5 Best Medical Aids for Babies in South Africa
The 5 Best Medical Aids for Babies in South Africa revealed.
We tested them side by side and verified their medical aid plans for babies.
This is a complete guide to the best medical aid for babies in South Africa.
In this in-depth guide you’ll learn:
- What is a Medical Aid?
- How do you find affordable medical aid in South Africa?
- Which medical aids are best for mom and baby in South Africa?
- Which medical aid is best for a baby only?
- How do you choose the best medical aid for your family?
So if you’re ready to go “all in” with the best medical aid for babies in South Africa, this guide is for you.
Let’s dive right in…
Best Medical Aids for Babies (2025)
| 🩺 Medical Aid | ✔️ Offers Plans for Babies? | ⚕️ Plan Offered | 💵 Pricing | 👉 Sign Up |
| 1. BestMed | Yes | BestMed Beat1 Network Hospital Plan | R2 111 per member per month | 👉 Apply Now |
| 2. FedHealth | Yes | myFED Option | R1,278 – R3,700 per month per member | 👉 Apply Now |
| 3. MedShield | Yes | MediCore | R3 891 per member per month | 👉 Apply Now |
| 4. Bonitas | Yes | Standard Plan | R5 439 per member per month | 👉 Apply Now |
| 5. Discovery Health | Yes | Discovery KeyCare Plan | R1,1184 per member per month | 👉 Apply Now |
5 Best Medical Aids for Babies (2025)
- BestMed – Overall, Best Medical Aid for Babies
- Fedhealth – Top Extensive Medical Protection in South Africa
- Medshield – Range of Affordable Medical Aid Plans to choose from.
- Bonitas – Best Pay-As-You-Go Private Healthcare
- Discovery Health – Best Customer Service Medical Aid
A closer look at medical aids for babies in South Africa
👉 Of course, you want the best for your baby. Part of this is prioritising their health and well-being.
👉 Healthcare options in South Africa are flexible. There are many options for medical aid for you and your family if you work for a company that provides it, but knowing which plan is best for your baby can be challenging.
👉 Whether you’re a single parent seeking for coverage or a multi-child household trying to figure out your options, or happily expecting your next bundle of joy, this article will help you make sense of the many plans that offer high-quality medical aid for babies.
👉 It’s unfortunate that many babies in South Africa don’t live with both of their parents, but instead with extended family. It’s a common query among South Africans to wonder if they can get their babies covered by medical aid despite the high expense of living in South Africa today.
👉 Presently, with a few exceptions, babies in South Africa can only be added as dependents to a medical scheme. If you want to be responsible for your own medical care, you must be at least 18 years old.
👉 In the event of the primary member’s death, the dependent baby may be permitted to become the sole member of the medical aid plan. Yet, the monthly cost is rarely reduced in this way.
Advice on choosing the best medical aid for babies
👉 In South Africa, minors under the age of 18 are not permitted to be primary members of a medical aid plan but are instead covered as dependents of an adult’s scheme.
👉 Unless there are adequate finances in the estate to maintain the membership after the death of a parent or legal guardian, the child’s membership often ceases.
👉 Having things in order before adding a baby to your Medical Aid coverage can provide a variety of benefits.
👉 You want to ensure that your family is cared for in the event of a medical emergency, which includes having access to hospital treatment around the clock, in addition to normal care like paediatrician visits, medications, and preventative care like regular dental and vision exams. Save money without compromising quality to get the best deal.
👉 If you tell your Medical Aid broker about your family’s specific health needs, they should be able to recommend the best plan for you.
👉 Comparing medical aid quotes from several companies will help you choose the most cost-effective option.
👉 Here are some things to think about as you shop around for paediatric medical aid.
📢 Complete below form and receive a free, no obligation quote
Get the Best Medical Aid Quotes from Hippo Advisory Services
Research the possibility of upgrading your current plan
👉 If your existing medical aid is insufficient to handle escalating expenses, as it may be if your baby has developed a chronic illness, upgrading to a more thorough plan will cover the expense of prescription medications, longer hospital stays, and prolonged treatment and care.
👉 Please be aware that there is typically a waiting period before benefits kick in for the majority of medical aid plans due to qualifying restrictions.
Weigh the options of a network-linked plan
👉 Low-cost medical aid typically only covers services from government-run clinics and hospitals. Customers who pay more for their policies have more freedom to choose their own healthcare providers, pharmacies, and medical facilities.
Shop around for plans that have baby-orientated benefits
👉 Consider your own medical history, your baby’s medical history, your current financial circumstances, and any other relevant aspects while making this determination.
👉 You can compare medical aid schemes, plans, benefits, and contributions to figure out which one is the best fit for your family’s budget and healthcare needs.
