Cover for planned and emergency hospital stays, procedures and specialist care in hospital — without day-to-day cover for GP visits or medication.
Comprehensive cover for hospital admissions, theatre fees, and specialist care while admitted.
Emergency medical transport and casualty ward cover included, even for accidental injury.
All Prescribed Minimum Benefit conditions are covered by law, regardless of option.
| Benefit | Detail |
|---|---|
| Monthly contribution (principal member) | R1,450 |
| Monthly contribution (adult dependant) | R1,180 |
| Monthly contribution (child dependant) | R365 |
| Annual hospital limit | Unlimited, subject to scheme rules and network hospitals |
| Day-to-day cover | Not included — add the GP network option separately |
No — the Hospital Plan covers in-hospital care only; day-to-day GP and medication cover can be added via the optional network add-on.
Yes, subject to standard scheme underwriting and any late-joiner penalties under the Medical Schemes Act.
PMBs are a legally mandated set of conditions every medical scheme option must cover in full, regardless of which option you choose.
An adviser at Mzansi Advisors can compare this against the Comprehensive option based on your health needs — at no extra cost.
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