5 Best Medical Aids for Children Only in South Africa
The 5 Best Medical Aids for Children Only in South Africa revealed.
We tested them side by side and verified their medical aid plans for children only.
PLEASE NOTE that it is very rare that a medical aid will provide membership for children on their own. There must be specific legal reasons before a medical aid will consider this. Eg. Orphan children.
This is a complete guide to the best medical aid for children only 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 for a child only?
- Why you should consider a child’s only plan.
- Which medical aids are best for babies only?
- Which medical aids have plans for children of any age?
Best Medical Aids for Children Only in South Africa (2023)
|🩺 Medical Aid||✔️ Offers Plans for Children Only?||⚕️ Plan Offered||💵 Pricing||👉 Sign Up|
|1. Discovery Health||Yes||Classic and Essential Plans||R1,500 per member per month||👉 Apply Now|
|2. Bonitas||Yes||Traditional Series||R2 033 per member per month||👉 Apply Now|
|3. Affinity Health||Yes||Junior Day-to-Day Plan||R600 per month per member||👉 Apply Now|
|4. Fedhealth||Yes||FlexiFED 2 Plan||R1,900 per member per month||👉 Apply Now|
|5. BestMed||Yes||BestMed Tempo||R720 per member per month||👉 Apply Now|
5 Best Medical Aids for Children Only in South Africa (2023)
Understanding medical aids for children in South Africa
👉 There’s no doubt that you want nothing but the best for your child. Taking care of their health is part of this.
👉 In South Africa, you can choose from various forms of medical aid. Many businesses offer medical coverage for their employees and their dependents, but it can be difficult to decipher which policy best meets the needs of your child.
👉 This article will help you understand the numerous plans that provide high-quality medical aid for children, whether you’re a single mother looking for coverage or a family with kids of varying ages.
👉 It’s a sad fact that many children in South Africa are raised by relatives rather than both biological parents. The question of whether or not South African residents may obtain medical aid for their children is frequently asked due to concerns over the country’s high cost of living.
👉 Currently, children can only be added as dependents to a medical scheme in South Africa – with one or two exceptions. A person needs to be over the age of 18 to be eligible for their own medical aid.
👉 In the event of the primary member’s death, a medical aid plan may allow the dependent child to become the plan’s sole member. Yet this usually doesn’t result in a lower monthly charge.
How to choose the best medical aid for your children
👉 Children under the age of 18 in South Africa are not eligible to be the primary members of a medical aid scheme but are instead covered as dependents by an adult’s scheme.
👉 When a parent or legal guardian passes away, the child’s membership often ends unless there are sufficient funds in the estate to maintain it.
👉 There are a number of advantages to having in place before adding a child or baby to your Medical Aid coverage.
👉 You want to make sure that your family is taken care of in the event of a medical emergency by having access to 24/7 hospital care, as well as routine care like paediatrician visits and prescriptions, and even preventative care like routine dental check-ups and eye exams. Get the best value without sacrificing quality by focusing on cost savings.
👉 Talk to your Medical Aid broker about your family’s unique healthcare requirements, and they should be able to advise you on the benefits you’ll require and guide you towards the ideal plan.
👉 If you want to discover the best deal possible for your needs, comparing Medical Aid quotes from multiple providers is a good idea.
👉 Below are some important considerations to keep in mind when choosing the best medical aid for your children.
Find a plan with child-friendly benefits
👉 You should begin by assessing your existing medical needs based on factors including your family’s and your child’s medical history, as well as your present financial situation.
👉 Medical aid schemes, plans, benefits, and contributions may all be compared to help you identify the greatest fit for your family’s budget and needs.
👉 The best medical aid would provide first-rate hospital care in the event of an emergency, as well as routine care such as coverage for non-prescription medication, primary care physician and paediatrician visits, and some forms of dental and optometry.
Decide whether you want a network-linked plan
👉 In most cases, low-cost medical aid plans will only pay for care at state-run or contracted hospitals or from approved service providers. High-priced plans give customers more flexibility in selecting their doctors, pharmacies, and hospitals.