👉 The most comprehensive medical coverage would include not just emergency room visits but also primary care physician and paediatrician check-ups, as well as some dental and optical services.
5 of the Best Known Medical Aids in South Africa For Babies
👉 There are a variety of leading medical aid schemes that offer comprehensive plans suited to families with babies. We explore these options in more detail below.
1. BestMed
Overview
👉 As one of the largest private medical aid schemes in South Africa, BestMed serves about a 240 000 people.
👉 BestMed is dedicated to operating a company that is substantial enough to make an actual difference in the lives of the people they serve, but still small enough to know the names of those serviced and to react quickly to customer input.
👉 The principle around which BestMed is built is that individuals’ healthcare requirements vary widely depending on characteristics such as age, marital status, family size, health, preferences, and financial resources.
👉 There are a total of three primary care plans available from BestMed, and they all have their own distinct set of benefits and coverage choices.
👉 From comprehensive policies that cover all medical costs to more limited ones that solely pay for inpatient care, BestMed has you covered.
BestMed Medical Aid Option Plans Suitable for Babies
👉 A number of BestMed’s plans are well-suited to babies. For babies to get the most out of their benefits, these plans offer a variety of benefits.
👉 The necessary vaccination benefits for the infant.
Under all Bestmed medical aid plans the following benefits:
💙 Three baby growth assessments per year for beneficiaries 0-2 years.
💙 Assessments are done at a Bestmed partner pharmacy clinic.
BestMed Tempo Wellness program benefit for a baby
👉 The BestMed Tempo wellness programme helps you lead a healthier life by providing you with expert advice and encouragement.
👉 Only one adult member of the family needs to get a health assessment at a BestMed Tempo pharmacy in order to sign up for the wellness benefits. The advantages, which your babies will have, include:
- ➡️ 3 nurse consultations for babies under 35 months old.
👉 In addition to the aforementioned benefits, the wellness program’s nutritional assessment could be beneficial for babies.
How Much Are BestMed Medical Aid Monthly Premiums?
| 🔎 Plan | 💴 Contributions Range (Main) -\ | 💵 Contributions Range (+ Adult) | 💶 Contributions Range (+ Child) | 💷 Medical Savings (Up to) |
| 1️⃣ Beat 1 | Non-Network (NN) – 2,347 ZAR Network (N) – 2,111 ZAR | NN – 1,822 ZAR N – 1,641 ZAR | NN – 987 ZAR N – 889 ZAR | None |
| 2️⃣ Beat 2 | NN – 2,869 ZAR N – 2,581 ZAR | NN – 2,228 ZAR N – 2,006 ZAR | NN – 1,208 ZAR N – 1,086 ZAR | Main NN – 459 ZAR Main N – 413 ZAR +1 Adult NN – 356 ZAR +1 Adult N – 321 ZAR +1 Child NN – 193 ZAR +1 Child N – 174 ZAR |
| 3️⃣ Beat 3 | NN – 4,199 ZAR N – 3,779 ZAR | NN – 2,995 ZAR N – 2,696 ZAR | NN – 1,482 ZAR N – 1,334 ZAR | Main NN – 630 ZAR Main N – 567 ZAR +1 Adult NN – 405 ZAR +1 Adult N – 449 ZAR +1 Child NN – 222 ZAR +1 Child N – 200 ZAR |
| Beat 3 Plus | 4,848 ZAR | 3,485 ZAR | 1,769 ZAR | Main -1,212 ZAR +1 Adult – 872 ZAR +1 Child – 442 ZAR |
| 4️⃣ Beat 4 | NN – 6,832 ZAR | NN – 5,642 ZAR | NN – 1,689 ZAR | Main NN – 956 ZAR +1 Adult NN – 790 ZAR +1 Child NN – 237 ZAR |
| 📌 Pace 1 | 5,706 ZAR | 4,008 ZAR | 1,440 ZAR | Main – 1,084 ZAR +1 Adult – 761 ZAR +1 Child – 274 ZAR |
| 📌 Pace 2 | 8,132 ZAR | 7,974 ZAR | 1,793 ZAR | Main – 1,139 ZAR +1 Adult – 1,116 ZAR +1 Child – 251 ZAR |
| 📌 Pace 3 | 9,336 ZAR | 7,515 ZAR | 1,606 ZAR | Main – 1,307 ZAR +1 Adult – 1,052 ZAR +1 Child – 224 ZAR |
| 📌 Pace 4 | 11,662 ZAR | 11,662 ZAR | 2,732 ZAR | Main – 350 ZAR +1 Adult – 350 ZAR +1 Child – 82 ZAR |
| 📍 Rhythm 1 | 1,615 ZAR – 3,363 ZAR | 1,615 ZAR – 3,363 ZAR | 665 ZAR – 1,742 ZAR | None |
| 📍 Rhythm 2 | 2,368 ZAR – 3,413 ZAR | 2,250 ZAR – 3,072 ZAR | 1,425 ZAR – 1,707 ZAR | None |
What Is the Waiting Period for BestMed Medical Aid’s Benefits?
