Principle Member
From R13162
Dependant Member
From R11846
Child Dependant
From R4606
ExecuCare Plus
ExecuCare Plus
Principle Member
From R13162
Dependant Member
From R11846
Child Dependant
From R4606
Principle Member
From R11709
Dependant Member
From R10538
Child Dependant
From R4098
ExecuCare
ExecuCare
Principle Member
From R11709
Dependant Member
From R10538
Child Dependant
From R4098
Principle Member
From R10858
Dependant Member
From R9771
Child Dependant
From R3800
UltraCare Plus
UltraCare Plus
Principle Member
From R10858
Dependant Member
From R9771
Child Dependant
From R3800
Principle Member
From R9014
Dependant Member
From R8112
Child Dependant
From R3154
Ultra Care
Ultra Care
Principle Member
From R9014
Dependant Member
From R8112
Child Dependant
From R3154
Principle Member
From R6968
Dependant Member
From R6968
Child Dependant
From R2438
Extra Care
Extra Care
Principle Member
From R6968
Dependant Member
From R6968
Child Dependant
From R2438
Principle Member
From R4394
Dependant Member
From R3670
Child Dependant
From R1316
SaverCare Plus
SaverCare Plus
Principle Member
From R4394
Dependant Member
From R3670
Child Dependant
From R1316
Principle Member
From R2820
Dependant Member
From R2820
Child Dependant
From R986
SelfCare Plus
SelfCare Plus
Principle Member
From R2820
Dependant Member
From R2820
Child Dependant
From R986

Overall, CompCare Medical Scheme is a trustworthy and comprehensive medical aid provider. Plans include 24/7 medical emergency assistance and International Travel benefits for its members. CompCare Medical Aid starts from R995 on the DigiCare Plan.

| Number of plans offered | 11 |
| ➡️ Number of Hospitals in Network | 150+ |
| 🤕 Chronic Illness Benefits | ☑️ Yes |
| 🔴 Number of PMB Diagnoses | 271 |
| 🟢 Number of PMB Chronic Conditions | 27 on all plans Additional conditions covered on certain plans |
| 🟡 Screening and Prevention offered | ☑️ Yes |
| 🍼 Maternity Benefit | ☑️ Yes |
| ➡️ Medical Aid Contribution Range (ZAR) | R995 – R13 162 per month |
| 📌 Average Waiting Period | According to CMS guidelines |
| 💶 Late-joiner penalties charged | ☑️ Yes – if applicable according to CMS guidelines |
| 🌎 Is International Medical Cover offered | ☑️ Yes |
| 💙 International Travel Benefit (ZAR) | Subject to the benefits category per individual |

| 📌 Date Established | 1978 |
| 📍 Headquartered | Sandton, South Africa |
| ☑️ Registration Number | FSP 1491 |
| ✅ The average number of members | 10,000+ |
| 🅰️ Number of Markets | 1 |
| 🅱️ Number of Employees | 100+ |
| 📈 GCR Rating | A |
| 📉 JSE Listed | No |
| 📊 JSE Stock Symbol | None |
| 💖 Average Customer Rating | 3.4 |
| 🟥 Average Number of Reviews | 200+ |
| 🟧 Market Share | <1% |
| ✅ Number of plans offered | 7 |
| ➡️ 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 | 27 on all plans 13 Additional conditions on ExtraCare 38 Additional conditions on UltraCare 47 Additional conditions on ExecuCare |
| 🟡 Screening and Prevention offered | ☑️ Yes |
| 🍼 Maternity Benefit | ☑️ Yes |
| ➡️ Medical Aid Contribution Range (ZAR) | R995 – R13,162 per month |
| 📌 Average Waiting Period | Subject to CMS guidelines |
| 💶 Late-joiner penalties charged | ☑️ Yes – subject to CMS guidelines |
| 🌎 Is International Medical Cover offered | ☑️ Yes |
| 💙 International Travel Benefit (ZAR) | Subject to the benefits category per individual |


