Overall, the Bestmed Rhythm 1 Medical Aid Plan is a trustworthy Network medical aid plan that offers 24/7 medical emergency assistance and in-hospital procedures. The Bestmed Rhythm 1 Medical Aid Plan starts from R1,615 ZAR.
π International Cover | R1 million in USA β Other countries R5 million |
π€ Main Member Contribution | R1,615 – R3 363 |
π₯ Adult Dependent Contribution | R1,615 – R3 363 |
π Child Dependent Contribution | R665 – R1,742 |
π Gap Cover | None |
π₯ Hospital Cover | Unlimited at Rhythm DSPs |
πΆ Prescribed Minimum Benefits (PMB) | βοΈ Yes |
π Screening and Prevention | βοΈ Yes |
πΌ Maternity Benefits | βοΈ Yes |
π³ Medical Savings Account | None |
The Bestmed Rhythm 1 medical aid plan is one of 14, starting from R1,615 and includes day-to-day benefits, and a list of procedures that can be performed at day-hospital facilities.
Gap Cover is not included in the Bestmed Rhythm 1 Plan but avialable separately.Β Bestmed received the top honours in the Medical Aid Companies category at the latest Ask Afrika Orange Index Awards.
π Download the latest Rhythm1 Product Brochure for 2025 Β from Bestmed.
π Monthly Income Bracket | π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
R0 β R9,000 | R1,615 | R1,615 | R665 |
R9,001 β R14,000 | R1,883 | R1,883 | R800 |
R14,001> | R3,363 | R3,363 | R1,742 |
There are day-to-day benefits available.
Method of Payment on Rhythm 1 Plan
While using DSPs, any benefits related to conditions that meet the requirements for PMBs will be covered.
Bestmed Rhythm 1 Scheme Benefits for Different Medical Events In-Hospital
π Read more about the Difference Between Medical Aid and Medical Insurance
The DSP hospital network encompasses a range ofΒ hospitals in South Africa.
Bestmed Rhythm 1 Hospital Authorization Process
Bestmed will only authorize admissions to DSP (Network) hospitals under contract.
When Bestmed Rhythm 1 members are admitted to a non-DSP hospital
Voluntary use of a non-DSP hospital (unless in the case of an emergency) will result in a co-payment of up to R14 364.
π In-Hospital Accommodation and fees for the theatre | Only approved PMBs are covered at a DSP hospital. |
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 Biological medicine received during hospitalization | Only approved PMBs covered at a DSP hospital |
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 |
βοΈ 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. |
β Consultations and procedures | Only approved PMBs are covered at a DSP hospital. Subject to pre-approval from Bestmed. |
β³οΈ Surgical Procedures (including anesthetic) | Only approved PMBs are covered at a DSP hospital. Subject to pre-approval from Bestmed. |
β€οΈ Organ Transplants | Covered up to 100% of the Bestmed tariff. Only PMBs are covered. |
π Stem cell transplants | Covered up to 100% of the Bestmed tariff. Only PMBs are covered |
π Major medical maxillo-facial surgery (Only specified conditions) | Only approved PMBs are covered at a DSP hospital. |
π₯ In- and Out-of-Hospital Dental and oral surgery | Only approved PMBs are covered at a DSP hospital. |
β‘οΈ Prostheses are subject to preferred providers or co-payments, and limits will apply | 100% Scheme tariff. Limited to R64 208 per family. Subject to PMBs at DSP network. |
