Overall, the Bestmed Pace 1 Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and generous savings account for up to 3 Family Members. The Bestmed Beat 1 Medical Aid Plan starts from R5,706 ZAR.
The Bestmed Pace 1 medical aid plan is one of 10, starting from R5,706 and includes comprehensive cover for in and out-of-hospital, generous savings, day-to-day benefits,Β and more.
Gap Cover is not available on the Bestmed Pace 1 Plan.
Bestmed offers 24/7 medical emergency assistance and according to the Trust Index, Bestmed has a trust rating of 3.5.
π Download the latest Pace 1 Product Brochure 2025 Brochure from Bestmed.
π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
R5,706 | R4008 | R1,440 |
π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
R1084 x 12 Months | R761 x 12 Months | R274 x 12 Months |
Savings Account / Day-to-day Benefits:
π You might also like: 5 Best Medical Aid Schemes for Employees
Method of Payment on Pace 1 Plan
While employing designated service providers (DSPs), all benefits for conditions that satisfy the requirements for Prescribed Minimum Benefits (PMBs) will be covered. Furthermore, this will not impact your savings (annual or vested).
Scheme Benefits for Different Medical Events In-Hospital
π READ more: 5 Best Hospital Plans for KidsΒ
Clinical procedures, preferred providers, designated service providers, formularies, funding rules, and the Mediscor Reference Price (MRP) could apply.
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’ R200 if claimed from a retail pharmacy on the day of discharge. No benefit if not claimed on the date of discharge. |
π Biological medicine (in-hospital) | Annually limited to R34,828 per family. Subject to pre-approval and funding guidelines. |
π Treatment in Mental Health Clinics | Benefits shall be limited to the treatment of PMB conditions and subject to the following: β’ Pre-authorisation β’ DSPs β’ 21 daysβ stay for in-hospital management per beneficiary per annum. |
π©Ί Chemical and Substance Abuse Treatment | Covered up to 100% of the Bestmed tariff. Limited to 21 days. OR 15 contact sessions for out-patient psychotherapy per beneficiary per financial year. Subject to pre-authorisation. Subject to members using network facilities. |
π§ͺ Consultations and procedures | Covered up to 100% of the Bestmed tariff. |
π Surgical Procedures (including anesthetic) | Covered up to 100% of the Bestmed tariff. |
β€οΈ Organ Transplants | Covered up to 100% of the Bestmed tariff. Only PMBs are covered. |
π Major medical maxillo-facial surgery (Only specified conditions) | Covered up to 100% of the Bestmed tariff. There is a limit of up to R15,800 per family. |
π¦· In- and Out-of-Hospital Dental and oral surgery | There is a limit of R9,768 per family. |
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 R109,167 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 | Sub-limits per beneficiary per annum: β’ *Functional R37 342. β’ Vascular R71 390. β’ Pacemaker (single and dual chamber) R67 943. β’ Spinal including artificial disc R39 788. β’ Drug-eluting stents – subject to Vascular prosthesis limit. β’ Mesh R14 939. β’Gynaecology/urology R10 773. β’ Lens implants R8 188 a lens per eye. |
βοΈ External prostheses | Limited to R27 723 per family. DSPs apply. Includes artificial limbs limited to 1 limb every 60 months. Repair work to artificial limbs will be funded from the out-of-hospital Medical aids, apparatus and appliances benefit. |
β Joint replacement surgery | Joint replacement surgery (except for PMBs). PMBs subject to prosthesis limits: β’ Hip replacement and other major joints R40 506. β’ Knee replacement R53 866. β’ Other minor joints R16 735. |
βοΈ Orthopedic and Medical Appliances | 100% Scheme tariff. Limited to R15 000 per family per annum. |
π Pathology | Covered up to 100% of the Bestmed tariff. |
π Radiology | Covered up to 100% of the Bestmed tariff. |
π °οΈ MRI, CT scans, and other specialized diagnostics | 100% Scheme tariff. Limited to a combined in- and out-ofhospital benefit of R40 000 per family per annum. Co-payment of R2 000 per scan, not applicable for PMBs. PET scans are limited to one (1) scan per beneficiary per annum. Not subject to the abovementioned limit and co-payment. Subject to pre-authorisation. |
π ±οΈ 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 | 100% Scheme tariff. Subject to pre-authorisation and DSPs. |
π Birthing Confinements | Covered up to 100% of the Bestmed tariff. |
π Mammary (Breast) Surgery | Treatment of the unaffected (non-cancerous) breast will be limited to PMB provisions and is subject to pre-authorisation and funding guidelines. |
βοΈ 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) | 100% Scheme tariff. Subject to pre-authorisation and protocols. Limited to R10 859 per eye |
πΆ Midwife-assisted birth | 100% Scheme tariff |
π Supplementary Services | 100% Scheme tariff |
π Hospitalization Alternatives | Covered up to 100% of the Bestmed tariff. |
β‘οΈ Advanced illness benefit. | 100% Scheme tariff, limited to R87 068 per beneficiary per annum. Subject to available benefit, pre-authorisation and treatment plan. |
β³οΈ 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 will 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 R1 million. All other nations are insured for up to 60 days, and a family (member and dependents) is protected for R5 million. |
If you have a treatment plan for a Chronic Disease List (CDL) or Prescribed Minimum Benefit (PMB) condition/s, the services in the treatment plan will be paid for first from the applicable day-to-day limit.
