Overall, the Bestmed Pace 2 Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and in-hospital procedures for its members. The Bestmed Pace 2 Medical Aid Plan starts from R8,132 ZAR.
π€ Main Member Contribution | R8,132 |
π₯ Adult Dependent Contribution | R7,974 |
π Child Dependent Contribution | R1,793 |
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. Business travel: Limited to 60 days and R5 000 000 per family, i.e. members and dependants. Limited to R1 000 000 per family for travel to the USA. |
π₯ Hospital Cover | Unlimited |
π Extended Cover for Oncology | Out-of-Hospital cover |
πΆ Prescribed Minimum Benefits (PMB) | βοΈ Yes |
β‘οΈ Screening and Prevention | βοΈ Yes |
βοΈ Medical Savings Account | βοΈ Yes |
πΌ Maternity Benefits | βοΈ Yes |
The Bestmed Pace 2 medical aid plan is one of 14 plans, starting from R8,132 and includes comprehensive cover for several procedures in-hospital, out-of-hospital cover paid up to 100% of the scheme tariff, and more.
Gap Cover is not included on the Bestmed Pace 2 Plan but available separately. BestmedΒ received the top honours in the Medical Aid Companies category at the latest Ask Afrika Orange Index Awards.
π Download the latest Pace 2 Product Brochure for 2025 from Bestmed.
π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
R8,132 | R7,974 | R1,793 |
π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
R1139 x 12 Months | R1116 x 12 Months | R251 x 12 Months |
Savings Account / Day-to-day Benefits:
POLL: 5 Best Medical Aids under R300
Method of Payment on Pace 2 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).
Bestmed Pace 2 Scheme Benefits for Different Medical Events In-Hospital
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 scheme 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. |
βοΈ Treatment in Mental Health Clinics | Covered up to 100% of the Scheme tariff 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. |
β Chemical and Substance Abuse Treatment | 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©ββοΈ Consultations and procedures | Covered up to 100% of the Scheme tariff. |
π¨ββοΈ Surgical Procedures (including anesthetic) | Covered up to 100% of the Bestmed Scheme tariff. |
β€οΈ Organ Transplants | Covered up to 100% of the Bestmed scheme tariff. Only PMBs are covered. |
π Major medical maxillo-facial surgery (Only specified conditions) | Covered up to 100% of the Bestmed scheme tariff. |
π In- and Out-of-Hospital Dental and oral surgery | Limited to R16 232 per family per annum. |
𦡠Prosthesis sub-limits form part of overall Internal prosthesis limit subject to preferred provider, otherwise limits and co-payments apply | 100% Scheme tariff. Limited to R140 193 per family per annum. |
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 R39 539. β’ Vascular R71 390. β’ Pacemaker (single and dual chamber) R75 770. β’ Spinal including artificial disc R70 284. β’ Drug-eluting stents R22 983. β’ Mesh R22 983. β’ Gynaecology/urology R17 164. β’ Lens implants R14 738 a lens per eye. β’ Joint replacements: – Hip replacement and other major joints R63 129. – Knee replacement R73 257. – Other minor joints R27 219. |
β‘οΈ External prostheses | Limited to R33 037 per family per annum. 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 |
π 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 MRI, CT scans, and other specialized diagnostics | 100% Scheme tariff. Limited to a combined in- and out-of hospital benefit of R42 000 per family per annum. Co-payment of R1 500 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 abovementioned limit and co-payment. Subject to pre-authorisation. |
π 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 haemodialysis | 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. |
π© Mammary (Breast) Surgery | Treatment of the unaffected (non-cancerous) breast will be limited to PMB provisions and is subject to preauthorisation 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 |
β 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 R11 347 per eye. |
πΆ Midwife-assisted birth | Covered up to 100% of the Bestmed tariff. |
βοΈ Supplementary Services | Covered up to 100% of the Bestmed tariff. |
π Hospitalization Alternatives / Procedures done in the doctorβs rooms | Covered up to 100% of the Bestmed tariff. |
π Advance illness benefit | 100% Scheme tariff, limited to R139 308 per beneficiary per annum. Subject to available benefit, preauthorisation and treatment plan. |
π °οΈ 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 | 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. Business travel: Limited to 60 days and R5 000 000 per family, i.e. members and dependants. Limited to R1 000 000 per family for travel to the USA |
π Discover more: Best Medical Aids in South Africa that Cover Cosmetic Surgery
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 = R16 475 Main member + 1 = R32 949 |
πGeneral Practitioner (GP), nurse and specialist consultations | Savings first. Limited to M = R5 029, M1+ = R10 192. (Subject to overall day-to-day limit) |
