CompCare Medical Aid

 

Overall, CompCare Medical Aid is a trustworthy and comprehensive medical aid provider that offers 24/7 medical emergency assistance and International Travel benefits to up to 3 Family Members. CompCare Medical Aid starts from R520 ZAR.

 

8️⃣ Number of plans offered	8
➡️ Number of Hospitals in Network	150+
🤕 Chronic Illness Benefits	☑️ Yes
🔴 Number of PMB Diagnoses	271
🟢 Number of PMB Chronic Conditions	74 (Pinnacle)
🟡 Screening and Prevention offered	☑️ Yes
🍼 Maternity Benefit	☑️ Yes
➡️ Medical Aid Contribution Range (ZAR)	R520 – R9,187 per month
📌 Average Waiting Period	Up to 12 months
💶 Late-joiner penalties charged	☑️ Yes
🌎 Is International Medical Cover offered	☑️ Yes
💙 International Travel Benefit (ZAR)	Subject to the benefits category per individual

 

 

CompCare Medical Aid – Analysis of Medical Aids Main Features

 

1. ✅ CompCare At a Glance
2. ✅ CompCare Plan Overview
3. ✅ CompCare Medical Savings Account
4. ✅ CompCare – Advantages Over Competitors
5. ✅ CompCare Regulation
6. ✅ How to apply for Medical Aid with CompCare
7. ✅ How to Submit a Claim with CompCare
8. ✅ How to Submit a Compliment or Complaint with CompCare
9. ✅ CompCare vs Notable Competitors – Side-by-Side Comparison
10. ✅ CompCare Recent User Reviews
11. ✅ CompCare Customer Support
12. ✅ CompCare Pros and Cons
13. ✅ Our Verdict on CompCare
14. ✅ CompCare Frequently Asked Questions

 

 

Medical Aid CompCare At a Glance

 

📌 Date Established	1978
📍 Headquartered	Sandton, South Africa
☑️ Registration Number	FSP 1491
✅ The average number of members	1,000+
🅰️ Number of Markets	1
🅱️ Number of Employees	500+
📈 GCR Rating	A
📉 JSE Listed	No
📊 JSE Stock Symbol	None
💖 Average Customer Rating	3.4
🟥 Average Number of Reviews	200+
🟧 Market Share	<1%
8️⃣ Number of plans offered	8
➡️ Number of Hospitals in Network	150+
🏡 Home care provided	☑️ Yes
🎉 Sponsorships	None
📱 Mobile App	☑️ Yes
📖 CompCare Magazine for clients	None
💻 Medical Claims Portal	☑️ Yes
😷 Information Hub for COVID-19	☑️ Yes
🤕 Chronic Illness Benefits	☑️ Yes
🔴 Number of PMB Diagnoses	271
🟢 Number of PMB Chronic Conditions	74 (Pinnacle)
🟡 Screening and Prevention offered	☑️ Yes
🍼 Maternity Benefit	☑️ Yes
➡️ Medical Aid Contribution Range (ZAR)	R520 – R9,187 per month
📌 Average Waiting Period	Up to 12 months
💶 Late-joiner penalties charged	☑️ Yes
🌎 Is International Medical Cover offered	☑️ Yes
💙 International Travel Benefit (ZAR)	Subject to the benefits category per individual

 

 

CompCare Plan Overview

 

Contributions and Medical Savings

 

🔎 Plan	💴 Contributions (Main)	💵 Contributions (+Adult)	💶 Contributions  (+Child)	💷 Medical Savings  (Up to)
1️⃣ NETWORX	R520	R520	R520	None
2️⃣ SELFNET	R2,291	R2,291	R810	Main – R4,116 Adult – R4,116 Child – R1,452
3️⃣ MEDX	R3,428	R3,172	R1,107	None
4️⃣ UNISAVE	R3,652	R3,050	R1,094	Main – R9,636 Adult – R8,052 Child – R2,880
5️⃣ MUMED	R4,826	R3,762	R1,356	None
6️⃣ SELFSURE	R5,032	R5,032	R1,260	None
7️⃣ SYMMETRY	R6,071	R4,733	R1,713	Main – R7,284 Adult – R5,676 Child – R2,052
8️⃣ DYNAMIX	R7,578	R5,920	R2,113	Main – R12,720 Adult – R9,936 Child – R3,540
9️⃣ PINNACLE	R9,187	R7,151	R2,544	Main – R22,044 Adult – R17,160 Child – R6,096