After the limit has been exhausted, claims will continue to be paid from Scheme risk up to the maximum amount indicated in the treatment plan.
π Overall day-to-day limits | Main Member β R13 187 Main Member + Dependents β R26 373 |
π FP and Specialist Consultations | Savings first. Limited to M = R2 715, M1+ = R5 459. (Subject to overall day-to-day limit) |
π¦· Basic and Specialized Dentistry | Savings and then from day-to-day limits. Orthodontic: Subject to pre-authorisation. Limited to M = R4 998, M1+ = R10 142. (Subject to overall day-to-day limit) |
β Medical devices/aids, apparatus, appliances (including wheelchairs, crutches, etc.) | Savings first. Limited to R13 934 per family. Includes repairs to artificial limbs. 100% Scheme tariff. (Subject to overall day-to-day limit). |
β‘οΈ Continuous (CGM) or Flash Glucose Monitoring (FGM) | Covered under medical devices/aids. |
𦻠Hearing Aids | Subject to pre-approval. There is a limit of up to R9,678 per family every two years. Paid up to 100% of the Bestmed tariff. |
π© Supplementary Services | Savings first. Limited to M = R5 329, M1+ = R11 061. (Subject to overall day-to-day limit) |
βοΈ Wound Care Benefit (Dressings, negative pressure wound therapy NPWT treatment, and other nursing services Out-of-hospital) | Covered from available savings first. Covered up to 100% of the Bestmed tariff. Limited to R4,381 per family, subject to the overall day-to-day limit. |
π€ Optometry | Benefits available every 24 months from date of service. Network Provider (PPN) β’ Consultation – One (1) per beneficiary. β’ Frame = R1 210 covered AND β’ 100% of cost of standard lenses (single vision OR bifocal OR multifocal) OR β’ Contact lenses = R2 025 OR Non-network Provider β’ Consultation – R400 fee at nonnetwork provider β’ Frame = R908 AND β’ Single vision lenses = R215 OR β’ Bifocal lenses = R460 OR β’ Multifocal lenses = R1 040 (consisting of R810 per base lens plus R230 per branded lens add-on) In lieu of glasses members can opt for contact lenses, limited to R2 025 |
π Basic Radiology and Pathology | Covered from available savings first. Subject to the overall day-to-day limit. The following limits apply: Main Member β R3,950 Main Member + Dependents β R7,901 |
π Oncology | Oncology program at the full Scheme rate. Subject to pre-approval and DSP. |
βοΈ Peritoneal Dialysis and Hemodialysis | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and DSP. |
β HIV/AIDS | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and DSP. |
π °οΈ MRI scans, CT scans, and isotope studies | 100% Scheme tariff. Limited to a combined in- and out-of hospital benefit of R40 000 per family per annum. Co-payment of R2 000 per scan, except for an involuntary use of a non-DSP for a PMB condition. PET scans are limited to one (1) scan per beneficiary per annum. Not subject to the adovementioned limit and co-payment. Subject to pre-authorisation. |
π ±οΈ Rehabilitation after a traumatic event | Covered up to 100% of the Bestmed tariff. |
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.
