ExecuCare Plus
About this plan
🥇 Best suited for members wanting CompCare's most comprehensive medical aid cover.
Principal Member
From
R13,162
per month
Adult Dependant
From
R11,846
per month
Child Dependant
From
R4,606
per month
What's covered
Hospital cover
Savings account
Day-to-day
Chronic cover
Dental
Optical
Maternity
Mental health
Waiting periods
- General
- 3 months
- Pre-existing conditions
- 12 months
ExecuCare Plus
CompCare ExecuCare Plus Medical Aid Plan (🇿🇦 2026)
Overall, the CompCare ExecuCare Plus Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and unlimited hospital cover to its members. The CompCare ExecuCare Plus Medical Aid Plan starts from R13,162 ZAR.| 👤 Main Member Contribution | R13,162 |
| 👥 Adult Dependent Contribution | R11,846 |
| 💙 Child Dependent Contribution | R4,606 |
| 📉 Annual Limit | Unlimited |
| ➡️ Hospital Cover | Unlimited |
| 🍼 Maternity Benefits | ☑️ Yes |
| ↪️ Preventative Care and Wellness | R15 600 |
CompCare ExecuCare Plus Plan - 7 Key Point Quick Overview
- ☑️ CompCare ExecuCare Plus Plan Overview
- ☑️ CompCare ExecuCare Plus Plan Contributions and Benefits
- ☑️ ExecuCare Plus Plan Benefits and Cover Comprehensive Breakdown
- ☑️ ExecuCare Plus Plan Exclusions and Waiting Periods
- ☑️ Medical Aid Comparison : CompCare ExecuCare Plus Plan vs. Similar Plans from Other Medical Schemes
- ☑️ Our Verdict on The ExecuCare Plus Plan
- ☑️ Frequently Asked Questions
CompCare ExecuCare Plus Plan Overview
💙 The CompCare ExecuCare Plus medical aid plan is one of 7, starting from R13,162. With the ExecuCare Plus option, you can enjoy comprehensive coverage that includes unlimited hospital coverage. In addition, you can also benefit from a savings account, flexible risk cover, and above-threshold benefits.
💙 Gap Cover is not available on the ExecuCare PlusPlan. CompCare offers 24/7 medical emergency assistance.
👉🏾 According to the Trust Index, CompCare has a trust rating of 3.4.
CompCare ExecuCare Plus Plan Contributions and Benefits
CompCare ExecuCare Plus Contributions
| 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| R13,162 | R11,846 | R4,606 |
CompCare ExecuCare Plus Above Threshold Benefit (ATB)
| 👤 Per Beneficiary | 👥 Per Family |
| R11,700 | R23,920 |
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CompCare ExecuCare Plus Annual Flexi Benefit (AFB)
| 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| R22,930 | R17,470 | R6,340 |
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CompCare ExecuCare Plus Threshold Amount
| 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| R28,130 | R20,590 | R7,380 |
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CompCare ExecuCare Plus Annual Self-Payment Gap (SPG)
| 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| R5,200 | R3,120 | R1,040 |
ExecuCare Plus Plan Benefits and Cover Comprehensive Breakdown
In-Hospital Benefits
| 🔴 GP Wellness Consultation | Limited to one visit per beneficiary yearly. |
| 🟠 Blood Pressure, Blood Sugar, Cholesterol, BMI, and Waist Circumference | Limited to one measurement per beneficiary yearly for those 18 years>. |
| 🟡 Rapid HIV Test | One test per beneficiary yearly. |
| 🟢 Flu Vaccine | One vaccine per beneficiary yearly. |
| 🔵 Tetanus Vaccine | One injection as required. |
| 🟣 Prostate Specific Antigen (PSA) | One per male beneficiary 40 years>. |
| 🔴 Bowel Cancer Screening | One screening per beneficiary between 45 and 75 every two years. |
| 🟠 Glaucoma Test | One per beneficiary per year. |
| 🟡 Pap Smear | One per female beneficiary 18 years> once yearly. |
| 🟢 Mammogram | One test per female beneficiary 35 years> every two years. |
| 🔵 HPV Vaccine | One course per female beneficiary between 12 and 18 years per lifetime. |