 

Benefits, Threshold, and Chronic Conditions

 

🔎 Plan	💴 Annual Flexi Benefit	💵 Day-to-Day Benefit	💶 Self-Payment Gap (SPG)	💷 Threshold	🔟 Chronic Conditions
1️⃣ NETWORX	None	None	None	None	26
2️⃣ SELFNET	None	None	None	None	27
3️⃣ MEDX	None	None	None	None	27
4️⃣ UNISAVE	None	None	None	None	27
5️⃣ MUMED	Main – R6,960 Adult – R4,344 Child – R1,776	None	None	None	37
6️⃣ SELFSURE	None	Main – R6,300 Adult – R4,344 Child – R2,200	None	None	40
7️⃣ SYMMETRY	Main – R5,136 Adult – R3,960 Child – R1,380	Main – R11,400 Adult – R8,844 Child – R3,144	None	None	48
8️⃣ DYNAMIX	Main – R2,832 Adult – R2,220 Child – R816	Main – R11,928 Adult – R9,312 Child – R3,384	Main – R8,520 Adult – R6,360 Child – R2,400	Main – R20,448 Adult – R15,672 Child – R5,784	65
9️⃣ PINNACLE	Main – R3,840 Adult – R3,000 Child – R1,056	Main – R20,760 Adult – R16,164 Child – R5,760	Main – R3,480 Adult – R2,400 Child – R720	Main – R24,240 Adult – R18,564 Child – R6,480	74

 

 

CompCare Medical Savings Account

 

CompCare offers a Medical Savings Account, Annual Benefits, Day-to-Day Benefits, and Above Threshold on several plans.

 

CompCare SELFNET

 

🅰️ Annual Savings	🅱️ Amount
❤️ Main Member	R4,116
🔴 Adult Dependent	R4,116
🟥 Child Dependent	R1,452

 

CompCare UNISAVE

 

🅰️ Annual Savings	🅱️ Amount
🧡 Main Member	R9,636
🟠 Adult Dependent	R8,052
🟧 Child Dependent	R2,880

 

CompCare MUMED

 

🅰️ Annual Benefits Amount	🅱️ Amount
💛 Main Member	R7,320
🟡 Adult Dependent	R4,560
🟨 Child Dependent	R1,860

 

CompCare SELFSURE

 

🅰️ Day-to-Day Benefit	🅱️ Amount
💚 Main Member	R6,500
🟢 Adult Dependent	R4,500
🟩 Child Dependent	R2,310

 

Day-to-Day Extender Benefit – R6,500 per beneficiary up to a maximum of R10,000 per family

 

CompCare SYMMETRY

 

1️⃣ Savings	1️⃣ Amount
💙 Main Member	R6,071
🔵 Adult Dependent	R4,733
🟦 Child Dependent	R1,713
2️⃣ Annual Flexi Benefit	2️⃣ Amount
💙 Main Member	R5,388
🔵 Adult Dependent	R4,140
🟦 Child Dependent	R1,440
3️⃣ Total Day-to-Day	3️⃣ Amount
💙 Main Member	R12,672
🔵 Adult Dependent	R9,816
🟦 Child Dependent	R3,492

 

CompCare DYNAMIX

 

