2026 Rules Active
2026 Strategy Validated
Insulin Pump & CGM Technology Cover
Type 1 Diabetes Patient Leveraging Technology Benefits strategy verified
Covering 0 family members
2026 rates applied
Compare Alternatives
Actuarial Strategy Reference
This strategy is generated based on the 2026 Council for Medical Schemes (CMS) registered rules and actuarial pricing matrices.
VERIFIED: 2025-12-20 | SOURCE: SCHEME_BENEFIT_GUIDE_2026
Similar Situations
Key Terms Explained
Key Terms for this Strategy
- Medical Savings Account (MSA)
- A fund of R4,524 included in your premium. You use this for day-to-day expenses like GP visits and scripts. [Source: Council for Medical Schemes Official Benefit Rules]
Common Questions
What is the 2026 monthly cost for the Main Member on Bestmed Pace 4? [Type 1 Diabetes Patient Leveraging Technology Benefits]
The monthly contribution for a Main Member in 2026 is R12,572. Strategy reference: ing-2026.
Is there a co-payment for MRI scans on Pace 4? [Type 1 Diabetes Patient Leveraging Technology Benefits]
Yes, there is a R1,500 co-payment per scan, unless it is a confirmed PMB condition. Strategy reference: ing-2026.
Does Bestmed Pace 4 restrict me to a specific hospital network? [Type 1 Diabetes Patient Leveraging Technology Benefits]
No, you can use any hospital, but day procedures should be done in a Day Hospital to avoid a R2,872 co-payment. Strategy reference: ing-2026.
What is the annual limit for internal prosthesis like hip replacements? [Type 1 Diabetes Patient Leveraging Technology Benefits]
The overall family limit for internal prosthesis is R170,081 per year, with specific sub-limits for joints (e.g., R88,120 for knees). Strategy reference: ing-2026.
Are contraceptives covered on this plan? [Type 1 Diabetes Patient Leveraging Technology Benefits]
Yes, oral/injectable contraceptives are covered up to R2,801 per beneficiary per year, or IUDs up to R4,225 every 5 years. Strategy reference: ing-2026.
How much medical savings do I get per year? [Type 1 Diabetes Patient Leveraging Technology Benefits]
For a single member, the annual Medical Savings Account allocation is R4,524 (R377 per month). Strategy reference: ing-2026.
Is there a separate benefit for casualty or emergency room visits? [Type 1 Diabetes Patient Leveraging Technology Benefits]
No, emergency unit visits are paid from your day-to-day benefits/savings and are subject to the family limit of R7,137 (Member only). Strategy reference: ing-2026.
Does the plan cover chronic conditions beyond the basic 27 PMBs? [Type 1 Diabetes Patient Leveraging Technology Benefits]
Yes, Bestmed Pace 4 covers 56 chronic conditions in total (27 CDL + 29 Non-CDL conditions). Strategy reference: ing-2026.