| 🟣 Adult Pneumococcal Vaccine | Per beneficiary as required. Subject to pre-approval 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. |
| 🟠 Additional Assessment for pregnant members | Limited to one additional assessment. Strict protocols will 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. |
| 🔵 Contraceptives (Oral/IUD device) | 13 scripts to maximum of R3 680, OR IUD to maximum of R3 680. Available up to age of 55 years. |
| 🟣 Home Test Bundle | Overall limit of R360 • One Covid test • One urinary tract test • One ovulation test • One pregnancy test |
| 🔴 Pulse Oximeter | Limited to R880 per family. |
| 🟠 Nebulizer | Limited to R570 per family. |
| 🟡 Thermal Thermometer | Limited to R470 per family. |
| 🔵 Antenatal visits with a GP, specialist or midwife. | 100% of scheme rate. 12 antenatal visits. |
Hospitalisation Alternatives
| 🍼 Newborn Screening and Paediatric Consultations | Newborn screenings: Hearing screening and congenital hypothyroidism test. Paediatric consultations: Three visits to track development and milestones. |
| 👶 Baby Wellness Visit | Two visits yearly for children between 4 weeks and 18 months. Members must use a DSP. |
| 💉 Childhood Immunisations | Available for children up to 12 years old, as per the Department of Health. |
| 🎓 School Readiness Assessment | Psychometric testing (ages 5-7). Preschool eye and hearing screenings (ages 5-6). Dental screenings (ages 5-7). |
| 🏈 Kids Active Benefit | Fitness assessment and exercise plan for children aged 8-12 with Universal Network biokineticist. SporTeen: Annual fitness assessment, virtual consultations, and exercise plan for children aged 13-17 with Universal Network biokineticist. |
| 🍎 Kids Nutritional Benefit | Access to dietitian for assessments and healthy eating plan for children aged 8-15. |
Day-to-Day Benefits
| 🟥 Day-to-day Benefits and Limits | Day-to-day benefits first paid from AFB: P: R22 930 A: R17 470 C: R6 340 (To maximum of 3 children.) SPG: Self-Payment Gap applicable once AFB is depleted and before Annual Threshold is reached. Thereafter ATB becomes available. The annual SPG amounts are: P: R5 200 A: R3 120 C: R1 040 (GP and specialist consultations, prescribed acute medication, radiology and pathology will accumulate to Annual Threshold and then paid from ATB.) ATB: Once Annual Threshold is reached, following ATB amounts become available for specified day-to-day expenses: PB: R11 700 PF: R23 920. |
| 🟧 General Practitioner (GPs) Consultations | Covered 100% of scheme rate. First paid from AFB, SPG and then ATB once Annual Threshold is reached. |
| 🟨 Specialist Consultations | Covered 150% of scheme rate. Paid from AFB, SPG and then from ATB. Accumulates to Annual Threshold at 100% of Scheme tariff. Referral by GP required, and pre-authorisation required to avoid 35% co-payment. |
| 🟩 Chronic Medicine | Covered 100% of reference price. First paid from AFB. The Scheme will cover the costs once AFB is depleted. Subject to formularies, protocols and pre-authorisation. 25% co-payment for non-formulary medicine, and use of non-DSP. |
| 🟦 Acute Medicine (Schedule 3>) | Subject to the AFB, SPG and ATB. 25% co-payment on medicines where no generic is available. MMAP applies. |
| ⬛ Medicine for non- CDL conditions | Covered 100% of reference price. 47 non-CDL conditions. First paid from available AFB and SPG. Cover Unlimited. Subject to formularies, protocols and pre-authorisation. 25% co-payment for non-formulary medicine, and use of non-DSP. Cover also provided for the 27 listed CDL conditions. |
| 🟪 Over the Counter (OTC) Medicine | Covered 100% of scheme rate. Paid from AFB. Limited to maximum of R1 300 PB and R1 870 PMF and one prescription per day up to maximum of R330 per event. MMAP applies. ATB: No benefits. |