Consider upgrading to a better plan
👉 Upgrading to a more extensive plan will cover the expense of prescription medications, lengthier hospital stays, and prolonged treatment and care if your current medical aid is insufficient to cover rising expenditures, as may be the case if your child has developed a chronic ailment.
👉 Please be aware that most medical aid plans have eligibility requirements that may result in a waiting period before benefits become available.
5 of the Best Known Medical Aids in South Africa For Children
👉 There are a variety of leading medical aid schemes that offer comprehensive plans suited to families with children. We explore these options in more detail below.
1. Discovery Health
👉 Discovery Health Medical Scheme is a leading option for medical aid in South Africa. Children, and anybody else, are welcome to join the Program provided they follow the rules.
👉 With limited private hospital coverage and a wide variety of supplementary benefits, all of Discovery Health Medical Scheme’s over twenty plans are ideal for families.
👉 Families will have access to the best medical care available anytime they need it because to the comprehensive breadth of the plans’ features, care plans, and services.
👉 If you compare Discovery’s premiums to those of other South African health plans, you’ll find that they’re only 14.9% higher for the same level of coverage.
👉 Also, the Vitality wellness programme is available, which offers incentives like cheap gym memberships and healthy meals in exchange for your commitment to a healthy lifestyle.
👉 On behalf of the members, the fund is managed by a Board of Trustees who are independent of the Scheme.
👉 Discovery Health (Pty) Ltd., an independent financial services organisation, runs the company. All of Discovery Health Medical Scheme’s regulations come straight from the Medical Schemes Act and the Council for Medical Schemes.
Discovery Medical Aid Option Plans Suitable for Children
👉 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
👉 Discovery has seven different plans to choose from. The most cost-effective plans that cover your child’s most urgent medical needs are those in the Smart Series.
👉 In the Smart Series, you can choose between the Classic and Essential plans, which provide very similar features to varying degrees of detail. Monthly payments start at R1,500.
👉 Through Discovery’s network of providers, you and your children will have access to an unlimited number of doctor’s visits and private hospitalisation. Over-the-counter medications and sports injuries are also covered.
👉 Many Vitality programmes are available from Discovery, allowing you to collect points and redeem them for rewards.
👉 Different from one another, the advantages of the Vitality Babies, Vitality Kids, and Vitality Teenagers programmes are tailored to the specific age range they serve. Free movies for youngsters and gym membership discounts for teenagers are included.
How Much Are Discovery Medical Aid Monthly Premiums?
👉 Monthly premiums start from R930 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 R8 298 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 penalties.
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
PO Box 784262,
Phone: 0860 99 88 77
READ more about the 5 Best Hospital Plans for Children in South Africa
👉 Throughout its nearly four decades in business, Bonitas has become an industry leader in private healthcare in South Africa.
👉 As a result, its professionals are always on the lookout for novel approaches to cut expenses without compromising the standard of care given to members. This includes keeping an eye on new developments in the field, monitoring care to stop lifestyle diseases from becoming chronic, and negotiating for lower costs.
👉 You and the other 700,000 people the company serves may be able to preserve your health at lesser out-of-pocket expense by making advantage of the organization’s reasonably priced services and broad network of reliable medical specialists.
👉 You and your loved ones are sure to find a plan that meets your needs among Bonitas’ many options. The programmes are designed to be as user-friendly as possible while yet providing valuable services. When you’re in the market for your first medical aid plan, Bonitas is a fantastic place to start.
👉 With nearly R6 billion in reserves, the corporation appears to be financially secure.
👉 For Bonitas to continue prioritising the requirements of its members and acting in a member-centric manner, the company recognises the need of building strong relationships with its clientele. Bonitas Medical Fund’s outstanding levels of customer satisfaction and excellent service have been recognised in three separate surveys.
👉 The Ask Afrika Orange Index for 2021–2022, which ranks South African medical aid schemes, ranks Bonitas as the best.
