2026 Rules Active
2026 Strategy Validated
Sizwe Access Core: Young DSP Starter
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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
- Network Restriction
- You must use hospitals and doctors listed in the scheme's specific network. Voluntary use of non-network providers will result in a heavy co-payment. [Source: Council for Medical Schemes Official Benefit Rules]
- Medical Savings Account (MSA)
- A fund of R14,507 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
Why is Value Platinum Core the best match for Access "Core": Young DSP Hospital Starter?
Value comes from accepting DSP-only PMB coverage and avoiding voluntary non-DSP usage penalties. (Verified via Actuarial Strategy Logic 2026) [Strategy: ter-2026]
What are the hospital rules for Access "Core": Young DSP Hospital Starter on Value Platinum Core?
Access "Core": Young DSP Hospital Starter must use network hospitals. Non-network admissions incur a co-payment of approximately RFull Cost unless it is a life-threatening emergency. (Verified via Actuarial Strategy Logic 2026)
Does Value Platinum Core cover maternity for Hospital plan (entry) members?
Yes. Access "Core": Young DSP Hospital Starter receives a separate 'Risk Benefit' covering 10 antenatal visits. (Verified via Actuarial Strategy Logic 2026)
Access "Core": Young DSP Hospital Starter strategy verified
Covering 0 family members
2026 rates applied