Overall, the Bestmed Beat 3 Medical Aid Plan is a trustworthy Hospital plan that offers an added medical savings account for out-of Hospital expenses.
π International Cover | R5 million limited 1 million in USA |
π€ Main Member Contribution | R4,199 |
π₯ Adult Dependent Contribution | R2,995 |
π Child Dependent Contribution | R1,482 |
π Annual Limit | Several limits and sub-limits |
βοΈ Hospital Cover | Subject to scheme rules |
πΆ Prescribed Minimum Benefits (PMB) | βοΈ Yes |
π Screening and Prevention | βοΈ Yes |
π³ Medical Savings Account | βοΈ Yes |
πΌ Maternity Benefits | βοΈ Yes |
The Bestmed Beat 3 medical aid plan is one of 14, starting from R4,199 and includes an international cover of up to R5 million and R1 million for Family cover in USA, out-of-hospital benefits, and more.
Gap Cover is not available as part of the Bestmed Beat 3 Plan but optionally available through many Gap Cover Providers. Bestmed offers 24/7 medical emergency assistance. Additionally, a more affordable Beat 3 Network Option is available.
Bestmed received the top honours in the Medical Aid Companies category at the latest Ask Afrika Orange Index Awards amongst many other awards.
π Download the latest Beat 3 Product brochure for 2025 from Bestmed.
π Member | π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
π Network | R3,779 | R2,696 | R1,334 |
π Non-Network | R4,199 | R2,995 | R1,482 |
π Member | π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
π Network | R567 x 12 Months | R405 x 12 Months | R200 x 12 Months |
π Non-Network | R630 x 12 Months | R449 x 12 Months | R222 x 12 Months |
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π °οΈ Savings Account / Day-to-day Benefits | There is a savings account available. There are limited day-to-day benefits offered. |
π ±οΈ Over-the-counter Medication | Covered from the available funds in the savings account. |
Method of Payment on Beat 3 Plan
While using DSPs, any benefits related to approved conditions that meet the requirements for PMBs will be covered. This will have no impact on your medical savings account.
Bestmed Beat 3 Scheme Benefits for Different Medical Events In-Hospital
A maximum co-payment of R14,364 will apply if a member chooses not to utilize a hospital that is part of a hospital network for the Beat 3 Network benefit option.
π In-Hospital Accommodation and fees for the theatre | Covered up to 100% of the Bestmed tariff. |
π Take-home medication after discharge | 100% Scheme tariff if claimed on the day of discharge. Limited to: β’ A maximum of 7 days treatment if claimed as part of the hospital account, or β’ R150 if claimed from a retail pharmacy on the date of discharge. No benefit if not claimed on the date of discharge. |
π©Ί Biological medicine (in-hospital) | Annually limited to R23,218 per family. Subject to pre-approval and financial restrictions. |
π Treatment in Mental Health Clinics | Approved PMBs at DSPs. Limited to a maximum of 21 days per beneficiary per financial year in hospital including inpatient electroconvulsive therapy and inpatient psychotherapy, OR 15 contact sessions for out-patient psychotherapy per beneficiary per financial year. Subject to pre-authorisation. |
π§ͺ Chemical and Substance Abuse Treatment | Benefits shall be limited to the treatment of PMB conditions and subjectto the following: β’ Pre-authorisation β’ DSPs β’ 21 daysβ stay for in-hospital management per beneficiary per annum. |
π©ββοΈ Consultations and procedures | Covered up to 100% of the Bestmed tariff. |
π¨ββοΈ Surgical Procedures (including anesthetic) | Covered up to 100% of the Bestmed tariff. Subject to the medical savings account. |
β€οΈ Organ Transplants | Covered up to 100% of the Bestmed tariff. Only PMBs are covered under this benefit. |
π Major medical maxillo-facial surgery (Only specified conditions) | Covered up to 100% of the Bestmed tariff. There is a limit of up to R15,658 per family. |
β‘οΈ In- and Out-of-Hospital Dental and oral surgery | Covered up to 100% of the Bestmed tariff. There is a limit of R9,768 per family per annum. |