👉 There can be a general waiting period of three months or a specific waiting period of 12 months for a certain condition.
👉 BestMed Medical Scheme will sometimes only pay a claim if it is a PMB. This can happen if you are in a waiting period or if you are getting treatment for a condition that your plan doesn’t cover.
👉 Read more about the Bestmed Medical Scheme Late Joiner Fees
How to Claim Benefits from BestMed Medical Aid
👉 If your healthcare provider does not submit claims to BestMed, one must submit the original claim directly to the fund administrators.
👉 You can claim by means of the BestMed App, or by scanning and emailing your claim to them.
👉 Details that should appear on all claim documents include:
➡️ Member’s name and contact details
➡️ BestMed membership number
➡️ Patient’s details
➡️ Service provider’s name, contact details and practice number
➡️ Details of treatment, including applicable tariff and ICD-10 codes
➡️ Whether payment should be done to the service provider or the member
👉 You will receive an email confirmation when your claim is received and indexed.
BestMed Medical Aid Contact Details
Head Office:
BestMed Medical Scheme,
Glenfield Office Park
361 Oberon Avenue
Faerie Glen
Pretoria
PO Box 2297
Pretoria
Emails: [email protected]; [email protected],
Phone: +27 (0)86 000 2378
2. Fedhealth
Overview
👉 Fedhealth was established in 1936 to provide for the health care needs of the South African populace. They have always intended to offer reasonably priced healthcare, and they have never wavered from that mission.
👉 Fedhealth is a cooperative owned by its customers that tries to address the ever-evolving demands of the healthcare industry.
👉 The individualised nature of Fedhealth means that you, the member, may have input over the specifics of your health coverage. Due to its membership structure, Fedhealth prioritises the needs of its constituents above all else.
👉 The Scheme’s stable financial position is shown in the fact that it has been able to save more than 25% as a reserve for its members for the past 14 years and maintain an AA- Global Credit Rating.
👉 The unique Risk-based rewards offered by Fedhealth maximise the benefits of membership.
👉 Visit any participating provider as frequently as you like without incurring any additional fees, and receive a complimentary upgrade once per year, within 30 days of a major life event.
Fedhealth Medical Aid Option Plans Suitable for Babies
👉 A number of Fedhealth’s plans are well-suited to babies. For babies to get the most out of their benefits, these plans offer a variety of benefits.
Fedhealth Medical Aid Plans
👉 Fedhealth offers three distinct plans, each one designed with families with children of varied ages in mind.
👉 To be more specific, the FlexiFED 2 plan is aimed towards those who are just starting a family, while the FlexiFED 3 plan is created for those who already have babies. FlexiFED 4 was developed by Fedhealth for households with children in elementary school and beyond.
👉 All three choices offer equivalent benefits. While all FlexiFED plans include the MediVault for handling unexpected medical bills, the FlexiFED 3 and 4 plans provide you access to significantly more emergency funds. Moreover, FlexiFED 4 provides access to the Threshold Benefit.
👉 All of your family’s medical expenses at Fedhealth-affiliated hospitals and clinics will be covered by these plans. For the first twelve years of a child’s life, immunisations are provided at no cost. One free annual flu vaccination per person in the household.
How Much Are Fedhealth Medical Scheme Monthly Premiums?
