The Best Medical Aids
The Best Hospital Plans
Overall, the CompCare SELFNET Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and PMB Benefits to up to 3 Family Members. The CompCare SELFNET Medical Aid Plan starts from R2,291 ZAR.
👤 Main Member Contribution | R2,291 |
👥 Adult Dependent Contribution | R2,291 |
🍼 Child Dependent Contribution | R810 |
📉 Annual Limit | Unlimited |
🟦 Hospital Cover | Unlimited |
💶 Prescribed Minimum Benefits | ☑️ Yes |
☑️ Screening and Prevention | ☑️ Yes |
💙 Medical Savings Account | ☑️ Yes |
👶 Maternity Benefits | ☑️ Yes |
🔁 Gap Cover | None |
The CompCare SELFNET medical aid plan is one of 9, starting from R2,291 and covers day-to-day medical expenses from a savings account. In addition, members have chronic medication benefits, wellness and preventative benefits, PMB benefits, and more.
Other CompCare Plans include:
All CompCare plans will have a late joiner fee.
Gap Cover is not available on the CompCare SELFNET Plan. CompCare offers 24/7 medical emergency assistance. According to the Trust Index, CompCare has a trust rating of 3.4.
👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
R2,291 | R2,291 | R810 |
👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
R4,116 | R4,116 | R1,452 |
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🟥 Hospitalization Private Hospitals Nursing Homes | Covered up to 100% of the scheme rate in Netcare private hospitals. Subject to pre-approval, case management, and scheme protocols. |
🟧 Overall Annual Limit | Unlimited |
🟨 GPs and Specialists | Covered up to 100% of the scheme rate. Subject to pre-approval and scheme protocols. |
🟩 Medication in-hospital | Covered up to 100% of the cost. |
🟦 Medication upon discharge from the hospital | Subject to Reference Pricing (RP) and Formularies. Limited to 7 days’ supply. |
🟪 Surgical Prostheses | Subject to pre-authorization. Limited to available funds for non-PMBs. |
🟥 Auxiliary Services | Limited to R3,400 per family. The combined limit for in and out-of-hospital treatment. Subject to pre-approval and protocols. A medical practitioner must recommend treatment. |
🟧 Psychiatric In-hospital Treatment | Covered up to 100% of the scheme rate. Subject to pre-authorization, protocols, and PMBs. |
🟨 Psychology (non-psychiatric admissions) | Paid from the PMSA. |
🟩 All specialized radiology MRI scans CT scans PET scans | Covered up to 100% of the scheme rate. Limited to R23,000 per year. Authorization is required. PET scans require special motivation and approval. Unauthorized scans are not covered. Screening scans are not covered. |
🟦 Basic Radiology | Covered up to 100% of the scheme rate. Unlimited cover but subject to scheme protocols. |
🟪 Pathology | Covered up to 100% of the scheme rate. Limited to R25,000 for in and out-of-hospital. |
🟥 Confinements for Maternity | Covered up to 100% of the scheme tariff. Subject to pre-authorization and clinical protocols. |
🟧 Rehabilitation in-hospital Alcoholism Drug Dependence Narcotics | Subject to pre-authorization and clinical protocols. |
🟨 Organ Transplants, Plasmapheresis, Renal Dialysis | Subject to pre-authorization and clinical protocols. |
🟩 Professional Sports Injuries | Subject to pre-approval. Scheme protocols will apply. |
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🔴 Oncology Chemotherapy Radiotherapy | Unlimited cover when using an Oncology DSP. Subject to pre-approval and protocols. The Oncology formulary will apply. |
🟠 Biological agents and Specialised Medication | Limited to R170,000 per family per year. Pre-approval is required. Protocols will apply. Non-PMB medicines attract a 25% co-payment. |
🟡 Step-down facilities, hospice, rehabilitation | Unlimited coverage is offered. Subject to pre-authorization and clinical guidelines. |
🟢 Surgical Procedures performed out-of-hospital | Unlimited cover. Subject to pre-approval and protocols. Paid from funds in the PMSA. |
🔵 Radial Keratotomy and Excimer Laser | Paid from funds in the PMSA. |
🟣 Wound care instead of hospitalization | Unlimited cover provided. Subject to pre-approval and protocols. |
✅ Day-to-day Benefits and Limits | Claims are paid from the PMSA, which is assigned yearly to each member level as follows: Main Member – R4,260 Adult Dependent – R4,260 Child Dependent (max 3) – R1,500 |
