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Overall, the Bestmed Beat 2 Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and a savings plan to up to 3 Family Members. The Bestmed Beat 2 Medical Aid Plan starts from R2,545 ZAR.
🌎 International Cover | R500,000 – R3 million |
👤 Main Member Contribution | R2,545 |
👥 Adult Dependent Contribution | R1,976 |
💙 Child Dependent Contribution | R1,071 |
🔁 Gap Cover | None |
💶 Prescribed Minimum Benefits (PMB) | ☑️ Yes |
📉 Screening and Prevention | ☑️ Yes |
💳 Medical Savings Account | ☑️ Yes |
🍼 Maternity Benefits | ☑️ Yes |
⚕️ Hospital Cover | Subject to scheme rules |
The Bestmed Beat 2 medical aid plan is one of 10, starting from R2,545 and includes in-hospital procedures and treatment, a maternity program, preventative dentistry, and more.
Gap Cover is not available on the Bestmed Beat 2 Plan.
Bestmed offers 24/7 medical emergency assistance. According to the Trust Index, Bestmed has a trust rating of 3.5.
🔎 Member | 👤 Main Member | 👥 +1 Adult Dependent | 💙 +1 Child Dependent |
☑️ Network | R2,289 | R1,779 | R963 |
☑️ Non-Network | R2,545 | R1,976 | R1,071 |
🔎 Member | 👤 Main Member | 👥 +1 Adult Dependent | 💙 +1 Child Dependent |
☑️ Network | R4,032 | R3,420 | R1,848 |
☑️ Non-Network | R4,884 | R3,792 | R2,052 |
☑️ Savings Account / Day-to-day Benefits | There is a savings account available. There are limited day-to-day benefits offered. |
☑️ Over-the-counter Medication | Covered from the available funds in the savings account. |
Method of Payment on Beat 2 Plan
While using DSPs, any benefits related to conditions that meet the requirements for PMBs will be covered. However, this will have no impact on your medical savings account.
You might like to have a better understanding: Hospital Plan vs Medical Aid – A Beginners Guide
Bestmed Beat 2 Scheme Benefits for Different Medical Events In-Hospital
A maximum co-payment of R13,372 will apply if a member chooses not to utilize a hospital that is part of a hospital network for the Beat Network benefit option.
🔎 In-Hospital Accommodation and fees for the theatre | Covered up to 100% of the Bestmed tariff. |
💊 Take-home medication after discharge | Covered up to 100% of the Bestmed tariff. Limited to a 7-day supply. |
💉 Biological medicine (in-hospital) | Annually limited to R16,648 per family. Subject to pre-approval and financial restrictions. |
🧠 Treatment in Mental Health Clinics | Covered up to 100% of the Bestmed tariff. Limited to 21 days per beneficiary yearly. |
⚕️ Chemical and Substance Abuse Treatment | Covered up to 100% of the Bestmed tariff. Limited to 21 days or R37,352 per beneficiary per year. Subject to members using network facilities. |
📌 Consultations and procedures | Covered up to 100% of the Bestmed tariff. |
📍 Surgical Procedures (including anesthetic) | Covered up to 100% of the Bestmed tariff. Subject to the medical savings account. |
❤️ Organ Transplants | Covered up to 100% of the Bestmed tariff. Only PMBs are covered under this benefit. |
😊 Major medical maxillo-facial surgery (Only specified conditions) | Only PMBs are covered at DSP day hospitals. |
🦷 In- and Out-of-Hospital Dental and oral surgery | Covered up to 100% of the Bestmed tariff. If beneficiaries are 7 years and younger, the scheme risk funds the procedure. There is a limit of R6,071 per family. |
🦻 Prostheses are subject to preferred providers or co-payments, and limits will apply | Covered up to 100% of the Bestmed tariff. There is a limit of p to R91,183 per family. |
🦵 Internal Prostheses (Preferred Providers or limits and co-payments will apply) Functional items used must be towards treating or supporting bodily functions | The following sub-limits apply per beneficiary Functional limited to – R32,550 Pacemakers (dual chamber) – R49,711 Vascular – R52,500 Spinal, including artificial discs – R36,394 Drug-eluting stents – only PMBs using DSP products Mesh – R12,772 Gynecology/Urology – R10,437 Lens Implants (per lens, per eye) – R7,964 |
🦾 External prostheses | Only PMBs are covered. |
Joint replacement surgery | The following prostheses limits apply to PMBs: Hip replacement and other major joints – R36,489 Knee replacement – R44,990 Other minor joints – R13,995 |
☑️ Orthopedic and Medical Appliances | Covered up to 100% of the Bestmed tariff. |