𦡠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 R96,384 per family. |
π¦Ύ 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 β R35,146 Pacemakers (single & dual chamber) β R51,998 Vascular β R65,898 Spinal, including artificial discs β R38,208 Drug-eluting stents β only PMBs using DSP products Mesh β R13,429 Gynecology/Urology β R11,091 Lens Implants (per lens, per eye) β R8,330 |
βοΈ External prostheses | Only PMBs are covered. |
β Joint replacement surgery | The following prostheses limits apply to PMBs: Hip replacement and other major joints β R40,364 Knee replacement β R49,944 Other minor joints β R15,371 |
π Orthopedic and Medical Appliances | Covered up to 100% of the Bestmed tariff. Limited to R15 000 per family per annum. |
π Pathology | Covered up to 100% of the Bestmed tariff. |
βοΈ Radiology | Covered up to 100% of the Bestmed tariff. |
β³οΈ MRI, CT scans, and other specialized diagnostics | Limited to a combined in- and out-of hospital benefit of R32 000 per family per annum. Co-payment of R2 000 per scan, not applicable to PMBs. PET scans – PMB only. Subject to pre-authorisation. |
βοΈ Oncology | Covered up to 100% of the Bestmed tariff. The benefit is subject to pre-authorization and the use of DSP |
π· Peritoneal Dialysis and hemodialysis | Covered up to 100% of the Bestmed tariff. The benefit is subject to pre-authorization and the use of DSP |
πΌ Birthing Confinements | Covered up to 100% of the Bestmed tariff. |
β HIV/AIDS | Covered up to 100% of the Bestmed tariff. The benefit is subject to pre-authorization and the use of DSP |
π Refractive Surgery (and all other procedures that aim to improve or stabilize vision, excluding cataracts) | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and other protocols. Covered up to a limit of R10,055 per eye. |
πΆ Midwife-assisted birth | Covered up to 100% of the Bestmed tariff. |
π Supplementary Services | Covered up to 100% of the Bestmed tariff. |
π Hospitalization Alternatives | Covered up to 100% of the Bestmed tariff. |
π Palliative and Home-Based Care instead of hospitalization / Advanced illness benefit | Covered up to 100% of the Bestmed tariff. There is a limit of R69,654 per beneficiary yearly. Subject to benefit availability, pre-authorization, and treatment plan. |
π Day Procedures performed at a day hospital | Day procedures performed in a day hospital by a DSP provider will be funded at 100% network or Scheme tariff, subject to pre-authorisation, protocols, funding guidelines and DSPs. A co-payment of R2 746 shall be incurred per event if a day procedure is done in an acute hospital that is not a day hospital. If a DSP is used and the DSP does not work in a day hospital, the procedure shall be paid in full if it is done in an acute hospital, if it is arranged with the Scheme before the time. |
π International Travel Cover | Leisure Travel: Coverage is limited to 90 days and R1 million 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 R5 million. Business Travel to the United States is limited to 60 days and covers up to R1milion. All other nations are insured for up to 60 days, and a family (member and dependents) is protected for R5million. |
π Co-Payments for using a non-network option | Non-network hospital co-payment Co-payment for voluntary use of non-network hospital R14 364 applicable to network options. Procedure-specific co-payments: The co-payment shall not apply to PMB conditions: β’ Arthroscopic procedures R3 660. β’ Back and neck surgery R3 660. β’ Functional nasal and sinus procedures R2 000. β’ Laparoscopic procedures R3 660. β’ Colonoscopies R2 000. β’ Cystoscopies R2 000. β’ Gastroscopies R2 000. β’ Hysteroscopies R2 000. β’ Sigmoidoscopies R2 000. β’ Extraction of wisdom teeth R2 500. A co-payment of R2 746, as described in the Day procedures benefit, will be incurred per event if a day procedure is done in an acute hospital that is not a day hospital. |
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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 Schemeβs standard rate, including the treatment of PMBs.