👩⚕️ General Practitioner (GPs) Consultations | Paid from the PMSA. Unlimited GP visits for children <6 years. |
👨⚕️ Specialist Consultations | Covered up to 100% of the scheme rate. Paid from the PMSA. Members must be referred by a GP or face a 30% co-payment. |
💊 Chronic Medicine | Subject to the formulary. Reference Pricing will apply. Unlimited cover for 27 CDL conditions. |
📌 Acute Medicine (Schedule 3>) | Paid from the PMSA |
📍 Over the Counter (OTC) Medicine | Paid from the PMSA. This benefit covers specified sports supplements if there is a valid NAPPI code. |
📈 Basic Radiology Black and White X-Rays Ultrasounds | Covered up to 100% of the scheme rate. Paid from the PMSA. |
📉 Specialized Radiation MRI scans CT scans PET scans | Covered up to 100% of the scheme rate. Limited to R23,000 per family per year unless otherwise authorized. All MRI and CT scans require pre-approval. High-Res CT and PET scans are subject to special medical motivation and pre-approval. Unauthorized and screening scans are not covered. |
📊 Pathology | Covered up to 100% of the scheme rate. Paid from the PMSA for in and out-of-hospital. |
🦷 Conservative Dentistry Consultations Preventative Care Fillings Extractions Infection Control | Paid up to 100% of the scheme rate. Paid from the PMSA. Unlimited cover for children <6 years. |
🪥 Specialized Dentistry Maxillo-facial and oral surgery In and Out-of-hospital combined limit | Covered up to 100% of the scheme rate. Paid from the PMSA. |
🥸 Optometry | Paid from the PMSA. |
🤓 Lenses and Contact Lenses | Paid from the PMSA. |
😎 Frames | Paid from the PMSA. |
🚩 Allied Services Speech Therapists Social Workers Podiatrists Occupational Therapists Homeopaths and Naturopaths Dieticians Chiropractors, etc. | Paid from the PMSA. |
💗 Clinical Psychologists | Paid from the PMSA. |
🩺 Surgical and Medical Appliances Wheelchairs Crutches Glucometers Artificial eyes External fixators | Paid from the PMSA. |
🧠 Psychiatry | Unlimited for PMBs. |
💙 Psychosocial Counselling | Paid based on risk. Unlimited telephonic counseling sessions through the Universal Wellness Care Centre Member can opt for referral to one-on-one sessions with qualified psychologists, social workers, or registered counselors up to a maximum of three referral sessions PB per year. |
😮💨 Oxygen Home Ventilation | Paid from the PMSA. |
🥰 Home Nurse Visits | Covered up to 100% of the scheme rate. Limited to 20 days per family. Paid from the PMSA. |
🤰 Antenatal Classes | Paid from the PMSA. |
🍼 Antenatal Visits and Scans | Limited to eight classes and one lactation consultation with a midwife. A maternity bag is issued when pregnant members register for the maternity program. Paid up to 100% of the scheme rate from risk. Subject to clinical protocols. Subject to the protocols and pre-approval required. |
⚠️ Emergency roadside assistance and ambulance transport (Netcare 911) | Covered up to 100% of the scheme rate. Netcare 911 must authorize non-emergency transportation within 24 hours or risk a 25% co-payment. |
🌎 International Travel Benefit Healthcare services outside South Africa | Subject to benefits per individual benefit category. All claims are paid according to South African rates. Members must register their journey and get a travel certificate to qualify for cover. |
⚕️ Hospital Emergency room and casualty emergency visits | Paid from the PMSA. |
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🔎 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. |
📌 Adult Pneumococcal Vaccine | Per beneficiary as required. Subject to pre-approval and protocols. |
⚽ Fitness Assessment and Exercise Prescription | Fitness assessment and exercise prescription: Annual fitness assessment, virtual consultations, exercise prescription, and monitoring by Universal Network biokinetics. |
🤰 Additional Assessment for pregnant members | Limited to one additional assessment. Strict protocols will apply. |
🍎 Nutritional Assessment and Healthy Eating Plan | Fitness assessment and exercise prescription: Annual fitness assessment, virtual consultations, exercise prescription, and monitoring by Universal Network biokinetics. |
🍼 Contraceptives | Limited to R3,360 per beneficiary per year for female beneficiaries up to 55 years. Reference pricing will apply. CompCare only covers UID devices. |