| 🟥 Basic Radiology (Black and White X-Rays & Ultrasounds) | Covered 100% of scheme rate. Paid from AFB and SPG, thereafter from ATB. Referral by GP required to avoid 35% co-payment. |
| 🟧 Specialized Radiation (MRI scans & CT scans) | Covered 100% of scheme rate. Unlimited Pre-authorisation and medical motivation required for MRI, CT and high-resolution CT scans. R3 950 co-payment applies for each scan. Referral by GP required to avoid 35% co-payment. |
| 🟨 Pathology | Covered 100% of scheme rate. Paid from AFB and SPG, thereafter from ATB. Referral by GP required to avoid 35% co-payment. |
| 🟩 Conservative Dentistry - Consultations - Preventative Care - Fillings - Extractions - Wisdom Teeth - Root Canal Treatment - Infection Control | Covered 100% of scheme rate. Subject to AFB and SPG. Limited to R6 970 PB and subject to available AFB. ATB: No benefits. |
| 🟦 Specialized Dentistry - Maxillo-facial and oral surgery - In and Out-of-hospital combined limit | Covered 100% of scheme rate. Paid from AFB and SPG. Subject to sub-limit of R18 720 PB and R24 960 PMF. Subject to protocols. ATB: No benefits. |
| 🟪 Optometry | Paid from AFB. Two visits PB per annum. ATB: No benefits. |
| 🟥 Lenses and Contact Lenses | Covered 100% of scheme rate. Paid from AFB, subject to sub-limit of R6 140 PB. Subject to protocols. ATB: No benefits. |
| 🟧 Frames | Covered 100% of scheme rate. Paid from AFB, subject to sub-limit of R3 120 per frame. One frame PB every 12 months (from date of service), included in benefit amount for lenses. |
| 🟨 Allied Services - Speech Therapists - Social Workers - Podiatrists - Occupational Therapists - Homeopaths and Naturopaths - Dieticians - Chiropractors, etc. | Covered up to 100% of scheme rate. Paid from AFB. Subject to combined sub-limit of R13 000 PMF, in-and-out of hospital. ATB: No benefits. |
| 🟩 Clinical Psychologists | Covered 100% of scheme rate. Clinical psychologists: Paid from AFB up to sub-limit of R6 510 PMF. |
| 🟧 Psychiatry | Paid from AFB up to sub-limit of R23 880 PMF. PMB benefit: Up to maximum of 21 days' admission OR 15 consultations. The 15 consultations will first be paid from AFB, thereafter covered by the Scheme. |
| 🟦 Surgical and Medical Appliances - Wheelchairs - Crutches - Glucometers - Artificial eyes - External fixators | Covered 100% of scheme rate. Paid from AFB. Sub-limits and protocols apply. |
| 🟥 Psychosocial Counselling | Paid from risk. Unlimited telephonic counselling sessions through Universal Wellness Care Centre, with option for referral to one-on-one sessions with qualified psychologists, social workers or registered counsellors to maximum of 3 referral sessions PB per year. |
| 🟧 Oxygen Home Ventilation | 100% of the scheme rate. Paid from the AFB. Subject to protocols and pre-authorisation. |
| 🟨 Home Nurse Visits | Covered 100% of scheme rate. Paid from AFB. Subject to protocols and pre-authorisation. |
| 🟩 Antenatal Classes | Covered 100% of scheme rate. Subject to AFB. Limited to 12 antenatal classes and lactation consultation with a midwife and limited to R1 800 per pregnancy. |
| 🟦 Antenatal Visits and Scans | Covered 100% of scheme rate. Limited to 12 antenatal visits with GP, specialist or midwife. First paid from Care Maximiser. Foetal scans limited to 2 x 2D scans PB per year and you can opt for 3D scan (paid at the rate of 2D scan). Maternity bag issued with registration on maternity programme. |
| ◻️ Emergency room child benefit | One additional visit at an emergency room per annum per child younger than 6 years. Visit to emergency room limited to R1 610 per event. Paid from Care Maximiser. |
| 🟪 Emergency roadside assistance and ambulance transport (Netcare 911) | Covered up to 100% of scheme rate. Netcare 911 must authorize non-emergency transportation within 24 hours or risk 25% co-payment. |
