The most expensive and cheapest medical aids in SA for 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.

# Plan Complete Cost

  • Makoti Primary* R239
  • Momentum Ingwe* R560
  • Discovery KeyCare Access* R644
  • Momentum Ingwe R701
  • Fedhealth Blue Door Plus R776
  • Medihelp Necesse R1 404
  • CompCare Wellness NetworX R1 614
  • Momentum Access R1 842
  • Bonitas Primary R1 924
  • Hosmed Access R2 124

Entry-level – mid-salary

# Plan Complete Cost

  • Makoti Primary* R530
  • Momentum Ingwe* R641
  • Discovery KeyCare Access* R859
  • Suremed Explorer R860
  • Momentum Ingwe R892
  • CompCare Wellness NetworX R1 614
  • Medihelp Necesse R1 656
  • Momentum Access R1 842
  • Bonitas Primary R1 924
  • Hosmed Access R2 124

Hospital plan

# Plan Complete Cost

  • Profmed ProActive (R0 – R5 000) R635
  • Genesis Private Choice R1 000
  • Profmed ProActive (R5 001 – R9 000) R1 049
  • Discovery Essential Smart R1 100
  • BestMed Beat1 Network R1 131
  • Discovery Classic Core R1 918
  • Medshield MediCore R1 926
  • Momentum Custom R2 059
  • Bonitas Hospital Plus R2 636
  • Selfmed Med Elite R4 406

Saver plan

# Plan Risk Rating & Savings

  • BestMed Beat2 Network R1 161;  R2 856
  • Topmed Active Saver R1 270;  R2 904
  • BestMed Beat2 R1 290;  R3 168
  • Commed Shina (R0 – R6 000) R1 348;  R1 798
  • Fedhealth Maxima EntrySaver R1 376;  R3 168
  • Bonitas BonClassic R3 648;  R6 192
  • KeyHealth Gold R3 729;  R9 158
  • Cape Medical Plan HealthPact Select R4 698;  R3 600
  • Profmed ProPinnacle R6 007;  R16 000
  • Momentum Summit R7 637;  R22 300

Saver Plus plan

# Plan Risk Rating & Saving

  • Medimed Medisave Standard (R0 – R8 500)   R495 ; R13 980
  • Medimed Medisave Standard (R8 501 – R13 000) R570;  R14 280
  • Medimed Medisave Standard (R13 001 – R17 000) R788;  R15 150
  • Medimed Medisave Standard (R17 001 +) R923;  R15 690
  • Discovery Essential Priority R1 240;  R15 734
  • BestMed Pace3 (R8 209 +) R3 082;  R24 180
  • CompCare Wellness Pinnacle R3 269;  R24 713
  • Spectramed Cobolt R3 355;  R23 588
  • BestMed Pace4 R3 580;  R30 196
  • Commed De Luxe R4 715;  R13 050

Comprehensive

# Plan Compete Cost

  • Fedhealth Maxima Standard Elect R1 899
  • Fedhealth Maxima Standard R2 486
  • Momentum Extender R2 799
  • 4 Discovery Essential Delta Comprehensive R2 899
  • Discovery Classic Delta Comprehensive R3 045
  • Discovery Executive R4 158
  • Bonitas BonComprehensive R5 254
  • KeyHealth Platinum R6 036
  • Fedhealth Maxima Plus R6 369
  • Fedhealth Ultimax R8 736

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

Source: Businesstech


 

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