| 🔎 Plan | 💴Contribiutions Main Member | 💴 Adult Dependent Contribution | 💴 Child Dependent Contribution |
| 🟥 DigiCare | R955 | R955 | R955 |
| 🟧 SelfCare | R2,192 | R2,192 | R2,192 |
| 🟨 SelfCare Plus | R2,820 | R2,820 | R986 |
| 🟦 SaverCare | R3,735 | R3,120 | R1,120 |
| 🟩 SaverCare Plus | R4,394 | R3,670 | R1,316 |
| 🟪 ExtraCare | R6,968 | R6,968 | R2,438 |
| 🟫 Supercare+ | R9,704 | R9,218 | R1,940 |
| 🟥 UltraCare | R9,014 | R8,112 | R3,154 |
| 🟧 UltraCare Plus | R10,858 | R9,771 | R3,800 |
| 🟨 ExecuCare | R11,709 | R10,538 | R4,098 |
| 🟩 ExecuCare Plus | R13,162 | R11,846 | R4,606 |


Designed to help you stretch your benefits further, the Care Maximiser
ensures that you get more value from CompCare – because your health deserves more.
Through the Care Maximiser program enjoy the comprehensive preventative care and wellness benefits to proactively manage your health.
From routine screenings and vaccinations to personalized nutrition plans and fitness support.
This benefits will help you to stay healthy and prevent illness without having to use your day-to-day benefits:
| 🆎 Plan Name | 🅰️ SelfCare Plus | 🅱️ SaverCare Plus |
| 1️⃣ Two virtual consultations (including acute medicine) – Universal Network applies. | ✅ R470 per event – Universal Network applies. | ✅ R470 per event – Universal Network applies. |
| 2️⃣ Unlimited nurse advice online chats. | ✅ | ✅ |
| 3️⃣ GP wellness consultation: One visit PB per annum – excluding procedures. Limited to tariff code 0190/1/2 and ICD10 Z00.0 or Z00.1. | ✅ | ✅ |
| 4️⃣ Unlimited GP visits for children <6 years old | ✅ | ✅ |
| 5️⃣ Unlimited basic dentistry for children <6 years old. | ❌ | ✅ |
| 6️⃣ Emergency room visit for children <6 years old. | 100% of the CompCare rate. Paid from PMSA for non-PMBs. | 100% of the CompCare rate. Paid from PMSA for non-PMBs. |
| 7️⃣ Contraceptives up to the age of 55 years (Oral/IUD device) | 13 scripts to a maximum of R3 680, OR an IUD to a maximum of R3 680. This benefit will first be paid from the PMSA and the balance will be paid from the Care Maximiser | 13 scripts to a maximum of R3 680, OR an IUD to a maximum of R3 680. This benefit will first be paid from the PMSA and the balance will be paid from the Care Maximiser |
| 8️⃣ Covid benefit • Pulse Oximeter: R880 per family • Nebulizer: R570 per family • Thermal Thermometer: R470 per family | To the maximum value of R1 920. | To the maximum value of R1 920. |
| 9️⃣ Home test bundle | Overall limit of R110 | Overall limit of R360 |
| 🔟 One Covid test | ✅ | ✅ |
| 🟪 One urinary tract test | ✅ | ✅ |
| 🟥 One ovulation test | ❌ | ✅ |
| 🟩 One pregnancy test | ❌ | ✅ |
| 🟦 Antenatal visits with a GP, specialist or midwife. | 100% of the scheme rate. 8 antenatal visits. First paid from the PMSA. | 100% of the scheme rate. 12 antenatal visits |
| 📝 Plan Name | 🅰️ SelfCare Plus | 🅱️ SaverCare Plus |
| Total value in addition to your day-to-day benefits | R12,500 | R15,600 |
| 1️⃣ Rapid HIV tests As required. | ✅ | ✅ |
| 2️⃣ Prophylaxis for malaria. Preventative medicine as required. | ✅ | ✅ |
| 3️⃣ Flu Vaccine One per beneficiary per annum. | ✅ | ✅ |
| 4️⃣ Tetanus vaccine One injection when required. | ✅ | ✅ |
| 5️⃣ PSA (Prostate Specific Antigen) One test per male beneficiary over the age 40. | ❌ | ✅ |
| 6️⃣ Bowel cancer screening test One test every 24 months (from date of service) for beneficiaries between the ages of 45 and 75. | ❌ | ✅ |
| 7️⃣ Glaucoma test One per beneficiary per annum. | ❌ | ✅ |
| 8️⃣ Lipogram One fasting lipogram per beneficiary over the age of 20 years. Once every five years. | ✅ | ✅ |
| 9️⃣ Pap smear One test per female beneficiary over the age of 18 per annum. | ✅ | ✅ |
| 🔟 Mammogram One test per female beneficiary over the age of 35 every second year. | ✅ | ✅ |
| 🟪 HPV (cervical cancer) vaccine. One course per female beneficiary between 12 and 18 years of age per lifetime. | ✅ | ✅ |
| 🟥 Adult and chidhood pneumococcal vaccine per beneficiary as required, subject to pre-authorisation and protocols. | ✅ | ✅ |
| 🟩 Fitness assessment and exercise prescription. •Access to Universal’s Network of biokineticists for annual fitness assessments, virtual consultations, exercise prescription and regular monitoring. •One additional assessment per pregnant member per pregnancy. Strict protocols apply | ✅ | ✅ |
| 🟦 Nutritional assessment and healthy eating plan. •Access to Universal’s Network of dietitians for annual assessment, virtual consultations, healthy eating plan prescription and regular monitoring. •One additional assessment per pregnant member per pregnancy. Strict protocols apply. | ✅ | ✅ |
| 🟨 Travel vaccinations such as Yellow Fever, Hepititis A, Rabies and Meningococcal disease per beneficiary as required. | ✅ | ✅ |
Some benefit options include a personal medical savings account
that helps cover day-to-day medical expenses. Below you will find a short introduction to different plans with their savings benefits.