✅ Pathology | Covered up to 100% of the Bestmed tariff. |
📈 Radiology | Covered up to 100% of the Bestmed tariff. |
📉 MRI, CT scans, and other specialized diagnostics | Covered up to 100% of the Bestmed tariff. |
Oncology | Covered up to 100% of the Bestmed tariff. The benefit is subject to pre-authorization and the use of DSP |
📊 Peritoneal Dialysis and hemodialysis | Covered up to 100% of the Bestmed tariff. The benefit is subject to pre-authorization and the use of DSP |
🍼 Birthing Confinements | Covered up to 100% of the Bestmed tariff. |
➡️ HIV/AIDS | Covered up to 100% of the Bestmed tariff. The benefit is subject to pre-authorization and the use of DSP |
👁️ Refractive Surgery (and all other procedures that aim to improve or stabilize vision, excluding cataracts) | Only PMBs are covered. |
👩⚕️ Midwife-assisted birth | Covered up to 100% of the Bestmed tariff. |
👨⚕️ Supplementary Services | Covered up to 100% of the Bestmed tariff. |
🚑 Hospitalization Alternatives | Covered up to 100% of the Bestmed tariff. |
😷 Palliative and Home-Based Care instead of hospitalization | Covered up to 100% of the Bestmed tariff. There is a limit of R66,591 per beneficiary yearly. Subject to benefit availability, pre-authorization, and treatment plan. |
🔁 Day Procedures performed at a day hospital | Funded at 100% of the Network or Scheme Tariffs if DSPs are used. There is a co-payment of R2,625 when voluntarily using a non-DSP specialist or hospital. |
🌎 International Travel Cover | Leisure Travel: Coverage is limited to 45 days and R500,000 for trips to the United States. All other nations are insured for up to 90 days, and a family (member and dependents) is protected for R3 million. Business Travel to the United States is limited to 45 days and covers up to R500,000. All other nations are insured for up to 45 days, and a family (member and dependents) is protected for R3 million. |
💶 Co-Payments for using a non-network option | Co-payment for the voluntary use of a non-network hospital is R13,372 for the network option. |
The following benefits may be governed by pre-authorization, clinical procedures, preferred providers (PPs), designated service providers (DSPs), formularies, funding standards, and the Mediscor Reference Pricing (MRP).
Non-network pharmacies and DSP specialists will be reimbursed at the Scheme’s standard rate, including for the treatment of PMBs.
1️⃣ FP and Specialist Consultations | These consultations are covered using available funds from the medical savings account. |
2️⃣ Diabetes Primary Care Consultation | Covered up to 100% of the Scheme price. Subject to HaloCare registration. Two consultations for primary care at Dis-Chem pharmacies. |
3️⃣ Basic and Specialized Dentistry | Basic Covered from the Preventative Benefit or the medical savings account. Specialized Covered from the savings account. Orthodontic treatment Subject to pre-approval. |
4️⃣ Medical devices/aids, apparatus, appliances (including wheelchairs, crutches, etc.) | Covered from funds in the savings account. |
5️⃣ Hearing Aids | Subject to pre-approval. Covered from available savings account funds. |
6️⃣ Supplementary Services | Covered from available funds in the savings account. |
7️⃣ Wound Care Benefit (Dressings, negative pressure wound therapy NPWT treatment, and other nursing services Out-of-hospital) | Covered up to 100% of the Bestmed tariff. Limited to R4,079 per family per year. |
8️⃣ Optometry | Covered from available funds in the savings account. |
9️⃣ Basic Radiology and Pathology | Covered from available funds in the savings account. |
🔟 Oncology | Oncology program at the full Scheme rate. Subject to pre-approval and DSP. |
➡️ Peritoneal Dialysis and Hemodialysis | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and DSP. |
➡️ HIV/AIDS | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and DSP. |
➡️ MRI scans, CT scans, and isotope studies | Covered up to 100% of the Bestmed tariff. Limited to R6,179 per family per year |
➡️ Rehabilitation after a traumatic event | Only PMBs are covered. Subject to pre-approval and DSP. |
The following benefits may be subject to pre-authorization, clinical protocols, preferred providers (PPs), designated service providers (DSPs), formularies, funding criteria, the Mediscor Reference Price (MRP), and the exclusions listed in Annexure C of the published Regulations.
