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Overall, the Bestmed Rhythm 2 Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and in-hospital procedures to up to 3 Family Members. The Bestmed Rhythm 2 Medical Aid Plan starts from R2,100 ZAR.
π International Cover | R1 million in USA β R5 million in other countries. |
π€ Main Member Contribution | R2,100 – R3,027 |
π₯ Adult Dependent Contribution | R1,996 – R2,725 |
π Child Dependent Contribution | R1,264 – R1,514 |
πΆ Prescribed Minimum Benefits (PMB) | βοΈ Yes |
π Screening and Prevention | βοΈ Yes |
π³ Medical Savings Account | None |
πΌ Maternity Benefits | βοΈ Yes |
πΆ Pre- and Postnatal Care | βοΈ Yes |
β‘οΈ Chronic Conditions | βοΈ Yes |
The Bestmed Rhythm 2 medical aid plan is one of 10, starting from R2,100 and additional in-hospital benefits, international travel cover, and more.Β Gap Cover is not available on the Bestmed Rhythm 2 Plan and according to the Trust Index, Bestmed has a trust rating of 3.5.
π Download the latest Rhythm2 Product Brochure in PDF format.
π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
R2,100 | R1,996 | R1,264 |
There are day-to-day benefits available.
Method of Payment on Rhythm 2 Plan
While using DSPs, any benefits related to conditions that meet the requirements for PMBs will be covered.
Bestmed Rhythm 2 Scheme Benefits for Different Medical Events In-Hospital
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The DSP hospital network encompasses all Netcare hospitals in South Africa. In regions without Netcare hospitals, other hospitals are contracted as DSPs.
Bestmed Rhythm 2 Hospital Authorization Process
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Bestmed will only authorize admissions to DSP hospitals under contract.
When Bestmed Rhythm 2 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 R13,732.
π In-Hospital Accommodation and fees for the theatre | Covered up to 100% of the Bestmed tariff when using a DSP hospital. |
π Take-home medication after discharge | Covered up to 100% of the Bestmed tariff. Limited to a 3-day supply. |
βοΈ Biological medicine received during hospitalization | Limited to R16,648 per family yearly. Subject to pre-approval and the Bestmed funding guidelines. |
β Treatment in Mental Health Clinics | Covered up to 100% of the Bestmed tariff. Pre-approval is needed, and a limit of 21 days per beneficiary yearly. |
βοΈ Chemical and Substance Abuse Treatment | Covered up to 100% of the Bestmed tariff. Only DSPs can be used for this benefit. Pre-approval is needed, and a limit of 21 days per beneficiary yearly. |
β³οΈ Consultations and procedures | Covered up to 100% of the Bestmed tariff. |
π Surgical Procedures (including anesthetic) | Covered up to 100% of the Bestmed tariff. The following are excluded from this benefit: Functional Nasal Surgery Surgery for Medical conditions, including Epilepsy, Parkinsonβsβ disease, etc. Surgeries where stimulators are used. |
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) | 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. |
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 R61,384 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 R32,550 Vascular β R52,500 Pacemakers (dual chamber) β R49,711 Spinal, including artificial discs β R30,416 Drug-eluting stents β Only PMBs using DSPs Mesh β R11,124 Gynecology/Urology β R9,188 Lens Implants (per lens, per eye) β R6,387 |
π© External Prostheses | Only approved PMBs are covered at a DSP hospital. |
π Orthopedic and Medical Appliances | Covered up to 100% of the Bestmed tariff. The benefit is limited to R7,554 per family yearly. |
π Pathology | Covered up to 100% of the Bestmed tariff. |
βοΈ Radiology | Covered up to 100% of the Bestmed tariff. |
β MRI, CT scans, and other specialized diagnostics | Covered up to 100% of the Bestmed tariff. Subject to pre-authorization. |
β‘οΈ Oncology | Covered in the Oncology program. Covered up to 100% of the Bestmed tariff. Subject to pre-authorization, members must use DSPs. |
π Peritoneal Dialysis and hemodialysis | Covered up to 100% of the Bestmed tariff. Subject to pre-authorization. |
πΆ Birthing Confinements | Covered up to 100% of the Bestmed tariff. |
π· HIV/AIDS | Covered in the Oncology program. Covered up to 100% of the Bestmed tariff. Subject to pre-authorization, members must use DSPs. |
π Refractive Surgery (and all other procedures that aim to improve or stabilize vision, excluding cataracts) | Only approved PMBs are covered at a DSP hospital. |
π 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 | Covered up to 100% of the Bestmed tariff. The benefit is limited to R66,591 per beneficiary yearly. Subject to the available benefit, pre-authorization, and treatment plan. |
π Day Procedures performed at a day hospital | The Program fully supports day procedures at a day hospital. Subject to pre-approval. DSPs must be used for the treatment of PMBs. A co-payment of R2,625 is required if the procedure is performed in a private hospital. |
π International Travel Cover | Leisure Travel: Cover 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. |
πΆ Co-Payments | There is a co-payment of up to R13,732 per event for voluntarily using a hospital not part of the DSP. |
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Members must receive pre-approval for any scheduled treatments or procedures.