🅰️ Savings	🅱️ Amount
🟧 Main Member	R12,720
🟨 Adult Dependent	R9,936
🟩 Child Dependent	R3,540
🅰️ Annual Flexi Benefit (AFB)	🅱️ Amount
🟧 Main Member	R3,624
🟨 Adult Dependent	R2,808
🟩 Child Dependent	R1,008
🅰️ Total Day-to-Day	🅱️ Amount
🟧 Main Member	R16,344
🟨 Adult Dependent	R12,744
🟩 Child Dependent	R4,548
🅰️ Threshold	🅱️ Amount
🟧 Main Member	R26,569
🟨 Adult Dependent	R20,379
🟩 Child Dependent	R7,428
🅰️ Self-Payment Gap (SPG)	🅱️ Amount
🟧 Main Member	R10,225
🟨 Adult Dependent	R7,635
🟩 Child Dependent	R2,880

 

CompCare PINNACLE

 

🅰️ Savings	🅱️ Amount
🟦 Main Member	R22,044
💟 Adult Dependent	R17,160
🟪 Child Dependent	R6,096
🅰️ Annual Flexi Benefit (AFB)	🅱️ Amount
🟦 Main Member	R4,788
💟 Adult Dependent	R3,720
🟪 Child Dependent	R1,296
🅰️ Total Day-to-Day	🅱️ Amount
🟦 Main Member	R26,832
💟 Adult Dependent	R20,880
🟪 Child Dependent	R7,392
🅰️ Threshold	🅱️ Amount
🟦 Main Member	R30,492
💟 Adult Dependent	R23,400
🟪 Child Dependent	R8,148
🅰️ Self-Payment Gap (SPG)	🅱️ Amount
🟦 Main Member	R3,660
💟 Adult Dependent	R2,520
🟪 Child Dependent	R756

 

 

CompCare – Advantages Over Competitors

 

• ✅ Comprehensive medical aid plans with different options to suit various healthcare needs and budgets.
• ✅ Top medical aid scheme in South Africa with a 44-year track record and high solvency levels of 43%.
• ✅ Wide range of modular options with rich benefits and efficiency discounts of up to 25% for choosing Dis-Chem pharmacies and Netcare hospitals.
• ✅ The benefits of an active lifestyle include healthy eating and sports nutrition programs, fitness assessments, and exercise prescriptions with registered biokinetics and exercise facilities.
• ✅ Day-to-day benefits for GP consultations, prescribed medication, and preventative care services, such as mammograms and flu vaccinations.
• ✅ Hospitalization benefits include private hospital cover, emergency medical services, and specialized treatment options.
• ✅ Chronic medication benefits a wide range of chronic conditions, including HIV/AIDS, cancer, and mental health conditions.
• ✅ Wellness benefits include gym memberships, nutrition consultations, and health assessments.
• ✅ Trauma counseling services for members who have experienced a traumatic event.
• ✅ Online and mobile app services include virtual consultations with healthcare professionals and access to health information and resources.
• ✅ Specialized benefits for women’s, men’s, and kids’ health include screenings, vaccinations, and wellness visits.
• ✅ Unlimited oncology treatment program subject to treatment protocols with a designated oncology service provider (DSP).
• ✅ Unlimited professional telephonic emotional health and well-being support are available around the clock, with referrals for face-to-face counseling.

 

 

Delivered through a partnership with leading healthcare administrators and Universal Healthcare Administrators that provide superior services and benefits.

 

Poll:  5 Best Travel Medical Insurances

 

 

 

CompCare Regulation

 

The Council for Medical Schemes regulates CompCare Medical Scheme. The Council governs South Africa’s medical plan business for Medical Schemes (CMS), a regulating body under the Medical Schemes Act, No. 131 of 1998 (the Act). The CMS is responsible for a range of tasks related to the oversight of medical insurance plans, such as:

 

• ☑️ Responsible for registering medical insurance plans and ensuring they comply with the law and other laws.
• ☑️ Making sure healthcare plans have the money to pay claims.
• ☑️ Examining and authorizing proposed price hikes for medical plans.
• ☑️ Accepting and examining member complaints and initiating disciplinary action against medical plans that violate the Act or other applicable rules.
• ☑️ Helping medical insurance plans follow the law and other laws.