| 🔎 Plan | 💴 Contributions (Main) | 💵 Contributions for Adult) | 💶 Contributions for Child) | 💷 Medical Savings (Up to) | 📊 Annual Threshold Level | ⚕️ Chronic Conditions |
| 1️⃣ FlexiFED Savvy | 1,055 ZAR 1,476 ZAR as Savings Backup Plan | 1,055 ZAR | 775 ZAR | Hospital Plan with Day-to-day Savings Back-up Plan: 5,050 ZAR p/a. Savings Plan with Max of 6,310 ZAR p/a with Supercharged Flexible Savings | None | 27 |
| 2️⃣ MyFED | 1,570 – 3,700 ZAR (Household income based) | 1,570 – 3,700 ZAR | 711 – 1,170 ZAR | None | None | 27 |
| 3️⃣ FlexiFED 1 | R1,953 (Elect) R2,505 (Network Hospitals) | R1,526 (Elect) R1,963 (Network Hospitals) | R711 (Elect) R917 (Network Hospitals) | 6,890 ZAR (Main) 12,280 ZAR (Main + 1 Adult) 17,030 ZAR (Main + 1 Adult + 1 Child) 19,550 ZAR (M + 1 Adult + 2 Children) | 5,400 ZAR (M) 8,600 ZAR (M+A) 10,500 ZAR (M+A+1C) 12,500 ZAR (M+A+2C) | 27 |
| 4️⃣ FlexiFED 2 | R3,787 (Any Hospital) R3,396 (GRID) R2,835 (Elect) | R3,370 (Any Hospital) R3,027 (GRID) R2,534 (Elect) | R1,118 (Any Hospital) R1,003 (GRID) R842 (Elect) | 10,340 ZAR (Main) 19,560 ZAR (Main + 1 Adult) 24,310 ZAR (Main + 1 Adult + 1 Child) 27,360 ZAR (M + 1 Adult + 2 Children) | 6,200 ZAR (M) 11,300 ZAR (M+A) 12,800 ZAR (M+A+1C) 16,400 ZAR (M+A+2C) | 27 |
| 5️⃣ FlexiFED 3 | R4,320 (Any Hospital) R3,874 (GRID) R3,236 (Elect) | R3,957 (Any Hospital) R3,553 (GRID) R2,968 (Elect) | R1,531 (Any Hospital) R1,374 (GRID) R1,148 (Elect) | 11,810 ZAR (Main) 22,610 ZAR (Main + 1 Adult) 27,360 ZAR (Main + 1 Adult + 1 Child) 31,550 ZAR (M + 1 Adult + 2 Children) | 7,900 ZAR (M) 13,700 ZAR (M+A) 15,600 ZAR (M+A+1C) 18,400 ZAR (M+A+2C) | 27 |
| 6️⃣ FlexiFED 4 | R5,782 (Any Hospital) R5,180 (GRID) R4,330 (Elect) | R5,277 (Any Hospital) R4,737 (GRID) R4,035 (Elect) | R1,739 (Any Hospital) R1,561 (GRID) R1,328 (Elect) | 15,800 ZAR (Main) 30,210 ZAR (Main + 1 Adult) 34,970 ZAR (Main + 1 Adult + 1 Child) 39,720 ZAR (M + 1 Adult + 2 Children) | 21,200 ZAR (M) 36,800 ZAR (M+A) 41,700 ZAR (M+A+1C) 46,600 ZAR (M+A+2C) | 27 |
| 7️⃣ Maxima EXEC | R10,719 | R9,304 | R3,312 | 12,156 ZAR (Main) 22,704 ZAR (Main + 1 Adult) 26,448 ZAR (Main + 1 Adult + 1 Child) 30,192 ZAR (M + 1 Adult + 2 Children) | 21,200 ZAR (M) 36,800 ZAR (M+A) 41,700 ZAR (M+A+1C) 46,600 ZAR (M+A+2C) | 27 |
| 8️⃣ Maxima PLUS | R16,937 | R14,619 | R5,233 | 7,500 ZAR (Main) 13,968 ZAR (Main + 1 Adult) 16,284 ZAR (Main + 1 Adult + 1 Child) 18,600 ZAR (M + 1 Adult + 2 Children) Additional: Includes OHEB (Out-of-hospital expense benefit)* | 22,700 ZAR (M) 40,400 ZAR (M+A) 46,600 ZAR (M+A+1C) 52,800 ZAR (M+A+2C) | 27 |
What Is the Waiting Period for Fedhealth Benefits?
👉 The general waiting period for Fedhealth benefits is usually three months, depending on the medical aid scheme you join. The waiting period for pre-existing conditions is 12 months.
How to Claim Benefits from Fedhealth Medical Scheme
👉 Members can submit claims using one of the following:
➡️ In the Fedhealth Family Room,
➡️ Through a WhatsApp service
➡️ On the Fedhealth Member phone App
➡️ You may also email, fax or post the claims to email: [email protected], fax: (011) 671 3842 or post to Private Bag X3045, Randburg, 2125.