| 🟥 International Travel Benefit (Healthcare services outside South Africa) | Subject to benefits per individual benefit category. Paid at South African rates. Register your journey and obtain a travel certificate on www.tic.co.za/compcare |
| 🟧 Hospital Emergency room and casualty emergency visits (no admission and excluding facility fees) | Paid from AFB. |
| 🟨 Hospital emergency as a result of physical injury caused by an external force | Covered 100% of scheme rate. Subject to protocols and PMBs. |
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Wellness, Lifestyle, and Preventative Care Benefits
| 🔴 GP Wellness Consultation | Limited to one visit per beneficiary yearly. |
| 🟠 Blood Pressure, Blood Sugar, Cholesterol, BMI, and Waist Circumference | Limited to one measurement per beneficiary yearly for those 18 years>. |
| 🟡 Rapid HIV Test | One test per beneficiary yearly. |
| 🟢 Flu Vaccine | One vaccine per beneficiary yearly. |
| 🔵 Tetanus Vaccine | One injection as required. |
| 🟣 Prostate Specific Antigen (PSA) | One per male beneficiary 40 years>. |
| 🔴 Bowel Cancer Screening | One screening per beneficiary between 45 and 75 every two years. |
| 🟠 Glaucoma Test | One per beneficiary per year. |
| 🟡 Pap Smear | One per female beneficiary 18 years> once yearly. |
| 🟢 Mammogram | One test per female beneficiary 35 years> every two years. |
| 🔵 HPV Vaccine | One course per female beneficiary between 12 and 18 years per lifetime. |
| 🟣 Adult Pneumococcal Vaccine | Per beneficiary as required. Subject to pre-approval 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. |
| 🟠 Additional Assessment for pregnant members | Limited to one additional assessment. Strict protocols will 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. |
| 🔵 Contraceptives (Oral/IUD device) | 13 scripts to maximum of R3 680, OR IUD to maximum of R3 680. Available up to age of 55 years. |
| 🟣 Home Test Bundle | Overall limit of R360 • One Covid test • One urinary tract test • One ovulation test • One pregnancy test |
| 🔴 Pulse Oximeter | Limited to R880 per family. |
| 🟠 Nebulizer | Limited to R570 per family. |
| 🟡 Thermal Thermometer | Limited to R470 per family. |
| 🔵 Antenatal visits with a GP, specialist or midwife. | 100% of scheme rate. 12 antenatal visits. |
Newborn to Adult Benefit
| 🍼 Newborn Screening and Paediatric Consultations | Newborn screenings: Hearing screening and congenital hypothyroidism test. Paediatric consultations: Three visits to track development and milestones. |
| 👶 Baby Wellness Visit | Two visits yearly for children between 4 weeks and 18 months. Members must use a DSP. |
| 💉 Childhood Immunisations | Available for children up to 12 years old, as per the Department of Health. |
| 🎓 School Readiness Assessment | Psychometric testing (ages 5-7). Preschool eye and hearing screenings (ages 5-6). Dental screenings (ages 5-7). |
| 🏈 Kids Active Benefit | Fitness assessment and exercise plan for children aged 8-12 with Universal Network biokineticist. SporTeen: Annual fitness assessment, virtual consultations, and exercise plan for children aged 13-17 with Universal Network biokineticist. |
| 🍎 Kids Nutritional Benefit | Access to dietitian for assessments and healthy eating plan for children aged 8-15. |
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Chronic Conditions Covered
💙 The following chronic conditions are covered under the ExecuCare Plus plan:- ☑️ Addison’s disease
- ☑️ Allergic rhinitis
- ☑️ Angina
- ☑️ Ankylosing spondylitis
- ☑️ Asthma
- ☑️ Attention deficit disorder
- ☑️ Bechet’s disease
- ☑️ Bipolar mood disorder
- ☑️ Bronchiectasis
ExecuCare Plus Plan Exclusions and Waiting Periods
ExecuCare Plus Exclusions
💙 The following are some of the exclusions on the CompCare ExecuCare Plus Plan:- ✅ The scheme will not pay for expenses that exceed the annual maximum benefit.
