ExecuCare
About this plan
🥇 Best suited for members seeking premium healthcare with extensive day-to-day benefits.
Principal Member
From
R11,709
per month
Adult Dependant
From
R10,538
per month
Child Dependant
From
R4,098
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
CompCare ExecuCare Medical Aid Plan (🇿🇦 2026)
Overall, the CompCare ExecuCare 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 Medical Aid Plan starts from R11,709 ZAR.| 👤 Main Member Contribution | R11,709 |
| 👥 Adult Dependent Contribution | R10,538 |
| 💙 Child Dependent Contribution | R4,098 |
| 📉 Annual Limit | Unlimited |
| ➡️ Hospital Cover | Unlimited |
| 🍼 Maternity Benefits | ☑️ Yes |
| ↪️ Preventative Care and Wellness | R15 600 |
CompCare ExecuCare Plan - 7 Key Point Quick Overview
- ☑️ CompCare ExecuCare Plan Overview
- ☑️ CompCare ExecuCare Plan Contributions and Benefits
- ☑️ ExecuCare Plan Benefits and Cover Comprehensive Breakdown
- ☑️ ExecuCare Plan Exclusions and Waiting Periods
- ☑️ CompCare ExecuCare Plan vs. Similar Plans from Other Medical Schemes
- ☑️ Our Verdict on The ExecuCare Plan
- ☑️ ExecuCare Plan Frequently Asked Questions
CompCare ExecuCare Plan Overview
💙 The CompCare ExecuCare medical aid plan is one of 7, starting from R11,709. With the ExecuCare 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 CompCare ExecuCare Plan. CompCare offers 24/7 medical emergency assistance.
👉🏿 According to the Trust Index, CompCare has a trust rating of 3.4.
CompCare ExecuCare Plan Contributions and Benefits
CompCare ExecuCare Contributions
| 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| R11,709 | R10,538 | R4,089 |
CompCare ExecuCare Above Threshold Benefit (ATB)
| 👤 Per Beneficiary | 👥 Per Family |
| R11,700 | R23,920 |
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CompCare ExecuCare Annual Flexi Benefit (AFB)
| 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| R22,930 | R17,470 | R6,340 |
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CompCare ExecuCare Threshold Amount
| 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| R28,130 | R20,590 | R7,380 |
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CompCare ExecuCare Annual Self-Payment Gap (SPG)
| 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| R5,200 | R3,120 | R1,040 |
ExecuCare Plan Benefits and Cover Comprehensive Breakdown
In-Hospital Benefits
| 🏥 Hospitalization (Private Hospitals, Nursing Homes) | Covered up to 100% of scheme rate. Netcare hospitals. Subject to pre-authorisation and managed care protocols. |
| 👩⚕️ GPs and Specialists | Unlimited. Specialists paid at 150% of the scheme rate (excluding dental treatment) and GPs paid at 100% of scheme rate. |
| 💊 Medication in-hospital | Covered up to 100% of scheme rate. |
| ☑️ Medication upon discharge from the hospital | Limited to 7 days per discharge. Subject to Reference Pricing (RP) and formularies. |
| 🦾 Surgical Prostheses | Subject to pre-authorisation and protocols. Limited to overall benefit amount of R62 400. Sub-limits per category apply. |
| ✅ Auxiliary Services | Covered 100% of scheme rate. Limited to combined sub-limit of R13 000 PMF, in-and-out of hospital. Subject to pre-authorisation and protocols. Separate pre-authorisation number required - claim will not be paid as part of hospital pre-authorisation. 20% co-payment will apply if not pre-authorised. |
| 🧠 Psychiatric In-hospital Treatment | Covered 100% of scheme rate. Subject to pre-authorisation, protocols and PMBs. Up to maximum of 21 days’ admission OR 15 consultations which will first be paid from AFB (where applicable), thereafter covered by the Scheme. |
| ➡️ Psychology (non-psychiatric admissions) | Limited to R5 970 PMF. Subject to pre-authorisation and protocols. |
| ↪️ All specialized radiology (MRI scans & CT scans) | Covered up to 100% of the scheme rate. Unlimited, Pre-authorisation and medical motivation required for all MRI, CT Scans and high Resolution CT Scans. Subject to scheme protocols. No benefit for unauthorised scans, except for PMBs. R3 950 co-payment for each scan. |
| 🔁 Basic Radiology | Covered 100% of scheme rate. Unlimited. Subject to protocols. |
| 📈 Pathology | Covered up to 100% of the scheme rate. Subject to protocols. Cover is unlimited. |
| 📉 Confinements | Covered up to 100% of the scheme rate. Subject to protocols. Cover is unlimited. |
| 📊 Rehabilitation in-hospital (Alcoholism, Drug Dependence, Narcotics) | Unlimited for PMBs. Subject to pre-authorisation and protocols. |
| 💖 Organ Transplants, Plasmapheresis, Renal Dialysis | Unlimited for PMBs. Subject to pre-authorisation and protocols. DSP may apply. |
| 🏈 Professional Sports Injuries | Covered 100% of scheme rate. Subject to pre-authorisation and protocols. |
Hospitalisation Alternatives
| 🎗️ Oncology (Chemotherapy & Radiotherapy) | Covered 100% of scheme rate. Unlimited cover when using an Oncology DSP. Subject to pre-approval and protocols. The Oncology formulary will apply. |