👉 Both the 2019/2020 and the 2017/2018 indices agree that it is the best medical aid in South Africa.
👉 The Ask Afrika Orange Index has been used since 2001 to gauge customer satisfaction and loyalty in the service sector.
👉 Bonitas’ leadership has substantial experience in their respective professions, and the organisation is governed by a Board of Trustees comprised of outside specialists in health, law, finance, and business.
👉 In order to calculate an organization’s total performance, the index takes into account 31 distinct business sectors and ranks them based on 10 essential service characteristics.
Bonitas Medical Aid Option Plans Suitable for Children
👉 A number of Bonitas’ plans are well-suited to children. For children to get the most out of their benefits, the programmes must are simple to grasp and use.
👉 Each series from Bonitas has its own unique set of features and pricing. If you’re looking for a fantastic series for your family that includes children, go no further than the Traditional series. Basic Select starts at roughly R2 200, while Premium Select costs around R3 600.
👉 Your loved ones are eligible for limitless hospitalisation coverage at any participating facility. Your medical cover includes doctor’s visits and specialist appointments outside of a hospital setting. Predetermined limits apply to the cost of basic dental care and eye exams.
👉 Both plans include coverage for childhood immunisations. The Primary plan only includes one Physician and one paediatrician visit per year, while the Standard plan includes two. You only need to get vaccinated against the flu once every year per person in your family.
How Much Are Bonitas Medical Aid Monthly Premiums?
👉 Bonitas monthly contributions start at R 2 033 for a Principal Member, R 1 555 for a spouse/adult dependant and R 596 per child (max 3) on the BonEssential Hospital Plan and go up to R 8 217 for a main member, R7 749 for additional adult, and R 1 672 for a child for the BonComprehensive plan that offers abundant savings, an above threshold benefit and extensive hospital cover.
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 the Bonitas late joiner penalty
How to Claim Breast Reduction 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 the ICD-10 code.
Bonitas Contact Details
34 Melrose Blvd, Birnam
Phone for General Queries: 0860002108
Email: [email protected]
Email: [email protected]
READ more about the Health Insurance for Kids in South Africa
👉 Affinity Health was established in 2011 with the mission of giving all South Africans access to affordable, premium private healthcare. Since its founding, Affinity Health has been dedicated to providing comprehensive medical coverage over the long term.
👉 Affinity Health has revolutionised the medical aid industry with its extensive knowledge, commitment, and skill.
👉 Every person in South Africa should be able to pay for the most fundamental level of private health care. Affinity Health is trying to increase the availability of private medical aid choices in South Africa so that all residents can afford high-quality medical treatment.
👉 Affinity Health is able to deliver a formidable team of specialists to its market thanks to its vast network of partners.
👉 To hasten the product development process and guarantee the delivery of novel goods to market, Affinity Health is making significant investments in both its workforce and cutting-edge technologies.
Affinity Health Medical Aid Option Plans Suitable for Children
👉 A number of Affinity Health’s plans are well-suited to children. For children to get the most out of their benefits, these plans offer a variety of benefits.
Affinity Health Medical Aid Plans
👉 In South Africa, Affinity Health is among the very few providers who focus on providing medical aid for children only. You can choose to cover solely your children under the Affinity Junior option, whether you’re interested in a day-to-day, hospital, or mixed policy.
👉 If your primary care physician refers you for imaging or testing, the Junior Day-to-Day plan pays for all of it. Moreover, standard dental and optical care is provided. The initial payment is about R600 a month, and it goes up by about R300 for each additional child.
👉 Costing about R900 per month for the first child and an additional R300 for each additional child, the Junior Hospital plan is a worthwhile investment for parents. In addition to covering the expense of your hospital stay, this plan also pays for any necessary medical procedures you may need.
👉 Costing R1,400 per month for the first child and R500 per month for each additional child, the Junior Combination plan covers daily expenses as well as hospitalisation.