- ✅ A general waiting period of 3 months may be applied to new members and their dependents according to the scheme rules.
- ✅ According to the scheme rules, a condition-specific waiting period of up to 12 months may be applied for pre-existing sickness conditions.
- ✅ The scheme will not cover any costs incurred during waiting periods.
- ✅ Certain professional fees and expenses incurred by healthcare professionals will not be covered, such as after-hours consultations at the member’s choice, unattended appointments, interest charges by healthcare providers, costs incurred for insurance medical purposes, fees for medical reports, and motivations unless required by the scheme, and discretionary conditions and services with unauthorized hospital admissions.
- ✅ Costs for services rendered by unregistered professionals or institutions, except state or provincial hospitals registered under South African law, will not be covered.
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ExecuCare Plus Waiting Periods
💙 Prospective members must disclose all details of any past medical condition or treatment. Furthermore, waiting periods are applied when joining the scheme or registering new dependents. In terms of the CompCare ExecuCare Plus plan, the following applies:- ✅ A general waiting period of 3 months and a 12-month condition-specific waiting period may be imposed for pre-existing medical conditions if not covered on a medical scheme for more than 90 days.
- ✅ A condition-specific waiting period of 12 months may be imposed if applying for membership within 3 months of termination from a previous scheme and having been on a medical scheme for less than 24 months.
- ✅ If applying for membership within 3 months of termination from a previous scheme and having been on a medical scheme for more than 24 months, a general waiting period of 3 months will apply.
- ✅ Prescribed Minimum Benefits are available during waiting periods.
- ✅ The scheme may impose any unexpired balances by the previous scheme if the beneficiary suffers from any pre-existing condition.
- ✅ New members and their dependents have a 3-month general waiting period.
- ✅ Prescribed Minimum Benefits are available during the general waiting period.
- ✅ The waiting period does not apply to emergency medical treatment.
- ✅ Any costs incurred during waiting periods will not be covered.
- ✅ Members are responsible for submitting all claims within the required time frame.
Medical Aid Comparison : CompCare ExecuCare Plus Plan vs. Similar Plans from Other Medical Schemes
| 🔎 Medical Aid | 🥇 CompCare UltraCare Plus (2026) | 🥈 Cape Medical Plan MyHealth 200 (2026) | 🥉 Discovery Health Classic Smart Comprehensive (2026) |
| 🌎 International Cover | Subject to benefits per individual benefit category. Paid at South African rates. Register your journey and obtain a travel certificate on www.tic.co.za/compcare | ❎ None | R5 million |
| 👤 Main Member Contribution | R13,162 | R3,874 | R7,945 |
| 👥 Adult Dependent Contribution | R11,846 | R3,874 | R7,337 |
| 🍼 Child Dependent Contribution | R4,606 | R684 | R1,885 |
Our Verdict on The ExecuCare Plus Plan
💙 The ExecuCare Plus plan from CompCare offers members several unique features and benefits. One of the most notable advantages of the plan is its comprehensive cover for hospitalization, which includes in-hospital specialist consultations, procedures, and medication.
💙 Members can receive top-quality medical care and treatment without worrying about unexpected costs. The plan also offers a range of benefits for chronic conditions such as cancer, diabetes, and hypertension.
💙 Overall, the ExecuCare Plus plan offers members several unique features and advantages, such as its comprehensive hospitalization coverage and flexible day-to-day benefit options.
👉🏾 You might also consider the following plans from CompCare:- 🏆 ExecuCare
- 🏆 ExecuCare Plus
- 🏆 UltraCare Plus
- 🏆 UltraCare
- 🏆 ExtraCare
- 🏆 SaverCare Plus
- 🏆 SelfCare Plus
- 🏆 DigiCare
- 🏆 SelfCare
- 🏆 SuperCare+
- 🏆 SaverCare