π¦· Basic and Specialized Dentistry | Savings first and then from day-to-day limit. Limited to M = R8 377, M1+ = R16 756. (Subject to overall day-to-day limit) |
π¦· Orthodontic dentistry | Savings first. 100% Scheme tariff. Subject to pre-authorisation. Limited to R8 126 per event for beneficiaries up to 18 years of age. Subject to overall day-to-day limit. |
π©Ί Medical devices, apparatus, appliances | Savings first. Limited to R12 640 per family. Includes repairs to artificial limbs. 100% Scheme tariff. (Subject to overall day-to-day limit) |
π§ͺ Continuous (CGM) or Flash Glucose Monitoring (FGM) | Refer to medical aids, apparatus and appliances limit listed above. |
π©π»βπ¦Ό Wheelchairs | Limited to R17 094 per family every 48 months. |
𦻠Hearing Aids | Limit of R32 000 per beneficiary every 24 months. Subject to quotation, motivation and audiogram. |
βοΈ Supplementary Services | Savings first. Limited to M = R3 844, M1+ = R7 688. (Subject to overall day-to-day limit) |
π Wound Care Benefit (Dressings, adverse pressure wound therapy NPWT treatment, and other nursing services Out-of-hospital) | Savings first. Limited to R7 882 per family. (Subject to 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 260 covered AND β’ 100% of cost of standard lenses (single vision OR bifocal OR multifocal) AND Lens enhancement = R750 covered OR β’ Contact lenses = R2 215 OR Non-network Provider β’ Consultation – R400 fee at non-network provider β’ Frame = R945 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) AND β’ Lens enhancement = R563 covered In lieu of glasses members can opt for contact lenses, limited to R2 215 |
β³οΈ Basic Radiology and Pathology | Savings first. Limited to M = R3 950, M1+ = R7 901. (Subject to overall day-to-day limit) |
π Oncology | Oncology programme. 100% of Scheme tariff. Subject to pre-authorisation and DSPs. |
π Peritoneal Dialysis and Hemodialysis | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and DSP. |
βοΈ HIV/AIDS | Covered up to 100% of the Bestmed tariff. Subject to pre-approval and DSP. |
β MRI scans, CT scans, isotope studies, and PET scans | 100% Scheme tariff. Limited to a combined in- and out-of hospital benefit of R42 000 per family per annum. Co-payment of R1 500 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 abovementioned limit and co-payment. Subject to pre-authorisation. |
ππΎ Back and neck preventative programme | Benefits payable at 100% of contracted fee. Subject to pre-authorisation, protocols and DSPs. |
βοΈ 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.
After the limit has been depleted, only PMB biological medicine costs will continue to be paid without limit.
π CDL and PMB Chronic Conditions | Covered up to 100% of the Bestmed tariff. There is a co-payment of 20% 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) | 20 conditions. 90% Scheme tariff. Limited to M = R10 983 M1+ = R21 966. Co-payment of 20% for non-formulary medicine. |
βοΈ Biological medicine | Limited to R200 964 per beneficiary. |
β Other high-cost medication | Covered up to 100% of the Bestmed tariff. |
π Acute Medicine | Savings first. Limited to M = R3 295, M1 + = R6 590. (Subject to overall day-to-day limit) |
π OTC Medication | **Member choice: 1. R1 161 OTC limit per family OR 2. Access to full savings for OTC purchases (after R1 161 limit) = selfpayment gap accumulation. Includes suncreen, vitamins and minerals with NAPPI codes on Scheme formulary. Subject to the available savings. |
π Read more about Health Insurance for minors
The Bestmed Pace 2 Chronic Condition List and Prescribed Minimum Benefits are as follows:
and much more….
and much more….
π You might like to know: 5 Best Hospital Plans for Unemployed
and much 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).
π Benefit | β‘οΈ 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. |
β‘οΈ 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. |
πΆ Baby Growth and Development Assessments | 0 β 2 Years | 3 Assessments per year | Pharmaceutical clinics under the Bestmed Network perform assessments. |
βοΈ Female Contraceptives | All female beneficiaries of child-bearing age | It depends on the product according to the maximum allowed amount | Limited to R2 678 per beneficiary per year. Includes all items classified in the category of female contraceptives. |
π 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. |
π HPV Vaccinations | Female Beneficiaries 9 β 26 | 3 vaccines per beneficiary | Vaccinations are funded according to the MRP |
β³οΈ Mammogram | All females 40 years> | Once every 2 years | Covered up to 100% of the Bestmed Scheme tariff |
β‘οΈ 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. |
βοΈ Bone densitometry | All beneficiaries 45 years and older. | Once every 24 months. | |
π Glaucoma screening | Ages 50 and above. | Once every 12 months. | The benefit is subject to service being received from the contracted Optometrist Network only. |
π Pap Smear | Female beneficiaries 18 and older | Once every 24 months | Possible at a gynecologist, family physician, or pharmacy clinic. Consultation paid from scheme risk |
The following services may be subject to pre-approval, clinical protocols, and financial guidelines.
