2026 Rules Active
2026 Strategy Validated
maxima EXEC: R643K Oncology Family Cover
maxima EXEC Core Oncology Protocol Family strategy verified
Covering 3 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 R12,528 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]
- Elective Procedure Co-payment
- A mandatory upfront fee you must pay to the hospital for specific scheduled surgeries that are not emergencies. [Source: Council for Medical Schemes Official Benefit Rules]
Common Questions
Why is maxima EXEC the best match for maxima EXEC Core Oncology Protocol Family?
Family R12,273(M) + R10,653(A) + R3,792(C) + R3,792(C) = R30,510/month vs R42,123 on maxima PLUS (saves R139,356/year). Oncology R643,340 limit with ICON Core protocols (more restrictive than Enhanced). Bone marrow transplant R643,340 (vs unlimited PLUS), renal dialysis R643,340 at cost at PMB (vs unlimited PLUS). R200,630 specialized drugs limit (vs R402,500 PLUS). (Verified via Actuarial Strategy Logic 2026) [Strategy: ily-2026]
What are the hospital rules for maxima EXEC Core Oncology Protocol Family on maxima EXEC?
maxima EXEC Core Oncology Protocol Family can use any private hospital in South Africa without penalty on this plan. (Verified via Actuarial Strategy Logic 2026)
Does maxima EXEC cover maternity for Oncology Budget Constraint members?
Yes. maxima EXEC Core Oncology Protocol Family receives a separate 'Risk Benefit' covering 12 antenatal visits. (Verified via Actuarial Strategy Logic 2026)