π FP and Specialist Consultations | These consultations are covered using available funds from the medical savings account. |
π 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. |
π 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. |
π Medical devices/aids, apparatus, appliances (including wheelchairs, crutches, etc.) | Covered from funds in the savings account. |
π Hearing Aids | Subject to pre-approval. Covered from available savings account funds. |
π Supplementary Services | Covered from available funds in the savings account. |
π 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 R4,267 per family per year. |
πOptometry | Covered from available funds in the savings account. |
π Basic Radiology and Pathology | Covered from available funds in the savings account. |
π Oncology | Oncology program at the full Scheme rate. Subject to pre-approval and DSP. |
π Peritoneal Dialysis and Hemodialysis | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and DSP. |
π HIV/AIDS | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and DSP. |
π MRI scans, CT scans, and isotope studies | 100% Scheme tariff. Limited to a combined in – and out-of hospital benefit of R32 000 per family per annum. Co-payment of R2 000 per scan, not applicable to PMBs. PET scans – PMB only. Subject to pre-authorisation. |
π 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.
π CDL and PMB Chronic Conditions | Covered up to 100% of the Bestmed tariff. There is a co-payment of 30% for non-formulary medicine. |
β‘οΈ Non-CDL Chronic medicine (First paid from the non-CDL limit. After that, approved CDL and PMB medicine is paid from the Scheme Risk) The following medicine is not subject to any chronic limits and is paid from scheme risk: Organ Transplants Chronic Renal Failure Multiple Sclerosis Hemophilia | 5 conditions. 80% Scheme tariff. Limited to M = R4 166, M1+ = R8 475. Co-payment of 30% for non-formulary medicine. |
π Biological medicine | Only PMBs are covered according to funding protocols. Subject to pre-approval. |
πΆ Other high-cost medication | Only PMBs are covered according to funding protocols. Subject to pre-approval. |
π©Ί Acute Medicine | Covered from the available funds in the medical savings account |
π§ͺ OTC Medication | Covered from the available funds in the medical savings account |
The Bestmed Beat 3 Chronic Condition List and Prescribed Minimum Benefits are as follows:
and many more.
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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).
π Benefit | Gender and Age Group | Quantity and Frequency | Criteria |
π Flu Vaccines | All | 1 per beneficiary yearly | Applies to all active participants and recipients. |
π Pneumonia Vaccines | Children <2 Years High-risk adult group | Children β according to the Department of Health Adults β 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. |
π 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. |
βοΈ Pediatric Immunizations | Babies and Children | Funding for all pediatric immunizations per the state-recommended vaccine schedule. | Funding for all pediatric immunizations per the state-recommended vaccine schedule. |
πΆ Baby Growth and Development Assessments | 0 β 2 Years | 3 Assessments per year | Pharmaceutical clinics under the Bestmed Network perform assessments. |
β³οΈ Female Contraceptives | All female beneficiaries of child-bearing age | Depends on the product according to the maximum allowed amount | Annually limited to R2,400 per beneficiary. Covers all items categorized under the female contraception category. |
βοΈ HPV Vaccinations | Female Beneficiaries 9 β 26 | 3 vaccines per beneficiary | Vaccinations are funded according to the MRP |
β Mammogram | All females 40 years> | Once every 2 years | Covered up to 100% of the Bankmed tariff |
βοΈ 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. |
π© 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. |
β‘οΈ 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 memberβs expense. |
The following services may be subject to pre-approval, clinical protocols, and financial guidelines.
π Service | β‘οΈ Age | π Frequency |
π General full-mouth examination by a general dentist (including the use of gloves and sterile equipment) | 12 years> | Once yearly |
π General full-mouth examination by a general dentist (including the use of gloves and sterile equipment) | <12 years | Twice yearly |
βοΈ Full-mouth Intra-Oral Photos | All | Once every 3 years |
βοΈ Intra-Oral Radiograph | All | 2 photos yearly |
β Scaling or polishing | All | Twice yearly |
βοΈ Fluoride treatment | All | Twice yearly |
π °οΈ Fissure Sealing | Up to and including beneficiaries 21 years old | According to the applicable and accepted protocol |
π ±οΈ Space Maintainers | During the primary and mixed denture stage | Once per space |
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:
π 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. |
π 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. |
π 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 lifeβs 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. |
πΌ Maternity Benefits | Covered up to 100% of the Scheme tariff. Depending on the following benefits: Consultations Nine prenatal consultations with a general practitioner, gynecologist, or midwife. One postnatal consultation 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. Supplements Any item classified as a pregnancy supplement may be claimed up to a monthly limit of R139 for a maximum of nine months. |
The Maternity care program is available to pregnant members and their dependents, providing comprehensive services.