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If the Rhythm Family Practitioner performs services not covered by protocols on Rhythm 2, the member is responsible for the account.
π Family Practitioner Consultations | Unlimited consultations with a Bestmed FP for primary care. Paid up to 100% of the Bestmed tariff. |
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 Specialist Consultations | A Rhythm Network Provider must make referrals to specialists. Subject to the Rhythm Specialist DSP network. The following limits apply: Main Member β R1,665 Main Member + Dependents β R2,775 |
π Out-of-network and casualty visits | Out-of-network visits to an FP and emergency room visits are capped at R1,647 per family annually. When received as a result of a casualty visit, basic radiography, and pathology covered by the formulary will be paid for out of out-of-network and casualty visits maximum. Once the limit has been reached, the member will be responsible for all expenditures. Emergency visits to any State facility are unrestricted. You will be required to pay for all services rendered when they are rendered. Services can be reimbursed by submitting an Out-of-network claim form, which can be downloaded from the Bestmed website or requested directly from Bestmed. Bestmed Rhythm2 standards govern the reimbursement process. |
π Supplementary Services include the following: Dieticians Chiropractors Homeopaths Orthoptists Acupuncturists Speech Therapists Audiologists Occupational Therapists Podiatrists Biokinetics Psychologists Social Workers | Only approved PMB services are covered. |
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 | Covered under the Oncology program. Covered up to 100% of the Bestmed tariff. Subject to pre-approval. Members must use a DSP for treatment. |
π§ͺ Peritoneal Dialysis and Hemodialysis | Covered up to 100% of the Bestmed tariff. Subject to pre-approval. Members must use a DSP for treatment. |
π· HIV/AIDS | Covered up to 100% of the Bestmed tariff. Subject to pre-approval. Members must use a DSP for treatment. |
π MRI scans, CT scans, isotope studies, and PET scans | Only approved PMB services are covered. |
π Rehabilitation after a traumatic event | Covered up to 100% of the Bestmed tariff. Subject to pre-approval. Members must use a DSP for treatment. |
π€ Optometry | Benefits are available every 24 months from the service date with only the PPN provider. There is only one consultation per recipient. This benefit covers the following: R245 for frames (there is a frame refund value after the R184 network discount). Beneficiaries receive frames and a choice between the following Single-vision lenses β R215 Multifocal lenses β R460 Instead of glasses, members can opt for contact lenses. Contact lenses are limited to R700. A consultation fee of R365 applies when using a non-network provider. |
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πͺ₯ Basic Dentistry | Bestmed Rhythm Dental Network Providers provide Rhythm-approved dental codes if clinically acceptable and according to Bestmed Rhythm2 criteria. |
π¦· Dentures | Per family, there is a 24-month limit of two removable acrylic dentures (two single denture plates). |
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. |
βοΈ Other high-cost medication | Only PMBs are covered, and the benefit is subject to pre-approval. |
β 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 | There is a limit of R666 per family. The pharmacy used to obtain medicine is subject to the chosen provider network. This benefit includes sunscreen, vitamins, and minerals with Nappi codes on the Scheme formulary |
The Bestmed Rhythm 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).
