Overall, the Suremed Health Shuttle Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and enhanced major medical benefits for its Family Members. The Suremed Health Shuttle Medical Aid Plan starts from R1,265 ZAR.
| 👤 Main Member Contribution | R1,265 – R2,710 |
| 👥 Adult Dependent Contribution | R1,265 – R2,710 |
| 🍼 Child Dependent Contribution | R675 – R1,390 |
| 🔁 Gap Cover | ✅ Yes |
| ➡️ Hospital Cover | Unlimited |
| 💶 Medical Savings Account | None |
| 💙 Maternity Benefits | ✅ Yes |
| 🟦 Pre- and Postnatal Care | ✅ Yes |
| 🔵 Chronic Conditions | ✅ Yes |
| 📉 Optometry Benefit | ✅ Yes |
💙 The Suremed Health Shuttle Medical Aid Plan is one of 4, starting from R1,265 and includes extensive hospital cover, enhanced major medical benefits via preferred providers, and more.
💙 Members also have access to the Suremed Health app 24/7, and all services are offered via PrimeCure. Gap Cover is available on the Suremed Health Shuttle Plan, along with 24/7 medical emergency assistance. According to the Trust Index, Suremed Health has a trust rating of 2.1.
👉🏾 Suremed Health Medical Aid Scheme has the following plans:
👉🏿 Download the SHUTTLE PLAN for 2025
| 💴 Income Bracket | 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
| 💵 R0 – R9,000 | R1,265 | R1,265 | R675 |
| 💶 R9,001 – R13,000 | R1,660 | R1,660 | R865 |
| 💷 R13,001 – R17,000 | R2,390 | R2,390 | R1,225 |
| 💴 R17,001 – R30,000 | R2,545 | R2,545 | R1,290 |
| 💵 R30,000> | R2,710 | R2,710 | R1,390 |
| 📌 Prescribed Minimum Benefits (PMB) | Unlimited cover provided. Covered up to 100% of the cost. Only a Prime Cure Network Hospital can be used. Alternatively, a Prime Cure DSP can approve a non-DSP provider. Pre-authorization is necessary. |
| 📍 Emergency Stabilisation and Transportation | Emergency transport only. Pre-authorisation required by phoning ER24 on 084 124 |
| ☑️ Hospitalization | Unlimited coverage is offered and covered at 100% of the scheme rates at any Netcare hospital. Pre-authorisation required prior to admission, failing which a levy of R500 per admission shall apply. Including accomodation, medication, materials and opertaing theatres. TTO’s is 7 days of medication. |
| ✅ Planned Procedures – Day Clinics | Covered up to 100% of the Prime Cure Agreed Rate. Pre-approval is required before admission. There is a co-payment of R2,000 for planned procedures performed in a day clinic. |
| 🟥 Alternatives to Hospitalisation | Limited to R12,867 per family per year. Frail care facilities are not covered. |
| 🟧 Specialized Radiology | Pre-authorisation required. In-and-Out of hospital MRI, CT Scans, etc. R11 160 PB and R15 000 PMF |
| 🟨 Maxillo-facial Surgery | Limited to R19,000 per family per year. Covered up to 100% of the Prime Cure Agreed Rate. Limited to PMBs. Subject to pre-approval. Surgery must be performed at a DSP hospital. |
| 🟩 In-hospital Dental Surgery | Pre-authorisation required. Benefit for general anaesthetic for patients under the age of 12 years and impacted wisdom teeth. |
| 🟥 Prosthesis | Pre-authoridsation required prior to admission. R32 214 Per family. |
| 🟦 Private Ward Cover | Covered up to 100% of the Prime Cure Agreed Rate. Only if required for medical reasons. |
| 🟪 GP Consultations | 8 consultations per beneficiary. Authorisation required after the 8th consultation. |
| 1️⃣ Out-of-Network and After-Hour GP Consultations | Limited to one visit per beneficiary or two per family at a registered emergency medical facility. Paid at cost and includes X-rays, blood tests, and medicine. Authorization is required within 72 hours of the visit. |
| 2️⃣ Emergency Casualty Visits | 1 visit per dependant, or 2 visits per family per annum at any registered emergency medical facility. R1 230 per event. Paid at cost, including the consultation and any related accounts such as X-rays, blood tests and medicine, up to a total limit. |
| 3️⃣ Specialist Benefit | Unlimited consultations for PMBs. Covered up to 100% of the Prime Cure Agreed Rate. Limited to R4,000 per beneficiary. |
| 4️⃣ Nurse Visits | Unlimited visits to a Prime Cure Network Pharmacy nurse for minor illnesses. Pre-approval is not required. |
| 5️⃣ Flu Vaccines | At a network healthcare provider or pharmacy. One flu injection per dependant per annum |
| 6️⃣ Acute Medicine | Unlimited – Prescribed by network GP. Medication is paid in accordance with a medication formulary. R350 per dependant. Up to a maximum of R120 per event, with a maximum of three (3) events per year. |
| 7️⃣ Chronic Medicine | Unlimited cover provided. Covered up to 100% of the Prime Cure Agreed Rate for prescribed medicine on the formulary. Members must register for the Chronic Medicine Benefit. |
| 8️⃣ HIV Program | Unlimited cover. Subject to managed care protocols. |
| 9️⃣ Basic Dentistry | Unlimited through Primary Care Network. Subject to PC network approved dental codes, codes available on the Suremed website. |
| 🔟 🦷 Dentistry – Advanced | Subject to PC network providers. Includes 1 set of acrylic dentures PMF per 24-month cycle, paid at 80% of scheme rates. |
| 📉 Optical | 1 Eye test PB per year. 1 pair of spectacles PB per 24-month cycle. Lenses limited to R2 500 PB. Frames valued at R840. Contact lenses – no benefit. |
| 🧪 Radiology and | Black and white X-rays and soft tissue ultrasounds are covered at 100% of the scheme rate. Unlimited referred from network provider |
| 🅰️ Pathology | Unlimited cover for blood tests. Covered up to 100% of the agreed Rate when using a network pathology lab and when requested by a network GP. Subject to a list of approved pathology codes. |
