Hippo Partners - Bestmed

Bestmed

Bestmed provides cover for approximately 200 000 lives and offers a choice of 13 different plan options. Premiums for a single member range from R1372 to R6608 and Pace 1 is the most popular option. The Beat Network range uses a network of hospitals which helps reduce premiums.

Preventative care benefits are offered on all plan options. 

Options:

Pace 4
Pace 4 is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Day to day claims are subject to defined annual limits and savings. 

Pace 3
Pace 3 is suited for individuals and families requiring additional medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Day to day claims are subject to defined annual limits and savings. 

Pace 2
Pace 2 is suitable for young families and individuals. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Day to day claims are payable from savings with some additional benefits available once savings have been exhausted. Optometry benefits are paid from risk.

Pace 1
Pace 1 is suitable for young families and individuals. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. A short list of in-hospital exclusions applies to this option. Day to day claims are payable from savings with some additional benefits available once savings have been exhausted. Optometry benefits are paid from risk.

Pulse 2
Pulse 2 is ideal for individuals who are willing to use network providers for all healthcare services.  It offers unlimited hospital cover through a network of hospitals, with in-hospital specialist bills paid at 100%.

Pulse 1
Pulse 1 is suitable for individuals who are willing to use network providers for all healthcare services.  Co-payments are applied to specialized radiology and / or scopes and a few other procedures. A short list of in-hospital exclusions applies to this option. All treatments are subject to provider network protocols.

Beat 4
Beat 4 is suitable for young families and individuals. It offers unlimited hospital cover at a hospital of choice with in-hospital specialist bills paid at 100%. Day to day claims paid from savings and once depleted from scheme risk. Optometry benefits are paid from risk.

Beat 3 & Beat 3 Network
Beat 3 is suitable for young families and individuals. It offers unlimited hospital cover at a hospital of choice or if selecting the Beat 3 Network through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialized radiology and / or scopes and a short list of in-hospital exclusions applies to this option. Day to day claims paid from savings with optometry benefits paid from risk.

Beat 2 & Beat 2 Network
Beat 2 is suitable for young, healthy families and individuals. It offers unlimited hospital cover at a hospital of choice or if selecting the Beat 2 Network through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialized radiology and / or scopes and a short list of in-hospital exclusions applies to this option. Day to day claims paid from savings.

Beat 1 & Beat 1 Network
This hospital plan is suitable for young and healthy individuals. It offers unlimited hospital cover at a hospital of choice or if selecting the Beat 1 Network through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialized radiology and / or scopes and a short list of in-hospital exclusions applies to this option. Apart from some preventative care benefits no other cover for day to day claims is provided. 


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