π Internal Prostheses (Preferred Providers or limits and co-payments will apply) Functional items used must be towards treating or supporting bodily functions | Prosthesis β Internal Note: Sub-limits subject to availability of overall prosthesis limit. *Functional: Items used to replace or augment an impaired bodily function. Sub-limits per beneficiary per annum: β’ *Functional R34 047. β’ Vascular R54 915. β’ Pacemaker (single and dual chamber) R51 998. β’ Spinal including artificial disc R31 815. β’ Drug-eluting stents β subject to Vascular prosthesis limit. DSPs apply. β’ Mesh R11 636. β’Gynaecology/urology R9 611. β’ Lens implants R6 681 a lens per eye |
β Exclusions (Prosthesis sub-limits form part of overall Internal prosthesis limit subject to preferred provider, otherwise limits and co-payments apply | Joint replacement surgery (except for PMBs). PMBs subject to prosthesis limits: β’ Hip replacement and other major joints R32 607. β’ Knee replacement R41 226. β’ Other minor joints R 15 441. Functional nasal surgery and surgical procedures where CNS stimulators are used (e.g. epilepsy, Parkinson disease, etc.) will be excluded from benefits, except for PMB conditions. |
π¦ΏProsthesis β External | Approved PMBs at DSPs. |
ποΈ Breast surgery for cancer | Treatment of the unaffected (non-cancerous) breast will be limited to PMB provisions. Subject to preauthorisation and funding guidelines |
π Orthopedic and Medical Appliances | Only approved PMBs are covered at a DSP hospital. |
π Pathology | Only approved PMBs are covered at a DSP hospital. |
π Radiology | Only approved PMBs are covered at a DSP hospital. |
π °οΈ MRI, CT scans, and other specialized diagnostics | Approved PMBs at DSPs. PET scans – PMB only. Subject to pre-authorisation. |
π ±οΈ Oncology | Only approved PMBs are covered at a DSP hospital. |
βοΈ Peritoneal Dialysis and hemodialysis | Only approved PMBs are covered at a DSP hospital. |
π Birthing Confinements | Only approved PMBs are covered at a DSP hospital. |
π HIV/AIDS | Only approved PMBs are covered at a DSP hospital. |
βοΈ Refractive Surgery (and all other procedures that aim to improve or stabilize vision, excluding cataracts) | Only approved PMBs are covered at a DSP hospital. |
β Midwife-assisted birth | PMBs and emergency caesarean sections (C-sections). |
π© Supplementary Services | Only approved PMBs are covered at a DSP hospital. |
π Hospitalization Alternatives | Only approved PMBs are covered at a DSP hospital. |
π Advanced illness benefit | Only approved PMBs are covered at a DSP hospital. |
π Day Procedures performed at a day hospital | PMBs in network day hospitals: Approved PMBs at DSPs. Subject to pre-authorisation, protocols and funding guidelines. Non-PMBs in network day-hospitals: 100% Scheme tariff. Subject to approved DSPs and pre-authorisation. Limited to R54 915 per family per annum for non-PMB day procedures. 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. The non-PMB conditions covered are: β’ Circumcision β’ Colonoscopy – co-payment applicable β’ Gastroscopy – co-payment applicable β’ Myringotomy and grommet insertion β’ Sterilisation (male and female) β’ Tonsillectomy |
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. |
πΆ Co-Payments | Non-DSP hospital co-payment: Co-payment of R14 364 per event for voluntary use of a non-DSP hospital. Procedure-specific co-payments: The co-payment shall not apply to PMB conditions: β’ Colonoscopies R2 000. β’ Gastroscopies R2 000. A R2 746 co-payment, 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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Members must receive pre-approval for any scheduled treatments or procedures.
Benefits covered by the Bestmed Rhythm General Practitioners
If the Rhythm General Practitioner performs services not covered by protocols on Rhythm 1, the member is responsible for the account.