 

 

Furthermore, if a medical scheme is found to violate the law, the CMS has the authority to issue administrative fines and penalties.

 

 

How to apply for Medical Aid with CompCare

Medical Aid Quote CompCare Medical Scheme process explained

 

To apply for Medical Aid through CompCare, you must:

 

• ✅ Visit the CompCare website and select “Join Us” or “Get a Quote” to access their online application form.
• ✅ Fill in your details, including your name, contact information, and ID number.
• ✅ Select your preferred medical aid plan from the options available and choose any additional benefits you may require.
• ✅ Provide details of any pre-existing medical conditions or chronic medication you take.
• ✅ Choose your payment method, either through payroll deduction or direct debit.
• ✅ Review and accept the terms and conditions, including any waiting periods that may apply.
• ✅ Submit your application and wait for confirmation from CompCare, which can take up to 14 days.

 

 

Once your application is approved, you will receive your membership card and other relevant information regarding your chosen medical aid plan.  Also, take note that New Members 35 years or older may be subject to late-joiner penalties on CompCare Medical Aid Plans.

 

Get a CompCare Medical Aid quote from our Dedicated Medical Aid Specialists Broker

 

 

How to Submit a Claim with CompCare

 

CompCare Claims information

 

Here are the steps to ensure that claims are settled on time:

 

• ☑️ Claims are settled every week for payment to the service providers or members.
• ☑️ Members will receive a detailed monthly statement of claims transactions and payments made to them or service providers.
• ☑️ Ensure the scheme has your correct banking details to allow for electronic payment.

 

 

The member is responsible for ensuring that claims are submitted on time for payment.

 

Submit a Claim

 

Here are the steps to submit a claim with CompCare:

 

• ✅ Obtain an official CompCare claim form from the CompCare website or contact their customer service center.
• ✅ Complete the claim form, providing accurate and detailed information about the treatment or service received.
• ✅ Attach all relevant supporting documents, such as invoices, receipts, and medical certificates.
• ✅ Ensure that the claim form is signed and dated.
• ✅ Submit the completed claim form and supporting documents to CompCare via post, email, or their online portal.
• ✅ Wait for CompCare to process the claim, which can take 5 to 7 business days.
• ✅ Check the claim status through the online portal or by contacting the customer service center.
• ✅The payment will be reimbursed directly to the member’s bank account or service provider if the claim is approved.

 

 

If the claim is rejected, the member will be notified and can contact CompCare to discuss the reason for the rejection or to appeal the decision.

 

Advance your healthcare knowledge with medical aid gap cover

 

 

How to Submit a Compliment or Complaint with CompCare

 

The CompCare Complaints procedure is as follows:

 

• ☑️ Members can lodge complaints with the scheme telephonically or in writing.
• ☑️ The scheme has a dedicated telephone number, 0861 222 777, for dealing with telephonic complaints.
• ☑️ Call center agents will assist the member immediately if possible.
• ☑️ Unresolved telephonic or written complaints will receive a written response from the scheme within 30 days of receipt.
• ☑️ Disputes between members and the scheme or an officer of the scheme must be referred to a disputes committee appointed by the Board of Trustees for adjudication.
• ☑️ The principal officer must convene a meeting of the disputes committee upon receipt of a request, giving not less than 21 days notice in writing to the complainant and all members of the disputes committee, stating the date, time, and venue of the meeting and particulars of the dispute.
• ☑️ The disputes committee may determine the procedure to be followed, and the parties have the right to be heard at the proceedings, either in person or through a representative.
• ☑️ An aggrieved person has the right to appeal to the Council for Medical Schemes against the decision of the disputes committee.

 

 

The appeal must be in the form of an affidavit and directed to the Council, furnished to the Registrar not later than three months after the date on which the decision concerned was made.