It has been designed with expectant parentsβ specific needs and support in mind.
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.
π Try our free Ovulation Calculator
Some of the following are excluded from Beat 3. The comprehensive list can be found on the official Bestmed website.
Unkept appointments by members, and more.
Depending on pre-existing or existing conditions, the following might apply when you register for medical cover with the Bestmed Beat 3 plan:
π A late-joiner contribution penalty may be applied.
π Medical Aid Plan | π₯ Bestmed Beat 3 (2025) | π₯ Medihelp MedPrime Elect (2025) | π₯ GEMS Ruby (2025) |
π International Cover | Holiday travel: Limited to 90 days and R5 000 000 per family, i.e. members and dependants. Limited to R1 000 000 per family for travel to the USA. | Scheme Tariff | Scheme Rate |
π€ Main Member Contribution | R4,199 | R3,918 | 3,180 β 3,920 ZAR |
π₯ Adult Dependent Contribution | R2,995 | R3,306 | 2,385 β 2,955 ZAR |
πΌ Child Dependent Contribution | R1,482 | R1,140 | 1,230 β 1,520 ZAR |
π Annual Limit | Several limits and sub-limits | Unlimited | Unlimited |
πΆ Oncology Cover (Maximum ZAR) | 100% of the scheme tariff | R299,000 | R381,899 |
π³ Prescribed Minimum Benefits (PMB) | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π» Screening and Prevention | β Yes | β Yes | β Yes |
π Medical Savings Account | βοΈ Yes | βοΈ Yes | βοΈ Yes |
The Bestmed Beat 3 plan is an excellent value-for-money healthcare option well-suited for young individuals and new families.
It offers comprehensive maternity benefits, extensive in-hospital cover at private hospitals (or Network Hospitals should you choose the more affordable Beat3 Network option), chronic benefits, savings account for out-of-hospital expenses and is ideal for families with growing children.
You might also consider the following options BestMed has to offer:
Bestmed Beat 3 offers cover for consultations, including 9 antenatal and 1 postnatal consultation, ultrasounds, and supplements.
To join, you can email Bestmed at [email protected] if you are an existing member of Bestmed. Alternatively, you can contact Bestmed telephonically at 012 472 6797 to find out more or to apply.
Bestmed Beat 3 provides extensive in-hospital cover at private hospitals plus a medical savings account for out-of hospital expenses, substantial maternity benefits and chronic benefits amongst many more.Β The plan also includes preventative care benefits to encourage healthy living and ensure members receive optimal care. Ideal for youg growing families.
You may also choose the Beat3 Network option which offer the same benefits but restrict you to use an extensive Network of Hospitals
Medical aid ensures that you are covered unlimited on most plans should you be hospitalized for medical events or accidents, have a chronic condition covered by minimum benefits, or require benefits for day-to-day medical expenses.Β However, medical insurance guarantees payment if you are hospitalized mainly when it is accident related and could have specified limits.
Bestmed Medical Scheme may apply waiting periods as prescribed by Legislation.Β They can pay claims for PMB’s during the waiting period, depending on how they apply it. Pre-existing conditions may be excluded for 12 months.
Bestmed was founded in 1964 and will be 61 years old in 2025.
Bestmed Beat 3 is best suited for young individuals and new families looking for a value-for-money healthcare option with comprehensive cover, including in-hospital, maternity, chronic, and preventative care benefits as well as a medical savings account for out of hospital expenses.
Higher premiums may be associated with Bestmed Beat 3 compared to some of their more basic options.
Adriaan holds an MBA and specializes in medical aid research. With his commitment to perfection, he ensures the accuracy of all data presented on medicalaid.com every three months. When he is not conducting research, Adriaan can be found indulging in his passion for trout fishing amidst nature.
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