2026 Rules Active
2026 Validated
Diagnostics are funded—until they aren’t.
Actuarial Objective
Optimises imaging pathway for members likely to need advanced radiology and must incorporate non-PMB co-payment rules into expected cost.
Running Actuarial Simulation...
More Plan Options
Save R219 pm
Sizwe Hosmed
Gold Ascend EDO
Strategy: Gold Ascend "EDO": Network Hospital Price Leverage
Upgrade for +R-3823 pm
Momentum
Ingwe Option
Strategy: Ingwe Starter (Connect Network + State day-to-day)
Key Terms for this Strategy
- PMB (Prescribed Minimum Benefits)
- By law, this plan must cover the costs of 27 specific chronic conditions and emergency treatments, even though it is a basic Hospital Plan.
People Also Ask
Why is Gold Ascend recommended for Diagnostics?
Imaging expected cost includes plan limit-sharing plus an additional non-PMB MRI/CT co-pay percentage where applicable.
What happens if I use a non-network hospital?
Nothing. This plan allows you to use any private hospital in South Africa without penalty.
Is maternity covered on this plan?
Yes. It includes a separate 'Risk Benefit' for 10 antenatal visits and 2 ultrasounds, so you don't use your savings.