 

Read more: Medical Aid Ombudsman – Complaints Procedure

 

 

CompCare vs Notable Competitors – Side-by-Side Comparison

 

🔎 Medical Aid	🥇 CompCare	🥈 Bankmed	🥉 LA Health
➡️ Years in Operation	45 years	109 Years	50 Years
↪️ Average # Members	1,000+	110,000+	Unknown
📈 GCR Rating	A	AA+	–
📉 Number of Employees	500+	1,000 – 5,000	<50
📊 Market Share	<1%	<1%	<1%
🟦 Market Cover	South Africa	South Africa	South Africa
🅰️ Customer Rating	3.4	3.5	3.5/5
🅱️ Number of reviews	200+	2,000+	60+
📱 Mobile App	Yes	Yes	Yes
💴 Contribution Range (ZAR)	520 – 9,187 ZAR
🌎 International Travel Benefit (ZAR)	Subject to the benefits category per individual	Depending on scheme rules, members must pay providers and claim back	5 million ZAR

 

READ MORE: Best Medical Aids in South Africa

 

 

CompCare Recent User Reviews

 

Excellent!

I would like to express my appreciation for the professionalism of CompCare’s customer support. I encountered difficulties obtaining assistance for my family’s medical aid until a helpful agent contacted me and provided invaluable assistance throughout the application process. The agent’s ongoing communication and updates resulted in the prompt resolution of the matter, which was appreciated. – Mohamed Patel

 

 

Efficient Provider.

I am writing to extend my gratitude for my query’s swift and efficient resolution. In my experience, medical aid providers prioritize their members over service providers. However, my experience with CompCare was entirely different. I commend you for your exceptional work and urge you to maintain this high level of service. – Simon Williams

 

 

Prompt and Efficient.

Following a complaint, I received prompt and efficient assistance from CompCare’s Operations and Customer Experience Manager, who promptly resolved the claims. I am pleased to report that all issues have been resolved satisfactorily. As a result, I am once again a satisfied member of the CompCare Wellness Medical Scheme. – Brenda van Dyk

 

 

 

CompCare Customer Support

 

You can contact CompCare customer support through the following channels:

 

• ✅ You can call their customer service center at 0861 227 322 from Monday to Friday between 8 am and 5 pm.
• ✅ You can email them at [email protected] for general inquiries or [email protected] for member-specific inquiries.
• ✅ You can fill out their online contact form on their website at https://compcare.co.za/contact-us/.
• ✅ You can reach out to them through their social media channels, including Facebook and Twitter.

 

 

You can mail them to their address at PO Box 1024, Halfway House, 1685.

 

 

CompCare Pros and Cons

 

✅ Pros	❎ Cons
Comprehensive medical aid plans with benefits	Premiums may be higher than other medical aid providers
Unlimited oncology cover	The process of submitting claims or applying for benefits can be cumbersome
Chronic medication benefits	CompCare receives several negative reviews from previous and existing clients
Wellness programs promoting healthy living	CompCare has a lower trust score than competitors in South Africa

 

You might consider: Best Medical Aid Schemes for Employees

 

 

Our Verdict on CompCare

 

In conclusion, CompCare is a medical aid provider with over 20 years of experience in the industry. They offer a range of medical aid plans with comprehensive benefits, including unlimited oncology coverage, chronic medication benefits, and wellness programs that promote healthy living.

 

Members can also access emergency medical assistance, trauma counseling, and other value-added services. CompCare has been recognized for its commitment to service excellence and has received several awards in the healthcare industry. However, one drawback of their plans is that they may be more expensive than other medical aid providers that offer similar coverage.

 

Additionally, some members may find submitting claims or applying for certain benefits cumbersome. Overall, CompCare’s focus on promoting wellness and providing quality healthcare to its members makes them a strong choice for those seeking comprehensive medical aid coverage.