π CDL and PMB Chronic Conditions | Covered up to 100% of the Bestmed tariff. There is a co-payment of 25% for non-formulary medicine. |
π Non-CDL Chronic medicine (First paid from the non-CDL limit. After that, approved CDL and PMB medicine is paid from the Scheme Risk) | Seven conditions are covered. Covered up to 90% of the Bestmed tariff. There is a co-payment of 25% for non-formulary medicine. The following limits will apply: Main Member β R8,044 Main Member + Dependents β R16,087 |
π Biological medicine | Only PMBs are covered according to funding protocols. Subject to pre-approval. |
πΆ Other high-cost medication | Covered up to 100% of the Bestmed tariff. |
π Acute Medicine | Savings funds are used first, then covered up to (subject to the overall day-to-day-limit): Main Member β R2,846 Main Member + Dependents β R5,890 |
βοΈ OTC Medication | Members can choose an R1,161 limit per family. Alternatively, access is given to a full savings account for OTC medicine after the R1,161 limit. This will lead to a self-payment gap accumulation. This benefit includes vitamins, minerals, and sunscreen with Nappi codes on the Bestmed formulary. This benefit is subject to available savings funds. |
The Bestmed Pace 1 Chronic Condition List and Prescribed Minimum Benefits are as follows:
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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 | π Gender and Age Group | π Quantity and Frequency | π 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 from Scheme risk benefits. |
πΌ Baby Growth and Development Assessments | 0 β 2 Years | 3 Assessments per year | Pharmaceutical clinics under the Bestmed Network perform assessments. |
π °οΈ Female Contraceptives | All female beneficiaries of child-bearing age | Depends on the product according to the maximum allowed amount | Annually limited to R2,678 per beneficiary. Covers all items categorized under the female contraception category. |
π ±οΈ Intrauterine device (IUD) insertion | All female beneficiaries of child-bearing age | 1 device every 5 years | Consultation and treatment by a gynecologist or family physician. |
β‘οΈ HPV Vaccinations | Female Beneficiaries 9 β 26 | 3 vaccines per beneficiary | Vaccinations are funded according to the MRP |
π Mammogram | All females 40 years> | Once every 2 years | Covered up to 100% of the Bankmed tariff |
π PSA Screening | Males 50 years and older. | 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. |
β³οΈ 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. |
π Read more about Cholesterol Management Cover
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 |
πͺ₯ General full-mouth examination by a general dentist (including the use of gloves and sterile equipment) | <12 years | Twice yearly |
π Full-mouth Intra-Oral Photos | All | Once every 3 years |
π Intra-Oral Radiograph | All | 2 photos yearly |
βοΈ Scaling or polishing | All | Twice yearly |
β Fluoride treatment | All | Twice yearly |
π Fissure Sealing | Up to and including beneficiaries 21 years old | According to the applicable and accepted protocol |
β‘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. |
πMaternity 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 R127 for a maximum of nine months. |
The Maternity care program is available to pregnant female 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.
π POLL: 5 Best Medical Aids under R500
Some of the following are excluded from Pace 1. 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 Pace 1 plan:
π A late-joiner contribution penalty will apply.
π Medical Aid Plan | π₯ Bestmed Pace 1 (2025) | π₯ GEMS Emerald (2024) | π₯ Bonitas Standard Select Plan (2024) |
π International Cover | R1 million in USA other countries R5 million | Scheme Rate | R10 million |
π€ Main Member Contribution | R5,706 | 2,975 β 3,689 ZAR | R4,448 ZAR |
π₯ Adult Dependent Contribution | R4,008 | 2,273 β 2,836 ZAR | R3,849 ZAR |
π Child Dependent Contribution | R1,440 | 1,106 β 1,382 ZAR | R1,302 ZAR |
π Annual Limit | Several limits and sub-limits | Unlimited Hospital Cover | Unlimited Hospital Cover |
πΆ Prescribed Minimum Benefits (PMB) | βοΈ Yes | βοΈ Yes | βοΈ Yes |
β‘οΈ Screening and Prevention | β Yes | β Yes | β Yes |
π³ Medical Savings Account | βοΈ Yes | None | None |
βοΈ Hospital Cover | Unlimited | Unlimited | Unlimited |
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The Pace 1 plan offers excellent hospital benefits and comprehensive day-to-day coverage well-suited for growing families who prioritize their health.
As with the Pace 2, Pace 3, and,Β Pace 4 plans, there is no network of hospitals, and members can enjoy benefits such as over-the-counter medication and consultations with Family Practitioners (FPs) and Specialists.
You might also consider the following options BestMed has to offer:
Bestmed Pace 1 is a medical aid plan that provides comprehensive hospital and day-to-day cover for individuals and families.
No, there is no network of hospitals for Bestmed Pace 1.
Bestmed Pace 1 offers benefits such as over-the-counter medication, consultations with Family Practitioners (FPs), Specialists, and extensive day-to-day coverage.
The scheme risk covers in-hospital services under Bestmed Pace 1.
β Yes, some out-of-hospital services are covered under Bestmed Pace 1 and are initially paid from annual savings.
β Yes, Bestmed Pace 1 does offer optical benefits as part of its day-to-day cover. These benefits include eye tests, frames, lenses, and contact lenses.
β Yes, there are limits on optical benefits under Bestmed Pace 1. For example, members can claim optical benefits once every 24 months. However, the benefit amount is limited to a specific amount per member.
Optical and dental benefits are initially paid from the day-to-day savings benefit under Bestmed Pace 1. Once the savings are depleted, benefits are paid from the day-to-day schemeβs risk benefits and the available vested savings.
Once the annual savings are depleted, services are paid for from the day-to-day schemeβs risk benefits and the available vested savings.
β Yes, Bestmed Pace 1 is well-suited for healthy, growing families who prioritize their health and require extensive day-to-day coverage.
β Yes, Bestmed Pace 1 does offer dental benefits as part of its day-to-day cover. These benefits include consultations, fillings, extractions, and root canal treatments.
β Yes, there are limits on dental benefits under Bestmed Pace 1. For example, members can claim dental benefits up to a specific amount per member per year, and certain treatments are subject to waiting periods.
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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