 269 R24 713
26 Spectramed Cobolt R3 355 R23 588
27 BestMed Pace4 R3 580 R30 196
28 Commed De Luxe R4 715 R13 050

Comprehensive

# Plan Comlpete Cost
1 Fedhealth Maxima Standard Elect R1 899
2 Fedhealth Maxima Standard R2 486
3 Momentum Extender R2 799
4 Discovery Essential Delta Comprehensive R2 899
5 Discovery Classic Delta Comprehensive R3 045
16  Discovery Executive R4 158
17  Bonitas BonComprehensive R5 254
18  KeyHealth Platinum R6 036
19  Fedhealth Maxima Plus R6 369
20  Fedhealth Ultimax R8 736

A full, detailed breakdown of GTC’s rankings can be found in the full report.


Read: Best and worst medical aids in South Africa 2016

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The cheapest and most expensive medical aids in South Africa in 2017