Members selecting the network option are required to receive their medications from Scheme-contracted pharmacies.
☑️ CDL and PMB Chronic Conditions | Covered up to 100% of the Bestmed tariff. There is a co-payment of 30% for non-formulary medicine. |
☑️ Biological medicine | Only PMBs are covered according to funding protocols. Subject to pre-approval. |
☑️ Other high-cost medication | Only PMBs are covered according to funding protocols. |
☑️ Acute Medicine | Covered from the available funds in the medical savings account |
☑️ OTC Medication | Subject to pre-approval. |
The Bestmed Beat 2 Chronic Condition List and Prescribed Minimum Benefits are as follows:
and many more.
and many more.
The following benefits could be subject to pre-approval, clinical procedures, preferred providers (PPs), designated service providers (DSPs), formularies, funding guidelines, and the Mediscor Reference Pricing (MRP).
🔎 Benefit | ☑️ Gender and Age Group | 🔁 Quantity and Frequency | ➡️ Criteria |
💉 Flu Vaccines | All | 1 per beneficiary yearly | Applies to all active participants and recipients. |
📌 Pneumonia Vaccines | Children <2 Years High-risk adult group | Children – according to the Department of Health Adults – Twice in a lifetime with a booster for beneficiaries 65> | Adults: The Scheme will identify high-risk adults who will be encouraged to receive vaccinations. |
🌎 Travel Vaccines | All | Amount and frequency vary by product up to the maximum quantity authorized. | Program risk benefits for mandatory typhoid, yellow fever, tetanus, meningitis, hepatitis, and cholera travel vaccinations. |
🍼 Baby Growth and Development Assessments | 0 – 2 Years | 3 Assessments per year | Pharmaceutical clinics under the Bestmed Network perform assessments. |
✳️ Female Contraceptives | All female beneficiaries of child-bearing age | Depends on the product according to the maximum allowed amount | Annually limited to R2,550 per beneficiary. Covers all items categorized under the female contraception category. |
☑️ HPV Vaccinations | Female Beneficiaries 9 – 26 | 3 vaccines per beneficiary | Vaccinations are funded according to the MRP |
✅ Mammogram | All females 40 years> | Once every 2 years | Covered up to 100% of the Bankmed tariff |
📍 PSA Screening | Male Beneficiaries | Once every 2 years | It may be performed at a urologist, family practitioner, or network pharmacy clinic. The available savings account covers the consultation fee. |
🔍 Back and Neck Preventative Care Program | All | Subject to pre-authorization | Providers of choice (DBC/Workability Clinics). This is a prophylactic approach designed to avoid the need for back and neck surgery. The System could discover suitable volunteers. Based on the initial evaluation, a rehabilitation treatment plan is developed and implemented over a period indicated by the provider. This program is an alternative to surgery. |
⚕️ Pap Smear | Female beneficiaries 18 and older | Once every 24 months | Possible at a gynecologist, family physician, or pharmacy clinic. The consultation will be at the member’s expense. |
The following services may be subject to pre-approval, clinical protocols, and financial guidelines.
🔎 Service | 🔁 Age | 📉 Frequency |
🦷 General full-mouth examination by a general dentist (including the use of gloves and sterile equipment) | 12 years> | Once yearly |
🪥 General full-mouth examination by a general dentist (including the use of gloves and sterile equipment) | <12 years | Twice yearly |
➡️ Full-mouth Intra-Oral Photos | All | Once every 3 years |
📊 Intra-Oral Radiograph | All | 2 photos yearly |
☑️ Scaling or polishing | All | Twice yearly |
✅ Fluoride treatment | All | Twice yearly |
📌 Fissure Sealing | Up to and including beneficiaries 21 years old | According to the applicable and accepted protocol |
📍 Space Maintainers | During the primary and mixed denture stage | Once per space |
Read more: Best Dental Gap Cover
The Bestmed Tempo wellness program is designed to assist you in enhancing your health and reaping the benefits that come with it.