π Consider to add Gap cover based on the 5 Best Dental Gap Cover
π Service | β‘οΈ Age | π Frequency |
1οΈβ£ General full-mouth examination by a general dentist (including the use of gloves and sterile equipment) | 12 years> | Once yearly |
2οΈβ£ General full-mouth examination by a general dentist (including the use of gloves and sterile equipment) | <12 years | Twice yearly |
3οΈβ£ Full-mouth Intra-Oral Photos | All | Once every 3 years |
4οΈβ£ Intra-Oral Radiograph | All | 2 photos yearly |
5οΈβ£ Scaling or polishing | All | Twice yearly |
6οΈβ£ Fluoride treatment | All | Twice yearly |
7οΈβ£ Fissure Sealing | Up to and including beneficiaries 21 years old | According to the applicable and accepted protocol |
8οΈβ£ Space Maintainers | During the primary and mixed denture stage | Once per space |
The Tempo wellness programme is focused on supporting you on your path to improving your health and realising the rewards that come with it. To ensure you achieve this, you will have access to the following benefits:
Tempo Lifestyle Screening for adults (beneficiaries 16 years and older) which includes:
Tempo physical wellbeing and nutrition benefits (beneficiaries 16 and older):
Physical wellbeing:
1 xΒ (face-to-face)Β physical health assessment at a Tempo partner biokineticist
1 x follow-upΒ (virtual or face-to-face)Β consult to obtain your personalised exercise plan from the Tempo partner biokineticist
Β
Nutrition:
1 xΒ (face-to-face)Β nutrition assessment at a Tempo partner dietitian
1 x follow-upΒ (virtual or face-to-face)Β consult to obtain your personlised healthy-eating plan from the Tempo partner dietitian
Β
π In addition to the Tempo physical wellbeing and nutrition benefits, you will also have access toΒ Tempo Wellness WebinarsΒ hosted monthly. The webinars are themed around mental health and various other wellness-related topics.
π The Maternity care program is available to pregnant members and their dependents, providing comprehensive services and information.
π It provides support, education, and advice throughout pregnancy, confinement, and the postnatal period.
π 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.
ππΎΒ Once registration is complete, a consultant will reach out to them.
π 100% Scheme tariff. Subject to the following benefits:
π Consultations:
π Ultrasounds:
π Supplements:
Some of the following are excluded from Pace 2. 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 2 plan:
π A late-joiner contribution penalty will apply.
π Medical Aid Plan | Bestmed Pace 2 | Medshield MediBonus | Keyhealth Gold |
π International Cover | R1 million in USA β R5 million in other countries. | None | Up to R6 million |
π€ Main Member Contribution | R8 132 | R7,587 | R7,036 |
π₯ Adult Dependent Contribution | R7 974 | R5,328 | R4,758 |
π Child Dependent Contribution | R1 793 | R1,578 | R1,382 |
π Annual Limit | Several limits and sub-limits | Unlimited Hospital Cover | Unlimited Hospital Cover |
π₯ Hospital Cover | Unlimited | Unlimited | Unlimited |
πΆ Prescribed Minimum Benefits (PMB) | β Yes | β Yes | β Yes |
π» Screening and Prevention | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π³ Medical Savings Account | β Yes | None | β Yes |
The Pace 2 option is ideal for established families seeking comprehensive coverage in and out of the hospital.
With the freedom to choose hospitals, doctors, and specialists, members can tailor their coverage to their specific needs.
Pace 2 provides greater flexibility in terms of hospital and specialist choice. Members can choose their own hospitals, doctors, and specialists.
You might also consider the following options BestMed has to offer:
Bestmed Pace 2 is a comprehensive medical aid plan designed to provide comprehensive healthcare coverage for members.
Bestmed Pace 2 covers in-hospital and out-of-hospital medical services, including hospitalization, specialist consultations, prescription medication, and more.
Bestmed Pace 2 offers greater flexibility regarding hospital and specialist choice. At the same time, Pace 1 has a network of designated service providers that members must use to receive full coverage. Furthermore, Pace 2 has a higher monthly premium but provides more comprehensive coverage.
β Yes, Bestmed provides a list of designated service providers that Pace 2 members can use to receive full coverage.
Bestmed Pace 2 covers hearing aids up to R32,000 per beneficiary every 2 years.
The prosthesis limit for Bestmed Pace 2 depends on the procedure being performed on internal prostheses. External prostheses on Pace 2 are limited to R33 037 per family, including artificial limbs.
Bestmed Pace 2 covers bone densitometry for all beneficiaries 45 years and older every two years.
The overall day-to-day limits for Bestmed Pace 2 are outlined in the planβs benefits structure and cover a range of services, including general practitioner visits, pathology tests, and more.
Bestmed Pace 2 may apply waiting period of three months for most benefits, with a 12-month waiting period for certain pre-existing conditions – based on Legislative guidelines.
Bestmed Pace 2 covers unlimited hospital visits, subject to the planβs benefits structure, annual limits and authorisation.
β Yes, Bestmed Pace 2 covers chronic medication for CDL, PMB, and non-CDL conditions. These are protected according to the scheme tariff, and co-payments will apply for non-formulary medicine.
β Yes, Bestmed Pace 2 offers greater flexibility regarding specialist choice, allowing members to choose their own specialists rather than being limited to a network of designated service providers.
β Yes, Bestmed Pace 2 covers emergency medical services in and out of the hospital.
β Yes, you can change your Bestmed Pace 2 plan during the annual open enrollment period or under certain life-changing events.
β Yes, Bestmed Pace 2 provides cover for maternity and childbirth, including pre-and postnatal care, hospitalization, and related medical services.
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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