CompCare Medical Scheme (2026)

  Overall, CompCare Medical Scheme is a trustworthy and comprehensive medical aid provider. Plans include 24/7 medical emergency assistance and International Travel benefits for its members. CompCare Medical Aid starts from R995 on the DigiCare Plan.        

Short Introduction of CompCare Medical Aid Scheme:

       

CompCare Medical Scheme at a Glance

         

CompCare Medical Aid Plans Overview

       

Monthly Contributions

       

Care Maximiser Program

    Designed to help you stretch your benefits further, the Care Maximiser ensures that you get more value from CompCare - because your health deserves more.   Through the Care Maximiser program enjoy the comprehensive preventative care and wellness benefits to proactively manage your health.   From routine screenings and vaccinations to personalized nutrition plans and fitness support.   This benefits will  help you to stay healthy and prevent illness without having to use your day-to-day benefits:  

• ✅You get Convenient virtual consultations with GPs and online nurse chats from the comfort of your home via uConsult™ and trusted mental health benefits.
• ✅ All benefit options offer 24/7 access to professional telephonic counselling.
• ✅ You will have all your medical aid information at your fingertips by viewing your membership details, claims, and more on the Universal.one App for CompCare members.
• ✅ International emergency medical travel cover via Universal Rewards.
• ✅ Regardless of the day of the month, CompCare offer you instant next day cover at a prorated contribution. Simply join via their easy-to-use online application form.
• ✅ Select from a range of medical aid options specifically tailored to suit the healthcare needs of individuals, young couples, and families.
• ✅ Get access to additional maternity, newborn, and toddler benefits.
• ✅ In addition to your day-to-day benefits, members receive wellness, preventative care and care maximiser benefits.
• ✅ Access to quality private healthcare via a network of 12 000+ providers nationwide.
• ✅ Unlimited emergency transportation by road and air in South Africa.
• ✅ All options include assistance to manage chronic conditions.

   

Care Maximiser program benefits

   

Preventative care and wellness benefits

     

CompCare Medical Savings Accounts

  Some benefit options include a personal medical savings account that helps cover day-to-day medical expenses. Below you will find a short introduction to different plans with their savings benefits.  

CompCare SelfCare Plus Plan

       

CompCare SaverCare Plus Plan

       

CompCare ExtraCare Plan

      Day-to-Day Extender Benefit This benefit, on the ExtraCare option is available for out of-hospital medical expenses which includes radiology,pathology, basic dentistry, physiotherapy and biokinetics.

• R6 970 per beneficiary to a maximum of R10 8800 per family.

   

CompCare UltraCare Plan

       

CompCare UltraCare Plus Plan

       

CompCare ExecuCare Plan

       

ExecuCare Plus Plan

         

CompCare - Advantages Over Competitors

 

• ✅ Comprehensive medical aid with different options to suit various healthcare needs and budgets.
• ✅ Since 1978 a track record on the medical scheme industry.
• ✅ Wide range of options with rich benefits and more affordable efficiency discounted options - limited to Network Providers.
• ✅ The benefits of an active lifestyle include healthy eating and sports nutrition programs, fitness assessments, and exercise prescriptions with registered biokinetics.
• ✅ Day-to-day benefits for GP consultations, prescribed medication, and preventative care services, such as mammograms and flu vaccinations.
• ✅ Hospitalization benefits include private hospital cover, emergency medical services, and specialized treatment options.
• ✅ Chronic medication benefits 27 chronic conditions, including HIV/AIDS, cancer, and mental health conditions. Added chronic conditions available on some higher options.
• ✅ Trauma counseling services for members who have experienced a traumatic event.
• ✅ Online and mobile app services include virtual consultations with healthcare professionals and access to health information and resources.
• ✅ Specialized benefits for women's, men's, and kids' health include screenings, vaccinations, and wellness visits.
• ✅ Unlimited oncology treatment program subject to treatment protocols with a designated oncology service provider (DSP).
• ✅ Unlimited professional telephonic emotional health and well-being support are available around the clock, with referrals for face-to-face counseling.

  Delivered through a partnership with Universal Healthcare Administrators.   👉🏾 Poll:  5 Best Travel Medical Insurances        

CompCare and Regulation

  The Council for Medical Schemes regulates CompCare Medical Scheme. The Council governs South Africa's medical plan business for Medical Schemes (CMS), a regulating body under the Medical Schemes Act, No. 131 of 1998 (the Act). The CMS is responsible for a range of tasks related to the oversight of medical insurance plans, such as:  

• ☑️ Responsible for registering medical insurance plans and ensuring they comply with the law and other laws.
• ☑️ Making sure healthcare plans have the money to pay claims.
• ☑️ Examining and authorizing proposed price hikes for medical plans.
• ☑️ Accepting and examining member complaints and initiating disciplinary action against medical plans that violate the Act or other applicable rules.
• ☑️ Helping medical insurance plans follow the law and other laws.

  Furthermore, if a medical scheme is found to violate the law, the CMS has the authority to issue administrative fines and penalties.      