| Members | 🅰️ Annual Savings | 🅱️ Contribiutions amount pm |
| ❤️ Main Member | R3,372 | R2,820 |
| 🔴 Adult Dependent | R3,372 | R2,820 |
| 🟥 Child Dependent | R1,164 | R986 |

| Members | 🅰️ Annual Savings | 🅱️ Contributions Amount pm |
| 🧡 Main Member | R7,896 | R4,394 |
| 🟠 Adult Dependent | R6,588 | R3,670 |
| 🟧 Child Dependent | R2,352 | R1,316 |

| 🅰️ Day-to-Day Benefit | 🅱️ Amount |
| 💚 Main Member | R6,970 |
| 🟢 Adult Dependent | R4,890 |
| 🟩 Child Dependent | R2,490 |
Day-to-Day Extender Benefit
This benefit, on the ExtraCare option is available for out of-hospital medical expenses which includes radiology,pathology, basic dentistry, physiotherapy and biokinetics.

| 1️⃣ Self payment gap | Principal Member – R10 608 Adult Dependant – R7 900 Child Dependant – R2 910 |
| 2️⃣ Annual Flexi Benefit | Principal Member – R16 640 Adult Dependant – R12 480 Child Dependant – R4 780 |
| 3️⃣ Thresh Hold amount | Principal Member – R27 248 Adult Dependant – R20 380 Child Dependant – R7 690 |

| 🅰️ Annual Flexi Benefit (AFB) | 🅱️ Amount |
| 🟧 Main Member | R16,640 |
| 🟨 Adult Dependent | R12,480 |
| 🟩 Child Dependent | R4,780 |
| 🅰️ Above Threshold Benefit | 🅱️ Amount |
| 🟧 Per Beneficiary | R10,050 |
| 🟨 Per Family | R17,890 |
| 🅰️ Threshold | 🅱️ Amount |
| 🟧 Main Member | R27,248 |
| 🟨 Adult Dependent | R20,380 |
| 🟩 Child Dependent | R7,690 |
| 🅰️ Self-Payment Gap (SPG) | 🅱️ Amount |
| 🟧 Main Member | R10,608 |
| 🟨 Adult Dependent | R7,900 |
| 🟩 Child Dependent | R2,910 |