π Benefit | π Gender and Age Group | π Quantity and Frequency | β‘οΈ 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. |
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 R2,678 per beneficiary.Β Covers all items categorized under the female contraception category. |
βοΈ Mammogram | Female Beneficiaries 40 years and older | Once every 2 years | Must be referred by either the Bestmed Rhythm Network FP or the Rhythm Specialist DSP. |
β PSA Screening | Male Beneficiaries 50 years and older | Once every 2 years | Can be performed at a urologist, family practitioner, or network pharmacy clinic.Β Payment for consultation from the applicable consultation benefit. |
π© Pap Smear | Female Beneficiaries 18 years and older | Once every 2 years | Rhythm Specialist DSP gynecologists, Bestmed Rhythm Network family physicians, or network pharmacy clinics can perform it.Β Payment for consultation from the applicable consultation benefit. |
β‘οΈ HPV Vaccinations | Female Beneficiaries between 9 and 26 | Three vaccinations per beneficiary | These are covered according to the MRP. |
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. |
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. |
β‘οΈ Maternity Benefits | Covered up to 100% of the Scheme tariff using network providers for 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 Β· Any item classified as a pregnancy supplement can be claimed up to a monthly limit of R127 for a maximum of nine months. |
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.
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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.
Some of the following are excluded from Rhythm 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 Rhythm 2 plan:
A late-joiner contribution penalty will apply.
π Medical Aid Plan | π₯ Bestmed Rhythm 2 | π₯ POLMED Aquarium | π₯ Bonitas BonEssential Plan |
π€ Main Member Contribution | R2,100 – R3,027 | R117 β 1,800 ZAR | R2,287 ZAR |
π₯ Adult Dependent Contribution | R1,996 – R2,725 | R117 β 1,800 ZAR | R1,690 ZAR |
π Child Dependent Contribution | R1,264 – R1,514 | R50 β 838 ZAR | R739 ZAR |
π₯ Hospital Cover | Unlimited at Rhythm DSPs | Unlimited | Unlimited |
π Prescribed Minimum Benefits (PMB) | βοΈ Yes | βοΈ Yes | βοΈ Yes |
β‘οΈ Screening and Prevention | β Yes | β Yes | β Yes |
π International Cover | βοΈ Yes | None | βοΈ Yes |
π Gap Cover | None | None | β Yes |
πΌ Maternity Benefits | βοΈ Yes | βοΈ Yes | βοΈ Yes |
Bestmed Rhythm 2 is a specialized medical aid plan designed to cater to the specific healthcare needs of older individuals in their prime.
The plan provides unlimited hospitalization coverage at a network of hospitals, including primary care services at a network of service providers, typically Netcare.
You might also consider the following options BestMed has to offer:
Bestmed Rhythm 2 is a specialized medical aid plan for older individuals in their prime. It offers unlimited hospitalization coverage and consultations with family practitioners and specialists without Medical Savings Accounts.
Bestmed Rhythm 2 is specifically designed for older individuals in their prime. You can check with Bestmed directly to confirm if you meet the eligibility criteria for this plan.
Bestmed Rhythm 2 is designed for older individuals in their prime, whereas Rhythm 1 caters to individuals of all ages.Β Rhythm 2 offers unlimited hospitalization coverage and consultations with family practitioners and specialists without Medical Savings Accounts. At the same time, Rhythm 1 includes Medical Savings Accounts for day-to-day medical expenses.
Bestmed Rhythm 2 operates within a network of hospitals and service providers, usually Netcare. Members can access unlimited coverage for hospitalization and primary care services within this network.
Yes, Bestmed Rhythm 2 provides unlimited consultations with family practitioners and specialists without any limits. In addition, you can access specialist care within the network of service providers.
Membersβ cover for hospitalization and consultations is paid from the scheme risk benefits, which differs from plans with Medical Savings Accounts.
Bestmed Rhythm 2 is not specifically designed to cover chronic medication. However, you can check with Bestmed directly to confirm the specific benefits provided by this plan.
You can switch to Bestmed Rhythm 2 from another medical aid plan if you meet the eligibility criteria and the plan suits your healthcare needs.
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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