π¨ββοΈ General Practitioner Consultations | Unlimited GP consultations. Subject to Rhythm GP network. Subject to preapproval after 10th visit. Applicable per family per annum. |
π©ββοΈ Pharmacy Clinic Nurse Consultations | 100% of the Scheme rate. Unlimited consultations with a primary care registered nurse (NAPPI code 981078001) at network pharmacies. |
βοΈ Specialist Consultations | Specialist consultations must be referred by a Rhythm Network Provider. 100% Scheme tariff. Limited to a maximum of R2 553 per family per year. Subject to Rhythm Specialist DSP network. |
π Basic and specialised dentistry | Where clinically appropriate and subject to Rhythm1 protocols, Rhythm Dental Network Providers and Rhythm approved dental codes. |
β‘οΈ Out-of-network and casualty visits | PMB only |
𦻠Medical Aids, Apparatus, and Appliances (including Hearing Aids and Wheelchairs) | Only approved PMB services are covered. |
π§ͺ Back and neck preventative programme | Benefits payable at 100% of contracted fee. Subject to pre-authorisation, protocols and DSPs. |
π©Έ Wound Care Benefit (Dressings, negative pressure wound therapy NPWT treatment, and other nursing services Out-of-hospital) | Only approved PMB services are covered. |
π©Ί Oncology | Only approved PMBs are covered by a DSP provider. |
π§ͺ Peritoneal Dialysis and Hemodialysis | Only approved PMBs are covered by a DSP provider |
π· HIV/AIDS | Only approved PMBs are covered by a DSP provider |
π °οΈ MRI scans, CT scans, isotope studies, and PET scans | Approved PMBs at DSPs. PET scans – PMB only. Subject to pre-authorisation. |
π ±οΈ Rehabilitation after a traumatic event | Only PMBs are covered. Subject to pre-approval and the use of DSPs. |
There is no benefit for spectacle frames, lenses, or contact lenses.
Basic Dentistry is covered when it is clinically appropriate and according to the Bestmed Rhythm 1 guideline, Bestmed Rhythm Dental Network Providers, and Rhythm-approved dental codes.
You are responsible for paying for pathology codes not included in the Bestmed Rhythm formulary.
You are responsible for paying for any radiology codes not included in the Bestmed Rhythm formulary.
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.
Because this is a network option, members must purchase their medication 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 when using a preferred provider network pharmacy. |
π₯ Biological medicine | Only PMBs are covered, and the benefit is subject to pre-approval. |
π© Other high-cost medication | Only PMBs are covered, and the benefit is subject to pre-approval. |
πͺ Acute Medicine | Covered up to 100% of the Bestmed tariff. Subject to the Bestmed formulary. The benefit is per prescriptions by a Network FP, and medication must be obtained from a DSP pharmacy. |
π¨ Over-the-counter (OTC) medicine Includes sunscreen, vitamins and minerals with NAPPI codes on Scheme formulary | 100% Scheme tariff. Limited to R240 per family per annum and to R120 per event. Subject to preferred provider pharmacy network. |
The Bestmed Rhythm 1 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).
π Benefit | β‘οΈ Gender and Age Group | π Quantity and Frequency | βοΈ Criteria |
π Flu Vaccines | All | 1 per beneficiary yearly | At a Rhythm Network GP or preferred provider network pharmacy. Subject to Rhythm1 protocols and where clinically necessary. |
βοΈ Pneumonia Vaccines | Children <2 Years High-risk adult group | Children: As per schedule of Department of Health. Adults: Twice in a lifetime with booster above 65 years of age. | Adults: Bestmed will identify certain high-risk individuals who will be advised to be immunised. |
π Travel Vaccines | All | Quantity and frequency depending on product up to the maximum allowed amount. | Mandatory travel vaccines for typhoid, yellow fever, tetanus, meningitis, hepatitis and cholera 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. |
β³οΈ Female Contraceptives | All female beneficiaries of child-bearing age | Depends on the product according to the maximum allowed amount | Limited to R2 000 per beneficiary per year. Includes all items classified in the category of female contraceptives. |
π Intrauterine device (IUD) insertion | All females of child-bearing age. | 1 device every 5 years. | Consultation and procedure by a Rhythm Network GP or Rhythm Specialist DSP gynaecologist. |
π Mammogram (tariff code 34100) | Females 40 years and older | Once every 24 months. | Must be referred by Rhythm Network GP or Rhythm Specialist DSP |
π©πΎβπ¬ Pap smear (pathology only) | Females 18 years and older. | Once every 24 months. | Can be done at a Rhythm Specialist DSP gynaecologist, Rhythm Network GP or preferred provider network pharmacy clinic. Consultation paid from the available consultation benefit. |
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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 x (face-to-face) physical health assessment at a Tempo partner biokineticist
1 x follow-up (virtual or face-to-face) consult to obtain your personalised exercise plan from the Tempo partner biokineticist
Β
Nutrition:
1 x (face-to-face) nutrition assessment at a Tempo partner dietitian
1 x follow-up (virtual or face-to-face) 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 to Tempo Wellness Webinars hosted monthly. The webinars are themed around mental health and various other wellness-related topics.