| 🧪 Biological agents and Specialised Medication | Pre-authorisation required. R374 400 PMF. Subject to pre-authorisation and protocols. |
| ⬇️ Step-down facilities, hospice, rehabilitation | Covered 100% of scheme rate. Cover Unlimited. Subject to pre-authorisation, clinical guidelines and protocols. |
| 🩺 Surgical Procedures performed out-of-hospital | Covered 100% of scheme rate. Cover Unlimited. Subject to pre-authorisation, clinical guidelines and protocols. |
| 🧬Refractive Eye Surgery | Annual limit R9 770 per eye. Subject to pre-authorisation and protocols. Limit includes all services rendered: Hospitalisation and all related costs. |
| 🩹 Wound care instead of hospitalization | Covered 100% of scheme rate. Cover Unlimited. Subject to pre-authorisation, clinical guidelines and protocols. |
Day-to-Day Benefits
| 🟥 Day-to-day Benefits and Limits | AFB: P: R22 930 A: R17 470 C: R6 340 (To a maximum of 3 children.) SPG: A Self-Payment Gap is applicable once the AFB is depleted and before the Annual Threshold is reached. Thereafter the 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 the Annual Threshold and then paid from the ATB.) ATB: Once the Annual Threshold is reached, the following ATB amounts become available for specified day to-day expenses: PB: R11 700 PF: R23 920 |
| 🟧 General Practitioner (GPs) Consultations | Covered up to 100% of scheme rate. First paid from AFB, SPG and then ATB once Annual Threshold is reached. Children <6 years have unlimited GP visits. |
| 🟨 Specialist Consultations | Covered 150% of scheme rate. Paid from AFB, SPG and then ATB. Accumulates to Annual Threshold at 100% of Scheme tariff. Referral by GP is 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 costs once AFB is depleted. DSP pharmacies only. 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 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. DSP pharmacies only. 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 250 PB and R1 800 PMF and one prescription per day up to maximum of R315 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 is required to avoid 35% co-payment. |
| 🟧 Specialized Radiation (MRI scans & CT scans) | Covered 100% of scheme rate. Cover Unlimited. Pre-authorisation and medical motivation required for MRI, CT and high-resolution CT scans. R3 800 co-payment applies for each scan. Referral by GP is required to avoid 35% co-payment. |
| 🟨 Pathology | Covered 100% of scheme rate. Paid from AFB and SPG, thereafter from ATB. Referral by GP is 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 700 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. First 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 the benefit limit for lenses. |
| 🟨 Allied Services - Speech Therapists - Social Workers - Podiatrists - Occupational Therapists - Homeopaths and Naturopaths - Dieticians - Chiropractors, etc. | Covered up to 100% of the scheme rate. Paid from AFB. Subject to combined sub-limit of R13 000 PMF, in-and-out of hospital. ATB: No benefits. |
| 🟩 Clinical Psychologists & Psychiatry | 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 it is covered by the Scheme. |
| 🟦 Surgical and Medical Appliances - Wheelchairs - Crutches - Glucometers - Artificial eyes - External fixators | Covered up to 100% of the 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 | Covered up to 100% of scheme rate. Paid from AFB. Subject to protocols and pre-authorisation. |
| 🟨 Home Nurse Visits | Covered up to 100% of scheme rate. Limited to 60 days PMF. Paid from AFB. Subject to protocols and pre-authorisation. |
| 🟩 Antenatal Classes | Covered up to 100% of scheme rate. Subject to AFB. Limited to 12 antenatal classes and lactation consultation with a midwife and limited to R1 870 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 rate of a 2D scan). Maternity bag issued with registration on maternity programme. |
| ◻️ Emergency room child benefit | One additional visit at 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 every 2 years, 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. | Covered 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 plan:- ☑️ Addison’s disease
- ☑️ Allergic rhinitis
- ☑️ Angina
- ☑️ Ankylosing spondylitis
- ☑️ Asthma
- ☑️ Attention deficit disorder
- ☑️ Bechet’s disease
- ☑️ Bipolar mood disorder
- ☑️ Bronchiectasis
ExecuCare Plan Exclusions and Waiting Periods
ExecuCare Exclusions
The following are some of the exclusions on the CompCare ExecuCare 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 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 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 Plan vs. Similar Plans from Other Medical Schemes
| 🔎 Medical Aid | 🥇 CompCare Execu Care (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 | R11,709 | R3,874 | R7,945 |
| 👥 Adult Dependent Contribution | R10,538 | R3,874 | R7,337 |
| 🍼 Child Dependent Contribution | R4,089 | R684 | R1,885 |
Our Verdict on The ExecuCare Plan
💙 The ExecuCare 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 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