Fedhealth Medical Scheme Contact Details
Below are the various departments which you can contact at Fedhealth:
💙 Contact Centre: This department handles general enquiries from Fedhealth members and prospective members.
| · Call: 0860 002 153 |
| · Email: [email protected] |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: Request a call |
💙 SOS Call Me: This helpline allows you to request an emergency call-back
| · Call: *130*3272*31# |
| · Email: None |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: None |
💙 Disease Management: This helpline is dedicated to members who have a chronic disease
| · Call: 0860 101 306 |
| · Email: [email protected] |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: www.fedhealth.co.za |
💙 AFA (HIV Disease Management): This helpline is for members who need assistance with their HIV benefits
| · Call: 0860 100 646 |
| · Email: [email protected] |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: www.aidforaids.co.za |
💙 Fedhealth baby programme: This helpline assists members who want to enquire about their benefits under the baby programme
| · Call: 0861 116 016 |
| · Email: [email protected] |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: www.babyhealth.co.za |
💙 Fedhealth Broker Call Centre: This helpline puts you in contact with a Fedhealth broker to help you learn more about signing up for a preferred plan
| · Call: 0860 737 8423 |
| · Email: [email protected] |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: None |
💙 Hospital Authorisation Centre: This helpline helps you apply for pre-authorisation for a hospital stay
| · Call: 0860 002 153 |
| · Email: [email protected] |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: None |
💙 Chronic Medicine Management: This helpline allows you to enquire the management of your chronic medication under your plan
| · Call: 0860 002 153 |
| · Email: [email protected] |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: www.medscheme.co.za |
💙 Oncology Disease Management: This helpline allows members to enquire about the oncology benefit under their specific plan
| · Call: 0860 100 572 |
| · Email: [email protected] |
| · WhatsApp: None |
| · Fax: 021 466 2303 |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: www.medscheme.co.za |
💙 International Travel Medical Insurance: This helpline allows members to enquire their international travel benefit
| · Call: +27 (0)11 521 4500 |
| · Email: None |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: None |
💙 MediTaxi: This helpline allows members to arrange MediTaxi services
| · Call: 0860 333 432 |
| · Email: None |
| · WhatsApp: None |
| · Fax: None |
| · Mobile App: You can download the Fedhealth Member App from the Apple App Store or Google Play Store. |
| · Website Enquiry: None |
3. Medshield Medical Aid
Overview
👉 Medshield prides itself on being transparent regarding its plans. Furthermore, Medshield plans are affordable, easily accessible, and easy to understand. Medshield offers plans for every type of budget in South Africa, and the scheme is reputable in the industry.
👉 Medshield has an AA- GCR rating and a proven payment record. In addition, Medshield offers a range of benefits across all plans and provides dedicated customer support across communication channels.
👉 Everyone in South Africa should have access to affordable private healthcare. To ensure that all South Africans have access to affordable, high-quality healthcare, Medshield is working to expand its network of private medical assistance providers.
👉 Thanks to its extensive network of partners, Medshield is able to provide its market with a formidable team of specialists.
👉 Medshield is investing heavily in both its staff and cutting-edge technologies to speed up the product development process and assure the delivery of unique goods to market.
Medshield Medical Aid Option Plans Suitable for Babies
👉 A number of Affinity Health’s plans are well-suited to babies. For babies to get the most out of their benefits, these plans offer a variety of benefits.
Medshield Medical Aid Plans
MedShield has the following plans to offer:
- ✅ MedShield MediCurve
- ✅ MedShield PremiumPlus
- ✅ MedShield MediValue Prime
- ✅ MedShield Value Compact
- ✅ MedShield MediSwift
- ✅ MedShield MediSaver
- ✅ MedShield MediPlus Prime
- ✅ MedShield MediPlus Compact
- ✅ MedShield MediPhila
- ✅ MedShield MediCore
- ✅ MedShield MediBonus
How Much Are Medshield Monthly Premiums?
| 🔎 Plan | 💴 Contributions Range | 💵 Contributions (+ Adult) | 💶 Contributions (+ Child) | 💷 Personal Savings Account (PSA) | 📌 Overall Annual Limit | 📍 CDL Conditions | 🚩 DTP Diagnoses |
| 1️⃣ MediCurve | R1 701 ZAR | R1 701 ZAR | R450 ZAR | None | Unlimited | 26 | 271 |
| 2️⃣ MediPhila | R2 004 ZAR | R2 004 ZAR | R519 ZAR | None | Unlimited | 26 | 271 |
| 4️⃣ MediValue Prime | R2 997 ZAR | R2,616 ZAR | R846 ZAR | None | Unlimited | 26 | 271 |
| 5️⃣ MediValue Compact | R2 715 ZAR | R2 373 ZAR | R762 ZAR | None | Unlimited | 26 | 271 |
| 6️⃣ MediCore | R3,891 ZAR | R3 291 ZAR | R897 ZAR | None | Unlimited | 26 | 271 |
| 7️⃣ MediPlus Prime | R4,989 ZAR | R3 561 ZAR | R1 116 ZAR | None | Unlimited | 26 + 14 | 271 |
| 8️⃣ MediPlus Compact | R4,533 ZAR | R3 234 ZAR | R1 020 ZAR | None | Unlimited | 26 + 14 | 271 |
| 9️⃣ MediSaver | R4,977 ZAR | R4 122 ZAR | R1,212 ZAR | · R8 964 ZAR (Main) · R7 416 ZAR (+1 Adult) · R2 184 ZAR (+1 Child) | Unlimited | 26 + 1 | 271 |
| 🔟 MediBonus | R8 346 ZAR | R5,859 ZAR | R1,737 ZAR | None | Unlimited | 26 + 48 | 271 |
| ➡️ PremiumPlus | R8 784 ZAR | R8 046 ZAR | R1 680 ZAR | · R21 084 ZAR (Main) · R19 308 ZAR (+1 Adult) · R4 032 ZAR (+1 Child) | Unlimited | 26 + 54 | 271 |
What Is the Waiting Period for Medshield Medical Aid Benefits?