| 🅱️ Maternity | Benefits are available upon registration into the Maternity Programme. Pre-authorisation is required through MomentumTYB. Includes cover for: – Up to eight visits to a gynaecologist, GP or midwife – Antenatal vitamins up to R120 per month for nine months – Two 2D ultrasound scans per pregnancy – Basket of blood tests- Delivery in a Netcare hospital – One six-week post-natal con |
| 📈 Glasses and Lenses | Limited to one pair of glasses every 2 years. Single vision and bifocal lenses are covered up to 100% of the agreed rate. Multifocal lenses are limited to R2,500 per beneficiary every 2 years. Pre-approval is required. |
| 📊 Allied Healthcare Professionals | Covered up to 100% of the Prime Cure Agreed Rate for PMBs. Certain conditions will apply, and non-PMBs are not covered. Pre-approval is required and can be obtained from the app before the visit. |
| 🧪 Radiology and Ultrasounds | limited to black-and-white X-rays and ultrasounds according to an approved code list. Covered up to 100% of the Prime Cure Agreed Rate when referred by a Network GP and using a Network Radiologist. |
| 🅰️ Pathology | Unlimited cover for blood tests. Covered up to 100% of the Prime Cure Agreed Rate when using a network pathology lab and when requested by a network GP. Subject to a list of approved pathology codes. |
| 🅱️ Maternity | Pregnant members must register for the Maternity Program on the Suremed Shuttle App. Limited to 8 visits to a gynecologist, midwife, or GP. Antenatal vitamins are covered up to R110 for 9 months. Limited to 2 2D ultrasound scans per pregnancy. Includes a basket of blood tests. Delivery must be in a network maternity hospital. Includes a six-week postnatal consultation. |
👉🏾 Read more about the 5 Best Gap Cover Options for Under R1 000
💙 The Suremed Health Shuttle Plan Exclusions include, but are not limited to, the following:
👉🏾 Discover the 5 Best Medical Aids under R500
💙 Waiting periods prevent members from anti-selecting or joining a program solely when ill. There are two types of wait times:
💙 Condition-specific waiting periods may not be imposed on related conditions unless a direct link between the conditions can be demonstrated.
💙 Furthermore, the waiting periods can also include prescribed minimum benefit (PMB) conditions for applicants who have never belonged to a medical plan before or for members who have had a break in coverage of more than 90 days.
| 🔎 Medical Aid Plan | 🥇 Suremed Health Shuttle | 🥈 KeyHealth Essence | 🥉 KeyCare Start Regional |
| 👤 Main Member Contribution | R1,265 – R2,710 | R2,187 | R1,184 – R3,178 |
| 👥 Adult Dependent Contribution | R1,265 – R2,710 | R1,753 | R1,184 – R3,178 |
| 🍼 Child Dependent Contribution | R675 – R1,390 | R788 | R713 – R890 |
| ➡️ Hospital Cover | Unlimited | Unlimited | KeyCare Hospital Network – Unlimited |
👉🏾 READ more: How to Calculate Medical Aid Fringe Benefit
💙 Suremed Health’s Shuttle Plan is a medical aid plan that provides members with comprehensive cover for in-hospital treatment, chronic medication, day-to-day medical expenses, and preventative care. The plan offers a range of features and benefits that aim to provide members with affordable and accessible healthcare services.
💙 One of the key advantages of the Shuttle Plan is that it offers members coverage for a range of medical expenses. Members can access coverage for in-hospital treatment, which includes accommodation, theatre fees, and medication. Some plans also cover chronic medication, day-to-day medical expenses, and preventative care.
💙 The Shuttle Plan is designed to cater to a broad range of individuals and families with different budgets and healthcare needs.
💙 Another advantage of the Shuttle Plan is that it offers members access to an extensive network of healthcare providers, including doctors, pharmacies, dentists, optometrists, and hospitals.
💙 Unless otherwise indicated, the plan is managed by Prime Cure, the Designated Service Provider (DSP) for all healthcare services. Members can use providers in the Prime Cure Network to avoid co-payments and claim rejections.
💙 This feature helps members to access quality healthcare services without worrying about the cost. However, one of the drawbacks of the Shuttle Plan is that it may not offer the same level of coverage as some of the higher-priced medical aid plans.
💙 As a result, members may need to choose a plan that suits their healthcare needs and budget. Another potential drawback is that the plan may not cover certain medical conditions or procedures. Therefore, members should carefully check their plan benefits and exclusions before choosing a plan.
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The Suremed Shuttle Plan is a medical aid plan offered by Suremed Health, which provides comprehensive cover for in-hospital treatment, chronic medication, day-to-day medical expenses, and preventative care.
The Suremed Shuttle Plan covers in-hospital treatment, chronic medication, day-to-day medical expenses, and preventative care.
To avoid co-payments and claim rejections, members must use a provider in the Prime Cure Network.
The Suremed Shuttle Plan may not cover all medical conditions or procedures. Therefore, members must ensure that they understand the benefits and limitations of the Suremed Shuttle Plan before signing up.
Yes, some plans offer coverage for chronic medication.
Yes, some plans offer coverage for preventative care.
Members may be subject to co-payments and claim rejections if they use a healthcare provider outside the Prime Cure Network.
Members can avoid claim rejections by using healthcare providers in the Prime Cure Network and ensuring that all claim documentation is accurate and complete.
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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