2026 Rules Active
2026 Validated
Comprehensive Diabetes Management with Insulin Pump and CGM Cover
Actuarial Objective
For individuals with Type 1 Diabetes who require advanced technology like an insulin pump and Continuous Glucose Monitoring (CGM). Pace4 provides specific, high-value benefits for these devices from the risk pool.
Running Actuarial Simulation...
More Plan Options
Save R63 pm
Bonitas
BonComprehensive
Strategy: BonComprehensive Senior 61 Chronic + Full Hospital Choice
Upgrade for +R3897 pm
Momentum
Summit
Strategy: Summit Full Choice (Specialist funding focus)
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.
People Also Ask
What is the 2026 monthly cost for the Main Member on Bestmed Pace 4?
The monthly contribution for a Main Member in 2026 is R12,572.
Is there a co-payment for MRI scans on Pace 4?
Yes, there is a R1,500 co-payment per scan, unless it is a confirmed PMB condition.
Does Bestmed Pace 4 restrict me to a specific hospital network?
No, you can use any hospital, but day procedures should be done in a Day Hospital to avoid a R2,872 co-payment.
What is the annual limit for internal prosthesis like hip replacements?
The overall family limit for internal prosthesis is R170,081 per year, with specific sub-limits for joints (e.g., R88,120 for knees).
Are contraceptives covered on this plan?
Yes, oral/injectable contraceptives are covered up to R2,801 per beneficiary per year, or IUDs up to R4,225 every 5 years.
How much medical savings do I get per year?
For a single member, the annual Medical Savings Account allocation is R4,524 (R377 per month).
Is there a separate benefit for casualty or emergency room visits?
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).
Does the plan cover chronic conditions beyond the basic 27 PMBs?
Yes, Bestmed Pace 4 covers 56 chronic conditions in total (27 CDL + 29 Non-CDL conditions).