👉 Depending on the medical aid scheme you join, the average waiting period for Medshield Medical Aid benefits is three months. Pre-existing conditions have a 12-month waiting period.
Medshield Medical Aid Contact Details
Below are the various departments and their details by which you can easily and effectively contact the Medshield team.
☑️ Medshield Contact Center: This department handles general complaints and can redirect members to appropriate departments within the Medshield organisation.
Call: 086 000 2120 or +27 10 597 4701 for members outside the borders of South Africa.
Email: [email protected]
WhatsApp: None
Fax: +27 10 597 4706
Mobile App: Available via the Medshield website or app stores
Website Enquiry: Website Enquiry Form
☑️ Medshield Medical Scheme Corporate Reception (Randburg Head Office): Members can contact the head office to get assistance on a variety of queries or complaints
Call: 010 597 4700
Email: [email protected]
WhatsApp: None
Fax: None
Mobile App: Available via the Medshield website or app stores
Website Enquiry: None
4. Bonitas
Overview
👉 Bonitas has been in operation for about 40 years, and during that time it has established itself as a forerunner in the private healthcare sector in South Africa.
👉 As a result, its employees are consistently hunting for fresh methods to save money without lowering the quality of service customers receive. To do so entails, among other things, keeping an eye on new advancements in the area, monitoring care to prevent the chronicity of lifestyle diseases, and negotiating for reduced expenses.
👉 By taking advantage of the organization’s low-priced services and extensive network of qualified medical specialists, you and the other 700,000 people it helps may be able to maintain your health with less financial strain.
👉 One of Bonita’s various plans is perfect for you and your family. The programmes aim to be as simple to use as possible without sacrificing the quality of the services they provide. Bonitas is a great option for people looking for their first medical aid policy.
👉 The company appears to be solvent, with about R6 billion stashed away in the bank.
Bonitas understands the need of fostering meaningful connections with its clientele in order to continue putting the needs of its members first and behaving in a member-centric manner. In three independent polls, Bonitas Medical Fund has been praised for its high levels of client satisfaction and stellar service.
👉 Bonitas is rated as the top South African medical aid provider in the next 2021–2022.
👉 The finest medical coverage in South Africa, according to both the 2019/2020 and 2017/2018 indices.
👉 Since 2001, the service industry has relied on Ask Afrika’s Orange Index to evaluate client retention and satisfaction.
👉 The leaders of Bonitas all have extensive experience in their fields, and the non-profit is overseen by an independent Board of Trustees made up of experts in medicine, law, finance, and business.
👉 The index considers 31 different industries when ranking businesses and evaluates them according to 10 crucial service qualities.
Bonitas Medical Aid Option Plans Suitable for Babies
👉 A number of Bonitas’ plans are well-suited to babies. For babies to get the most of their benefits, the programmes must are simple to grasp and use.
Bonitas Medical Aid Plans
👉 Bonitas offers several different series, each with its own set of benefits and cost structure. Go no farther than the Traditional series if you want a great read for the whole family, including babies.
👉 Standard Plan, Standard Select, Primary and Primary Select falls under the Traditional series.
👉 Your loved ones can receive unlimited inpatient care coverage at any network hospital. Your medical aid plan will pay for non-hospital medical care, such as regular doctor visits and expert consultations. The cost of routine dental work and eye exams is subject to set restrictions.
👉 Immunizations for babies are covered by both programmes. While the Standard plan allows for two doctor’s visits each year, the Primary plan only covers one. One annual flu shot is sufficient protection for an entire household against the virus.
👉 These plans provide a daily maximum with sub-limits for GP and specialist consultations, acute and over-the-counter medication, X-rays and blood tests, and other out-of-hospital medical expenditures, in addition to risk-based benefits. The plans in this category are as follows:
- ✅ Standard – Cover on this plan starts from 5,439 ZAR and offer comprehensive day-to-day benefits and comprehensive hospital cover.