How to apply for Medical Scheme membership with CompCare

 

Medical Aid Quote CompCare Medical Scheme process explained

  To apply for Medical Aid through CompCare, you must:  

• ✅ Visit the CompCare website and select "Join Us" or "Get a Quote" to access their online application form.
• ✅ Fill in your details, including your name, contact information, and ID number.
• ✅ Select your preferred medical aid plan from the options available and choose any additional benefits you may require.
• ✅ Provide details of any pre-existing medical conditions or chronic medication you take.
• ✅ Choose your payment method, either through payroll deduction or direct debit.
• ✅ Review and accept the terms and conditions, including any waiting periods that may apply.
• ✅ Submit your application and wait for confirmation from CompCare, which can take up to 14 days.

  Once your application is approved, you will receive your membership card and other relevant information regarding your chosen medical aid plan.  Also, take note that New Members 35 years or older may be subject to late-joiner penalties on CompCare Medical Scheme Plans.   👉🏾 Get a CompCare Medical Aid quote from our Dedicated Medical Aid Specialists Broker      

How to Submit a Claim with CompCare

 

CompCare Claims information

  Here are the steps to ensure that claims are settled on time:  

• ☑️ Claims are settled every week for payment to the service providers or members.
• ☑️ Members will receive a detailed monthly statement of claims transactions and payments made to them or service providers.
• ☑️ Ensure the scheme has your correct banking details to allow for electronic payment.

  The member is responsible for ensuring that claims are submitted on time for payment.  

Submit a Claim

Here are the steps to submit a claim with CompCare:  

• ✅ Obtain an official CompCare claim form from the CompCare website or contact their customer service center.
• ✅ Complete the claim form, providing accurate and detailed information about the treatment or service received.
• ✅ Attach all relevant supporting documents, such as invoices, receipts, and medical certificates.
• ✅ Ensure that the claim form is signed and dated.
• ✅ Submit the completed claim form and supporting documents to CompCare via post, email, or their online portal.
• ✅ Wait for CompCare to process the claim, which can take 5 to 7 business days.
• ✅ Check the claim status through the online portal or by contacting the customer service center.
• ✅The payment will be reimbursed directly to the member's bank account or service provider if the claim is approved.

  If the claim is rejected, the member will be notified and can contact CompCare to discuss the reason for the rejection or to appeal the decision.   👉🏾 Advance your healthcare knowledge with medical aid gap cover      

How to Submit a Compliment or Complaint with CompCare

  The CompCare Complaints procedure is as follows:  

• ☑️ Members can lodge complaints with the scheme telephonically or in writing.
• ☑️ The scheme has a dedicated telephone number, 0861 222 777, for dealing with telephonic complaints.
• ☑️ Call center agents will assist the member immediately if possible.
• ☑️ Unresolved telephonic or written complaints will receive a written response from the scheme within 30 days of receipt.
• ☑️ Disputes between members and the scheme or an officer of the scheme must be referred to a disputes committee appointed by the Board of Trustees for adjudication.
• ☑️ The principal officer must convene a meeting of the disputes committee upon receipt of a request, giving not less than 21 days notice in writing to the complainant and all members of the disputes committee, stating the date, time, and venue of the meeting and particulars of the dispute.
• ☑️ The disputes committee may determine the procedure to be followed, and the parties have the right to be heard at the proceedings, either in person or through a representative.
• ☑️ An aggrieved person has the right to appeal to the Council for Medical Schemes against the decision of the disputes committee.

  The appeal must be in the form of an affidavit and directed to the Council, furnished to the Registrar not later than three months after the date on which the decision concerned was made.   👉🏾 Read more: Medical Aid Ombudsman – Complaints Procedure    

CompCare vs Notable Competitors – Side-by-Side Comparison

    👉🏾 READ MORE: Best Medical Aids in South Africa      

CompCare Recent User Reviews

  Excellent! I would like to express my appreciation for the professionalism of CompCare's customer support. I encountered difficulties obtaining assistance for my family's medical aid until a helpful agent contacted me and provided invaluable assistance throughout the application process. The agent's ongoing communication and updates resulted in the prompt resolution of the matter, which was appreciated. - Mohamed Patel   Efficient Provider. I am writing to extend my gratitude for my query's swift and efficient resolution. In my experience, medical aid providers prioritize their members over service providers. However, my experience with CompCare was entirely different. I commend you for your exceptional work and urge you to maintain this high level of service. - Simon Williams   Prompt and Efficient. Following a complaint, I received prompt and efficient assistance from CompCare’s Operations and Customer Experience Manager, who promptly resolved the claims. I am pleased to report that all issues have been resolved satisfactorily. As a result, I am once again a satisfied member of the CompCare Wellness Medical Scheme. - Brenda van Dyk      

CompCare Customer Support

  You can contact CompCare customer support through the following channels:  

• ✅ You can call their customer service center at 0861 227 322 from Monday to Friday between 8 am and 5 pm.
• ✅ You can email them at [email protected] for general inquiries or [email protected] for member-specific inquiries.
• ✅ You can fill out their online contact form on their website at https://compcare.co.za/contact-us/.
• ✅ You can reach out to them through their social media channels, including Facebook and Twitter.