😷 COVID-19 | Those who test positive for COVID-19 have access to several benefits in addition to PMBs. Subject to pre-approval and managed care protocols. |
✳️ BP monitor | Limited to R780 per 3 year interval. |
😮💨 Nebulizer | Limited to R630 per 3 year interval. |
🌡️ Glucometer | Limited to R780 per 3 year interval. |
❤️ Newborn Hearing Screening and Congenital Hypothyroidism Test | Limited to three Paediatric consultations. Access is given to pediatric telephonic advisory services. |
🧡 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 for children 5 – 7 years and 14 to 18. Pre-school eye and hearing screening for children between 5 and 6 years old. Dental Screening for children 5 – 7 years old. |
💙 Kids Active Benefit | Universal Network biokinetics assesses and prescribes exercise for 8–12-year-olds. SporTeen: Universal Network bio kineticist-led annual fitness assessment, virtual consultations, and exercise prescription for 13 – 17-year-old children. |
💜 Kids Nutritional Benefit | For 8-year-olds and older, Universal Network dietitians provide nutritional assessments and healthy eating plans. |
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The following chronic conditions are covered under the SELFNET plan:
and many more.
The following are some of the exclusions on the CompCare SELFNET Plan:
Frail care services will not be covered, including accommodation and nursing care in convalescent or nursing homes catering to the aged or chronically ill.
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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 SELFNET plan, the following applies:
Members are responsible for submitting all claims within the required time frame.
🔎 Medical Aid Plan | 🥇 CompCare SELFNET | 🥈 Sizwe Hosmed Essential Copper | 🥉 LA Health KeyPlus |
🌎 International Cover | Subject to benefits per individual benefit category. | Covered up to 100% of the scheme rates | R5 million |
👤 Main Member Contribution | R2,291 | R1,890 – R2,839 | 1,390 – 2,207 ZAR |
👥 Adult Dependent Contribution | R2,291 | R1,890 – R2,839 | 1,214 – 1,964 ZAR |
🍼 Child Dependent Contribution | R810 | R650 – R846 | 508 – 824 ZAR |
💙 Hospital Cover | Unlimited | Unlimited for PMBs | Unlimited |
The CompCare SELFNET plan is a comprehensive health insurance offering from CompCare, aimed at individuals and families seeking high-quality medical care at an affordable cost.
The plan offers a range of benefits, including cover for in-hospital expenses, chronic medication, and day-to-day healthcare needs, all at competitive prices. One of the plan’s key features is its flexibility, with members able to choose from various options to create a package that best suits their health needs.
This includes a choice of three different levels of cover and the option to add on additional benefits such as dental and optical cover.
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CompCare SELFNET is a comprehensive health insurance plan that provides individuals and families with high-quality medical care at affordable costs. The plan offers a range of benefits, including cover for in-hospital expenses, chronic medication, and day-to-day healthcare needs.
The benefits of the CompCare SELFNET plan include flexibility, a range of cover options, the ability to choose healthcare providers, coverage for preventative healthcare, and optional add-ons such as dental and optical cover.
Yes, customers can choose their healthcare providers with the CompCare SELFNET plan, allowing them to select doctors and hospitals with which they are comfortable.
Yes, the CompCare SELFNET plan covers pre-existing conditions, subject to a waiting period of up to 12 months.
The waiting period for certain conditions under the CompCare SELFNET plan is up to 12 months.
Yes, the CompCare SELFNET plan limits the cover provided for certain treatments and procedures, meaning customers may have to pay out of their own pockets for more expensive treatments.
Yes, the CompCare SELFNET plan includes coverage for chronic medication.
Yes, the CompCare SELFNET plan covers in-hospital expenses.
Yes, customers can add dental and optical cover benefits to the CompCare SELFNET plan.
Yes, the CompCare SELFNET plan is a flexible health insurance plan that offers a range of options to create a package that best suits the member’s needs.
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