The Maternity care program is available to pregnant members and their dependents, providing comprehensive services and information.
It has been designed with expectant parentsβ specific needs and support networks.
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.
ππΏ 100% of Scheme tariff at network providers only for the following benefits:
Consultations:
ππΏ 6 antenatal consultations at a GP OR gynaecologist OR midwife.
ππΏ Ultrasounds
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Bestmed Rhythm 1 Exclusion
Some of the following are excluded from Rhythm 1. The comprehensive list can be found on the official Bestmed website.
Unkept appointments by members, and more.
Bestmed Rhythm 1 Waiting Periods
Depending on pre-existing or existing conditions, the following might apply when you register for medical coverage with the Bestmed Rhythm 1 plan:
π Read more about Bestmed rules: A late-joiner contribution penalty will apply.
BestMed Rhythm 1 (2025) | KeyHealth Essence (2025) | Fedhealth FlexiFed 2 (2025) | |
π International Cover | R1 million in USA β R5 million other countries. | TBA | None |
π€ Main Member Contribution | R1,615 β R3,363 | R1,990 | R2,491 |
π₯ Adult Dependent Contribution | R1,615 β R3,363 | R1,595 | R2,227 |
π Child Dependent Contribution | R665 β R1,742 | R717 | R740 |
π Annual Limit | Several limits and sub-limits | Unlimited Hospital Cover | Unlimited at hospitals in the Fedhealth network |
π₯ Hospital Cover | Unlimited at Rhythm DSPs | Unlimited | Unlimited |
πΆ Prescribed Minimum Benefits (PMB) | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π Screening and Prevention | β Yes | β Yes | β Yes |
π Home Care | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π€ Optometry Benefit | β Yes | β Yes | β Yes |
π In conclusion, the Bestmed Rhythm 1 Plan is an ideal medical aid option for individuals seeking affordable cover adaptable to their income and who do not mind using Designated Service Providers (DSPs) as allocated by Bestmed.
π Furthermore, the plan offers primary healthcare services and preventative care benefits, including private hospital cover, which are paid for from the scheme risk-benefit.
You might also consider the following options BestMed has to offer:
DSPs are healthcare service providers contracted with Bestmed to provide medical services to members of the Rhythm 1 Plan. These may include Rhythm Specialist DSPs and DSP hospitals.
Bestmed Rhythm 1 covers hospitalization, chronic medication, and day-to-day medical expenses. The plan also offers primary healthcare services and preventative care benefits, including private hospital cover, which are paid for from the scheme risk-benefit.
The waiting period for the Bestmed Rhythm 1 Plan could be 3 months for general healthcare services and 12 months for certain specified conditions, such as pre-existing conditions and pregnancy. Legislative guidelines are used by all medical schemes when determening waiting periods, exclusions or Late Joiner penalties.
β Yes, you can add dependents to your Bestmed Rhythm 1 Plan. Dependents include your spouse or life partner and your children up to the age of 24 years.
The co-payment on the Bestmed Rhythm 1 Plan is a fee that you are required to pay for certain medical services or procedures. The co-payment amount varies depending on the service or procedure, but it is usually a percentage of the cost, up to a specified limit.
To make a claim on your Bestmed Rhythm 1 Plan, you need to complete a claim form and submit it to Bestmed. You can do this online or by visiting one of Bestmed’s offices. You will also need to provide any relevant documentation, such as receipts or invoices.
No, you cannot change your Bestmed Rhythm 1 Plan during the year.
Rhythm Specialists DSPs are healthcare providers providing medical services related to the Rhythm 1 Plan. These service providers have contracted with Bestmed to offer their services to plan members.
You can contact Bestmed by calling their Call Center, emailing them, or visiting their website to chat with a consultant or access the online self-service portal. Bestmed consultants are available to assist you with any queries or assistance.
In emergency hospitalization, the member, their representative, or the hospital must notify Bestmed of the memberβs hospitalization as soon as possible or on the first working day after hospital admission.
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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