       

CompCare Pros and Cons

    👉🏾 You might consider: Best Medical Aid Schemes for Employees      

Our Verdict on CompCare

  In conclusion, CompCare is a medical scheme with over 46 years of experience in the industry. They offer a range of medical aid plans with comprehensive benefits, including unlimited oncology coverage, chronic medication benefits, and wellness programs that promote healthy living.   Members can also access emergency medical assistance, trauma counseling, and other value-added services. CompCare has been recognized for its commitment to service excellence and has received several awards in the healthcare industry. However, one drawback of their plans is that they may be more expensive than other medical aid providers that offer similar coverage.   Additionally, some members may find submitting claims or applying for certain benefits cumbersome. Overall, CompCare's focus on promoting wellness and providing quality healthcare to its members makes them a strong choice for those seeking comprehensive medical aid coverage.     List of detailed Medical Aid Plans that CompCare offers:

• 🏆 ExecuCare
• 🏆 ExecuCare Plus
• 🏆 UltraCare Plus
• 🏆 UltraCare
• 🏆 ExtraCare
• 🏆 SaverCare Plus
• 🏆 SelfCare Plus
• 🏆 DigiCare
• 🏆 SelfCare
• 🏆 SuperCare+
• 🏆 SaverCare

   

CompCare Frequently Asked Questions

 

What is CompCare?

CompCare is a medical scheme offering comprehensive medical aid plans with unlimited oncology cover, chronic medication benefits, and wellness programs.  

How do I join CompCare?

To join CompCare, you can request a quote by completing an online form or contacting their customer service center. Once you have reviewed the terms and conditions of the policy, you can complete the application form and provide accurate personal and contact information.  

What are the benefits of joining CompCare?

The benefits of joining CompCare include comprehensive medical aid plans with unlimited oncology coverage, chronic medication benefits, and wellness programs promoting healthy living. Members also have access to emergency medical assistance and trauma counseling.  

How do I submit a claim with CompCare?

You can submit a claim with CompCare by completing a claim form and attaching all relevant supporting documents. You can then submit the claim form and documents online, by email, or by post.  

What is the process for upgrading or downgrading my medical aid plan with CompCare?

You can upgrade or downgrade your medical aid plan with CompCare by contacting their customer service center and requesting the change. You will need to review the terms and conditions of the new plan and complete any necessary paperwork.  

What is the process for adding a beneficiary to my CompCare medical aid plan?

You can add a beneficiary to your CompCare medical aid plan by completing a beneficiary application form and providing accurate personal and contact information. You must also provide details of any pre-existing medical conditions or chronic medication.  

How do I contact CompCare customer support?

You can contact CompCare customer support by phone, email, online contact form, social media, or postal mail.  

What is the process for canceling my CompCare medical aid plan?

You must contact their customer service center to cancel your CompCare medical aid plan and request cancellation. You may also need to provide a written cancellation notice..  

What are the options for paying my CompCare medical aid plan premiums?

You can pay your CompCare medical aid plan premiums through payroll deduction, direct debit or EFT.  

What is the process for appealing a decision made by CompCare?

If you are not satisfied with a decision made by CompCare, you can refer the matter to a disputes committee appointed by the Board of Trustees. If you are still unsatisfied with the decision, you can appeal to the Council for Medical Schemes.  

Does CompCare offer any value-added services?

Yes, CompCare offers value-added services such as emergency medical assistance, trauma counseling, wellness programs promoting healthy living, and access to registered biokinetics.  

Does CompCare offer any benefits for children?

Yes, CompCare offers benefits for children, such as newborn hearing screening, baby wellness visits, childhood immunizations, school readiness assessments, and preschool eye, hearing, and dental screening.  

What are the different medical aid plans offered by CompCare?

CompCare offers a range of medical aid plans (11x) with various levels of coverage, including SelfCare Plus, SaverCare Plus, ExtraCare, UltraCare and UltraCare Plus, ExecuCare and ExecuCare Plus.   Additional plans for 2026 includes DigiCare, Selfcare, SaverCare and SuperCare+  

How can I track the status of my claim with CompCare?

You can track the status of your claim with CompCare by logging into your online member account, contacting their customer service center, or reviewing your detailed monthly statement of claims transactions.  

How to Downgrade my Plan with CompCare?

Contact CompCare's customer service center via phone or email to request a downgrade.  Provide written confirmation of your downgrade request, either via email or post, and wait for CompCare to confirm your downgrade request.  

How do I add a Beneficiary to CompCare?

If you want to add a child or adult dependent, you can log into your CompCare profile and complete the necessary application form.  

How do I switch my Medical Aid to CompCare?

Obtain a quote from CompCare by completing an online form or contacting their customer service center, contacting your current medical aid provider, and requesting the cancellation of your exisiting policy.