- ✅ Standard Select – Cover starts from 4,915 ZAR, and the plan uses a provider network that can offer members rich day-to-day benefits and hospital cover.
- ✅ Primary – From 3,307 ZAR per month, this plan offers traditional day-to-day benefits and hospital cover.
- ✅ Primary Select – From 2,946 ZAR, members can access a quality provider network for specific day-to-day benefits and hospital cover. Furthermore, this plan is 15% cheaper when members use the network of providers.
What Is the Waiting Period for Bonitas Medical Aid Benefits?
👉 The minimum general waiting period for Bonitas medical aid is three months for all benefits. Some plans, however, have a waiting period of 12 months, especially regarding a pre-existing condition.
👉 Pregnancy is considered a pre-existing condition; therefore it is excluded from all benefits for the first 12 months of scheme membership.
👉 Read more about Bonitas Late Joiner Fees
How to Claim for Benefits from Bonitas
👉 You can send in your claim in the following ways:
➡️ Email your claims to [email protected].
➡️ Post your claims to Bonitas Claims Department, PO Box 74, Vereeniging, 1930.
➡️ Submit your claims in person at one of the walk-in centres.
👉 Follow these simple steps to get your claims paid quickly:
➡️ Ensure your banking details are correct for refunds by electronic transfer (EFT) into your bank account
➡️ Make sure that your account and receipt show your name and initials, membership number, treatment date, the name of the patient as shown on your membership card, the amount charged and ICD-10 code.
Bonitas Contact Details
34 Melrose Blvd, Birnam
Johannesburg
2196
Phone for General Queries: 0860002108
Email: [email protected]
Email: [email protected]
5. Discovery Health
Overview
👉 In terms of medical coverage, Discovery Health Medical Scheme is among the best options in South Africa. Everyone, including babies, can be added to the Program as long as they play by the rules.
👉 All of Discovery Health Medical Scheme’s over twenty plans are great for families because they provide limited coverage for private hospitals and a large range of additional perks.
👉 With such a wide variety of options for treatment and care, families can get the attention they need whenever it’s needed thanks to these plans.
👉 The Vitality wellness programme is also available, rewarding participants for adopting a healthy lifestyle with perks like discounted gym memberships and healthy meals.
👉 The fund is administered on behalf of the members by a Board of Trustees who are separate from the Scheme.
👉 The corporation is managed by Discovery Health (Pty) Ltd., a separate financial services organisation. To be clear, the Medical Schemes Act and the Council for Medical Schemes are the authoritative sources for all of Discovery Health Medical Scheme’s rules and regulations.
Discovery Medical Aid Option Plans Suitable for Babies
👉 The Discovery option gives you a choice between high-priced, all-inclusive private medical aid and lower-priced, all-inclusive private medical aid through a more limited network of providers.
👉 As a result, families can choose from a variety of medical aid plans.
Discovery Health Plans
👉 There are seven distinct packages available from Discovery. The Smart Series plans to offer the best value and comprehensive coverage for your baby’s immediate healthcare needs.
👉 The Smart Series’ Classic and Essential packages offer nearly identical benefits with various levels of information. The initial instalment is only R1,500, with higher monthly instalments available.
👉 You and your family’s appointments with the doctor and private hospitalisations are completely covered by Discovery’s network of providers. Both common sports injuries and over-the-counter treatments are included.
👉 Discovery offers a wide variety of Vitality programmes through which you may earn points and exchange them for merchandise.
👉 The benefits of the Vitality Babies, Vitality Kids, and Vitality Teens programmes are distinct from one another because they are designed for children, adolescents, and young adults of varying ages.
How Much Are Discovery Medical Aid Monthly Premiums?
👉 Monthly premiums start from R1,1184 per member for the KeyCare Series with medical cover for both in-hospital and out-of-hospital treatment by providers in a specified network and go up to R11,430 per member for the Executive Plan with extensive cover for in-hospital and day-to-day benefits, extended chronic medicine cover, and unlimited Above Threshold Benefit.
What Is the Waiting Period for Discovery Medical Aid’s Benefits?
👉 Discovery Health Medical Scheme’s general waiting period is 3 consecutive months and the condition-specific waiting period is 12 consecutive months.
👉 Read more about Discovery Health late joiner fee
How to Claim for Discovery Medical Aid Benefits
👉 You can submit a claim fast and easily in the following ways:
➡️ Scan and upload your claims on the website.
➡️ Scan and email your claims to [email protected].
➡️ Use the Discovery app on your smartphone. If the claim has a QR code, scan the QR code or alternatively take a photo of the claim from within the app.