How Much Are Affinity Health’s Monthly Premiums?
👉 Affinity Health offers a comprehensive hospital plan from R1170.00 per month. The Day-to-Day Plan is available from R759.00 per month. The Combined Plan is available from R1 728.00 per month.
What Is the Waiting Period for Affinity Health Benefits?
👉 Depending on the medical aid scheme you join, the average waiting period for Affinity Health benefits is three months. Pre-existing conditions have a 12-month waiting period.
How to Claim Benefits from Affinity Health
➡️ General practitioner visits also need pre-authorisation. In the event of visiting a doctor who may not be on the Affinity Health network, you will need to pay the full consultation fee upfront. You can then claim up to R250.00 back from Affinity Health.
➡️ For assistance with reimbursement, please email the detailed account and a signed Affinity Health reimbursement form to [email protected].
➡️ Network doctors can claim directly from Affinity Health. The practice may charge additional administration fees, which cannot be recovered from Affinity Health. These will be for the member’s account.
➡️ Procedures conducted in the rooms of Affinity Health network doctors are also covered, provided you have obtained pre-authorisation.
➡️ If you need to consult a specialist, you will have to get a referral letter from your GP, for the consultation to be eligible for cover by Affinity Health. Once you have your referral letter, you will need to call to get pre-authorisation before the actual consultation.
➡️ With hospital cover, the insurer will pay a set portion of the cost. The patient is still fully liable for the bill and will need to claim from the insurance to pay the hospital.
➡️ As always, pre-authorisation is required before going into the hospital. Affinity Health has a 24-hour hospital pre-authorisation line.
Affinity Health Contact Details
1 Dingler Street, Rynfield, Benoni 1501
Call Centre: 0861 11 00 33
WhatsApp: 079 479 3230
Email: [email protected]
👉 In 1936, Fedhealth was created to meet the medical requirements of the South African public. They have remained consistent in their goal of providing high-quality healthcare at affordable prices.
👉 Fedhealth is a member-owned cooperative that strives to better meet the needs of its consumers by adapting to the ever-changing healthcare market.
👉 Because individualization is fundamental to Fedhealth, you, the member, may have a say in how your medical aid is structured. Fedhealth places its members’ interests ahead of all others because it is a membership-based organisation.
👉 As a result of the Scheme’s solid financial status, it has been able to maintain its AA- Global Credit Rating for the past 14 years and to save more than 25% as a reserve for its members.
👉 Fedhealth’s distinctive Risk-based rewards maximise the value of its members’ benefits.
👉 You can see any doctor in the network as often as you like without incurring any additional costs, and you can get a free upgrade at any time of year within 30 days of a significant life event.
Fedhealth Medical Aid Option Plans Suitable for Children
👉 A number of Fedhealth’s plans are well-suited to children. For children to get the most of their benefits, these plans offer a variety of benefits.
Fedhealth Medical Aid Plans
👉 There are three plans available through Fedhealth that are tailored to families with children of varying ages. Monthly payments are between R1,900 and R2,800.
👉 To clarify, the FlexiFED 2 plan is geared at individuals who are just starting a family, while the FlexiFED 3 plan is designed for those who already have young children. Fedhealth designed FlexiFED 4 for families with school-aged children and up.
👉 The advantages provided by the three options are equivalent. The MediVault is a similar feature available across all FlexiFED plans, but with FlexiFED 3 and 4, you have access to greater emergency cash in the event of unforeseen medical expenses. The Threshold Benefit is also available through FlexiFED 4.
👉 These plans pay for all of your family’s medical care at hospitals and clinics in the Fedhealth network. Immunizations for children are free for the first twelve years of their lives. Each member of a household is eligible for one annual flu shot.
How Much Are Fedhealth Medical Scheme Monthly Premiums?
What Is the Waiting Period for Fedhealth Benefits?
👉 The general waiting period for Fedhealth benefits are usually three months, depending on the medical aid scheme you join. The waiting period for pre-existing conditions is 12 months.