 

Detailed Medical Aid Plans that CompCare offers:

 

• ✅ CompCare MEDX Plan
• ✅ CompCare MUMED Plan
• ✅ CompCare NETWORX Plan
• ✅ CompCare PINNACLE Plan
• ✅ CompCare SELFNET Plan
• ✅ CompCare SELFSURE Plan
• ✅ CompCare SYMMETRY Plan
• ✅ CompCare UNISAVE Plan
• ✅ CompCare DYNAMIX Plan

 

 

CompCare Frequently Asked Questions

 

What is CompCare?

CompCare is a medical aid provider offering comprehensive medical aid plans with unlimited oncology cover, chronic medication benefits, and wellness programs.

 

How do I join CompCare?

To join CompCare, you can request a quote by completing an online form or contacting their customer service center. Once you have reviewed the terms and conditions of the policy, you can complete the application form and provide accurate personal and contact information.

 

What are the benefits of joining CompCare?

The benefits of joining CompCare include comprehensive medical aid plans with unlimited oncology coverage, chronic medication benefits, and wellness programs promoting healthy living. Members also have access to emergency medical assistance and trauma counseling.

 

How do I submit a claim with CompCare?

You can submit a claim with CompCare by completing a claim form and attaching all relevant supporting documents. You can then submit the claim form and documents online, by email, or by post.

 

What is the process for upgrading or downgrading my medical aid plan with CompCare?

You can upgrade or downgrade your medical aid plan with CompCare by contacting their customer service center and requesting the change. You will need to review the terms and conditions of the new plan and complete any necessary paperwork.

 

What is the process for adding a beneficiary to my CompCare medical aid plan?

You can add a beneficiary to your CompCare medical aid plan by completing a beneficiary application form and providing accurate personal and contact information. You must also provide details of any pre-existing medical conditions or chronic medication.

 

How do I contact CompCare customer support?

You can contact CompCare customer support by phone, email, online contact form, social media, or postal mail.

 

What is the process for canceling my CompCare medical aid plan?

You must contact their customer service center to cancel your CompCare medical aid plan and request cancellation. You may also need to provide a written cancellation notice and return your membership card.

 

What are the options for paying my CompCare medical aid plan premiums?

You can pay your CompCare medical aid plan premiums through payroll deduction or direct debit.

 

What is the process for appealing a decision made by CompCare?

If you are not satisfied with a decision made by CompCare, you can refer the matter to a disputes committee appointed by the Board of Trustees. If you are still unsatisfied with the decision, you can appeal to the Council for Medical Schemes.

 

Does CompCare offer any value-added services?

Yes, CompCare offers value-added services such as emergency medical assistance, trauma counseling, wellness programs promoting healthy living, and access to registered biokinetics and exercise facilities.

 

Does CompCare offer any benefits for children?

Yes, CompCare offers benefits for children, such as newborn hearing screening, baby wellness visits, childhood immunizations, school readiness assessments, and preschool eye, hearing, and dental screening.

 

What are the different medical aid plans offered by CompCare?

CompCare offers a range of medical aid plans with various levels of coverage, including NETWORX (Hospital Plan), SELFNET, MEDX, UNISAVE, MUMED, SELFSURE, SYMMETRY, DYNAMIX, and PINNACLE.

 

How can I track the status of my claim with CompCare?

You can track the status of your claim with CompCare by logging into your online member account, contacting their customer service center, or reviewing your detailed monthly statement of claims transactions.

 

How to Downgrade my Plan with CompCare?

Contact CompCare’s customer service center via phone or email to request a downgrade.  Provide written confirmation of your downgrade request, either via email or post, and Wait for CompCare to confirm your downgrade request and provide details of any outstanding amounts or refunds that may apply.

 

How do I add a Beneficiary to CompCare?

If you want to add a child or adult dependent, you can log into your CompCare profile and complete the necessary application form.

 

How do I switch my Medical Aid to CompCare?

Obtain a quote from CompCare by completing an online form or contacting their customer service center, contacting your current medical aid provider, and requesting the cancellation of your policy.