Therefore, members can access the following advantages:
1️⃣ Temporary Health Assessment (HA) for adults (16 years and older) that includes one of the following per adult beneficiary per year | The Tempo lifestyle questionnaire Blood pressure check Cholesterol check Glucose check Height, weight, and waist circumference These assessments must be conducted at a contracted pharmacy or on-site at employer groups participating in the program. |
2️⃣ Bestmed Tempo Fitness and Nutrition Programs (for those older than 16) | Fitness 1 x (face-to-face) fitness assessment with a Tempo partner biokinetics. 1 x (virtual or face-to-face) follow-up discussion to receive a customized fitness/exercise plan from a Tempo partner biokinetics. These fitness benefits are designed to support your Tempo Get Active journey. Nutrition 1 x (in-person) nutrition evaluation with a Tempo partner dietician 1 x follow-up (virtual or in-person) consultation with a Tempo partner dietician to receive your personalized healthy-eating plan. These nutritional benefits are designed to support your Tempo Nutritional Health Journey. |
3️⃣ Emotional wellness journey | Licensed psychologists and healthcare professionals designed this to help you understand and manage your emotions and their impact on your mental health. In addition, this Adventure grants you access to the following: Lifestyle-related knowledge that will assist you in adapting to life’s alterations and surprises. Practical obstacles that will allow you to practice the new abilities you must acquire to evolve from your current emotional and mental state to the state you seek. |
4️⃣ Maternity Benefits | Covered up to 100% of the Scheme tariff. Depending on the following benefits: Consultations Six prenatal consultations with a general practitioner, gynecologist, or midwife. Ultrasounds 1 x 2D ultrasound scan in the first trimester (between 10 and 12 weeks) performed by an FP OR gynecologist OR radiologist. 1 x 2D ultrasound scan in the second trimester (between 20 and 24 weeks) performed by an FP OR gynecologist OR radiologist. |
The Maternity care program is available to pregnant members and their dependents, providing comprehensive services and information.
It provides support, education, and advice throughout pregnancy, confinement, and the postnatal period.
To access these services, members must register for the Bestmed Maternity care program when they receive confirmation of their pregnancy through a pathology test or scan from their family practitioner or gynecologist.
Once registration is complete, a consultant will reach out to them.
Try our free Ovulation Calculator
Some of the following are excluded from Beat 2. The comprehensive list can be found on the official Bestmed website.
Unkept appointments by members, and more.
Poll: 5 Best Medical Aid with Immediate Cover (No Waiting Period)
Depending on pre-existing or existing conditions, the following might apply when you register for medical cover with the Bestmed Beat 2 plan:
A late-joiner contribution penalty will apply.
🔎 Medical Aid Plan | 🥇 Bestmed Beat 2 | 🥈 LA Health KeyPlus | 🥉 Fedhealth MyFED |
🌎 International Cover | R500,000 – R3 million | R5 million | R5 million |
👤 Main Member Contribution | R2,545 | 1,390 – 2,207 ZAR | R1,590 – R4,676 |
👥 Adult Dependent Contribution | R1,976 | 1,214 – 1,964 ZAR | R1,590 – R4,260 |
💙 Child Dependent Contribution | R1,071 | 508 – 824 ZAR | R677 – R1,782 |
📉 Annual Limit | Several limits and sub-limits | Unlimited | Unlimited |
🚑 Hospital Cover | Subject to scheme rules | Unlimited | Unlimited |
💶 Prescribed Minimum Benefits (PMB) | ☑️ Yes | ☑️ Yes | ☑️ Yes |
📉 Screening and Prevention | ☑️ Yes | ☑️ Yes | ☑️ Yes |
🏠 Home Care | ☑️ Yes | ☑️ Yes | ☑️ Yes |
The Bestmed Beat 2 plan is a comprehensive option offered by Bestmed. While several benefits are like that offered on Beat 1, Beat 2 offers a savings account and additional benefits, including a preventative dentistry benefit, out-of-hospital optometry, and more.
While this plan has a higher premium than Beat 1, it offers young individuals and families with babies and toddlers additional cover they might need.
You might also consider the following options BestMed has to offer:
Some dental benefits include cover in-hospital for certain surgical procedures, out-of-hospital cover (subject to the available savings funds), and a dedicated preventative dentistry benefit for the entire family.
Braces are covered under Beat 2, subject to PMBs and other rules.
Bestmed’s PMSA is calculated at 16% of the gross annual contribution.
Yes, the Bestmed Beat 2 Option covers chronic medication.
There are waiting periods for certain benefits under the Bestmed Beat 2 Option, such as pre-existing conditions and maternity benefits. Therefore, reviewing the plan details for the specific waiting periods is best.
The Bestmed Beat 2 Option covers specialist consultations from available funds in your savings account.
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