👉 Read more about FedHealth Medical Aid late joiner penalty
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
Flora Centre Shop 21 and 22
Corner Conrad street and Ontdekkers Rd
Phone: 0861 116 016
👉 Almost a million people in South Africa are members of BestMed, making it one of the largest independent medical aid schemes in the country.
👉 BestMed is committed to maintaining a firm that is sizable enough to have a meaningful impact on the lives of the individuals they serve, yet compact enough to know the names of those served and to respond rapidly to consumer feedback.
👉 BestMed is based on the premise that people’s healthcare needs vary substantially depending on factors such as age, marital status, family size, health, preferences, and financial means. BestMed offers three primary care plans, each with its own set of features and coverage options.
👉 BestMed offers several plans, from those covering only hospitalisation to those covering virtually every medical expense imaginable.
BestMed Medical Aid Option Plans Suitable for Children
👉 A number of BestMed’s plans are well-suited to children. For children to get the most out of their benefits, these plans offer a variety of benefits.
👉 By professional guidance and motivation, the BestMed Tempo wellness programme enables you to make healthy lifestyle choices.
👉 In order to enrol in BestMed Tempo’s wellness benefits, only one adult member of the household needs to conduct a health evaluation at a partner pharmacy. Your children will reap the benefits, which include:
➡️ 3 nurse consultations for babies under 35 months old
➡️ 1 functional assessment with an occupational therapist for your child, aged 4-12 years
➡️ 1 health assessment with a biokineticist for children 13-20 years old
👉 Children may also gain from the wellness program’s nutritional assessment, in addition to the aforementioned advantages.
👉 BestMed provides excellent health and wellness benefits, including free coverage for up to four dependent children.
👉 In addition, according to the Scheme Rules, children who are dependents and are under the age of 21 or who are enrolled as full-time students and will remain so until they reach the age of 26 are considered children who are dependents.
READ more about the 5 Best Hospital Plans for Babies in South Africa
How Much Are BestMed Medical Aid Monthly Premiums?
👉 At the time of writing, monthly premiums for the cheapest BestMed Beat1 Network Hospital Plan started at R1 710 for a member, with an additional R1 329 for an adult dependant and R720 for a child dependant, to a maximum of 3 child dependants. Additional children join at no additional cost.
👉 The most expensive plan at the time was the Pace4 Comprehensive Plan, with monthly contributions of R9 411 per member and R9 411 per adult dependant. For a child dependant, the extra contribution was R2 205, up to 3 child dependants with additional children added as beneficiaries of the scheme at no extra cost.
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.
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
BestMed Medical Scheme,
Glenfield Office Park
361 Oberon Avenue
PO Box 2297
Phone: +27 (0)86 000 2378
Discover more about Gap Cover below R1500 per month
Can I get medical aid for children only in South Africa?
Currently, children can only be added as dependents to a medical scheme in South Africa – with one or two exceptions. A person needs to be over the age of 18 to be eligible for their own medical aid.
What happens to my child’s medical aid if the primary member dies?
When a parent or legal guardian passes away, the child’s membership often ends unless there are sufficient funds in the estate to maintain it.
Who qualifies as a dependent for medical aid?
Qualifying dependents for medical aid include a life partner or spouse from a traditional marriage; a former spouse if such condition forms part of a legal divorce agreement; children under 21 years of age; children over 21 years of age that are dependant on the member as a result of a physical or mental disability.
How old must a child dependent be?
Your child must pass either the qualifying child test or the qualifying relative test in order for you to claim him or her as a dependent: For the purposes of this rule, a “qualifying child” is defined as a child who is younger than the parent and who is either under the age of 21.
Can a child be on both parents’ medical aid?
Parents who are divorcing can agree to enrol their children in a medical aid plan in which one of the parents is the primary member. Then, the dependent can receive support from both sets of parents. In certain cases, this may not be ideal, but it beats the alternative of not providing any medical coverage at all for the kids.