| Annual Flexi Benefit (AFB) | Amount |
| 🟦 Main Member | R22,930 |
| 💟 Adult Dependent | R17,470 |
| 🟪 Child Dependent | R6,340 |
| Above Threshold Benefit (ATB) | Amount |
| 🟦 Per Beneficiary | R11,700 |
| 💟 Per Family | R23,920 |
| Threshold | Amount |
| 🟦 Main Member | R28,130 |
| 💟 Adult Dependent | R20,590 |
| 🟪 Child Dependent | R7,380 |
| Self-Payment Gap (SPG) | Amount |
| 🟦 Main Member | R5,200 |
| 💟 Adult Dependent | R3,120 |
| 🟪 Child Dependent | R1,040 |

| Annual Flexi Benefit (AFB) | Amount |
| 🟦 Main Member | R22,930 |
| 💟 Adult Dependent | R17,470 |
| 🟪 Child Dependent | R6,340 |
| Above Threshold Benefit (ATB) | Amount |
| 🟦 Per Beneficiary | R11,700 |
| 💟 Per Family | R23,920 |
| Threshold | Amount |
| 🟦 Main Member | R28,130 |
| 💟 Adult Dependent | R20,590 |
| 🟪 Child Dependent | R7,380 |
| Self-Payment Gap (SPG) | Amount |
| 🟦 Main Member | R5,200 |
| 💟 Adult Dependent | R3,120 |
| 🟪 Child Dependent | R1,040 |

Delivered through a partnership with Universal Healthcare Administrators.
👉🏾 Poll: 5 Best Travel Medical Insurances

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

To apply for Medical Aid through CompCare, you must:
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 Scheme Plans.
👉🏾 Get a CompCare Medical Aid quote from our Dedicated Medical Aid Specialists Broker

Here are the steps to ensure that claims are settled on time:
The member is responsible for ensuring that claims are submitted on time for payment.
Here are the steps to submit a claim with CompCare:
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

The CompCare Complaints procedure is as follows:
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
| 🔎 Medical Aid | 🥇 CompCare | 🥈 Medihelp | 🥉 LA Health |
| ➡️ Years in Operation | Since 1978 | Since 1905 | Since 1973 |
| ↪️ Average # Members | 10,000+ | 200,000+ | Unknown |
| 📈 GCR Rating | A | A+ | Unknown |
| 📉 Number of Employees | 100+ | 200+ | <50 |
| 📊 Market Share | <1% | <5% | <1% |
| 🟦 Market Cover | South Africa | South Africa | South Africa |
| 🅰️ Customer Rating | 3.4 | 3.5 | 3.5/5 |
| 🅱️ Number of reviews | 200+ | 1,300+ | 60+ |
| 📱 Mobile App | Yes | Yes | Yes |
| 💴 Contribution Range (ZAR) | R995 – R13,162 | R804 – R15,486 | R1,634 – R11,184 |
| 🌎 International Travel Benefit (ZAR) | Subject to the benefits category per individual | Yes | Yes |
👉🏾 READ MORE: Best Medical Aids in South Africa

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

You can contact CompCare customer support through the following channels:

| ✅ 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

In conclusion, CompCare is a medical scheme with over 46 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.

List of detailed Medical Aid Plans that CompCare offers:
CompCare is a medical scheme offering comprehensive medical aid plans with unlimited oncology cover, chronic medication benefits, and wellness programs.
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.
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.
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.
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.
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.
You can contact CompCare customer support by phone, email, online contact form, social media, or postal mail.
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..
You can pay your CompCare medical aid plan premiums through payroll deduction, direct debit or EFT.
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.
Yes, CompCare offers value-added services such as emergency medical assistance, trauma counseling, wellness programs promoting healthy living, and access to registered biokinetics.
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.
CompCare offers a range of medical aid plans (11x) with various levels of coverage, including SelfCare Plus, SaverCare Plus, ExtraCare, UltraCare and UltraCare Plus, ExecuCare and ExecuCare Plus.
Additional plans for 2026 includes DigiCare, Selfcare, SaverCare and SuperCare+
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.
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.
If you want to add a child or adult dependent, you can log into your CompCare profile and complete the necessary application form.
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 exisiting policy.
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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