➡️ You can also submit your claims by post.
Discovery Medical Aid Contact Details
Medical aid department: The Medical Aid Department at Discovery Health is responsible for administering health plans that cater to various healthcare needs, ensuring members have access to necessary medical services. This department oversees the processing of claims, ensures compliance with healthcare regulations, and facilitates communication between healthcare providers and members. Additionally, the department supports members with information and assistance regarding their health coverage.
☎️ Call:
- General queries: 0860 99 88 77
- Hospital authorisations: 0860 99 88 77/+27 11 529 6900 outside of SA
- Medical emergencies: 860 999 911/+27 11 529 6900 outside of SA
📧 Email: None
🟩 WhatsApp: Register online at https://www.discovery.co.za/corporate/whatsapp-registration-journey
📠 Fax: None
🍏 Mobile App: Available on Apple Store, Google Play and AppGallery
🌐 Website enquiry: https://www.discovery.co.za/corporate/contact-us
Discovery Health for healthcare professionals department: The Discovery Health for healthcare professionals department is designed to support healthcare providers who work with Discovery Health Medical Scheme members. This department facilitates a smooth interaction between medical professionals and the scheme, ensuring that providers can efficiently manage claims, access patient information securely, and receive timely payments for services rendered.
☎️ Call: 0860 44 55 66
📧 Email: [email protected]
🟩 WhatsApp: None
📠 Fax: None
🍏 Mobile App: Available on Apple Store, Google Play and AppGallery
🌐 Website enquiry: https://www.discovery.co.za/corporate/contact-us
Discovery Vitality Department: The Discovery Vitality department is responsible for managing and promoting Discovery’s Vitality program, which is a health and wellness initiative designed to encourage healthier living among its members
New applications:
☎️ Call: None
📧 Email: [email protected]
🟩 WhatsApp: None
📠 Fax: None
🍏 Mobile App: Available on Apple Store, Google Play and AppGallery
🌐 Website enquiry: https://www.discovery.co.za/corporate/contact-us
General queries:
☎️ Call:
- 0860 99 88 77
- 083 123 88 77
- +27 11 529 6006 when overseas
📧 Email: None
🟩 WhatsApp: Register online at https://www.discovery.co.za/corporate/whatsapp-registration-journey
📠 Fax: None
🍏 Mobile App: Available on Apple Store, Google Play and AppGallery
🌐 Website enquiry: https://www.discovery.co.za/corporate/contact-us
Gap cover: This department is responsible for managing gap cover policies, processing claims, and ensuring members receive the financial support needed for medical services not fully covered by their primary health plan. It also focuses on customer support, helping members understand their benefits, guiding them through the claims process, and educating them on the importance of gap cover.
☎️ Call: 0860 99 88 77
📧 Email: [email protected]
🟩 WhatsApp: None
📠 Fax: None
🍏 Mobile App: Available on Apple Store, Google Play and AppGallery
🌐 Website enquiry: https://www.discovery.co.za/corporate/contact-us
Supplementary Illness Department: The Supplementary Illness Benefit department at Discovery Health is designed to provide additional financial support to members who are diagnosed with specific severe illnesses that are not fully covered under standard medical aid plans.
☎️ Call: 0860 99 88 77
📧 Email: [email protected]
🟩 WhatsApp: None
📠 Fax: None
🍏 Mobile App: Available on Apple Store, Google Play and AppGallery
🌐 Website enquiry: https://www.discovery.co.za/corporate/contact-us
Phone: 0860 99 88 77
Frequently Asked Questions
When should I put my baby on medical aid?
It is advised that you complete the Application for Newborn Baby Registration and send it to your medical aid provider no later than 30 days following the birth of your baby. This ensures that your child is protected for any medical care that they may require.
Does medical aid cover a new-born?
If you are a member of a recognized medical aid program, your newborn baby will be immediately covered for medical care. Notifying your medical assistance provider as soon as possible after the birth will guarantee that your newborn is fully covered and not disqualified from coverage.
How much are medical expenses for a baby?
The cost of having a baby can sometimes be very high. The average cost of the pregnancy, delivery in a hospital, and postpartum care is close to R100,000.
How do I add my baby to a medical aid?
You can get the most recent copies of all necessary application forms from the website of your medical aid. Update any required certificates and other documents. When completing the form, make sure to use black ink or clear digital printing. All relevant elements must be signed by the key member. The primary member must sign and date any changes.
Why do hospitals charge for babies?
Hospitals charge for newborns because they provide specialized medical services, facilities, equipment, staffing, administrative support, and incur overhead costs to ensure the safety and well-being of babies.
