2026 Rules Active
2026 Validated
OHEB + Savings + Threshold for Mature Members
Actuarial Objective
Mature members (50+) strategically cycling through 3 benefit pools: OHEB R10,630(M) exhausts first, then Savings R7,728(M), then threshold R23,400(M) unlocks unlimited
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More Plan Options
Save R2924 pm
Momentum
Summit
Strategy: Summit Full Choice (Specialist funding focus)
Market Ceiling
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Key Terms for this Strategy
- Medical Savings Account (MSA)
- A fund of R7,728 included in your premium. You use this for day-to-day expenses like GP visits and scripts.
- Elective Procedure Co-payment
- A mandatory upfront fee you must pay to the hospital for specific scheduled surgeries (like hip/knee replacements) that are not emergencies.
People Also Ask
Does this plan have a limit on cancer treatment?
No, oncology is covered unlimited at a preferred provider (ICON). If you use a non-preferred provider, you are covered up to the Fedhealth Rate.
How many chronic conditions are covered?
You are covered for 85 chronic conditions (27 CDL + 58 additional conditions).
What happens if I use a non-network hospital?
You can use any private hospital. There is no specific network restriction for general admissions.
Is there a co-payment for MRI scans?
Yes, a co-payment of R3,050 applies to non-PMB MRI and CT scans.
Do I have an Out-of-Hospital Expenses Benefit (OHEB)?
Yes, in addition to your Savings (R7,728), you have an OHEB of R10,630 per year for day-to-day expenses.