2026 Rules Active
2026 Validated
When specialised non-cancer drugs are the cost centre.
Actuarial Objective
Optimises for members needing non-cancer specialised drugs/biologicals under the stated annual per-beneficiary limit.
Running Actuarial Simulation...
More Plan Options
Save R265 pm
Momentum
Extender Option
Strategy: Extender Family (Threshold activator)
Upgrade for +R536 pm
Fedhealth
maxima EXEC
Strategy: maxima EXEC 10% Co-Pay Threshold Acceptor
Key Terms for this Strategy
- Medical Savings Account (MSA)
- A fund of R29,295 included in your premium. You use this for day-to-day expenses like GP visits and scripts.
People Also Ask
Why is Titanium Executive recommended for Specialised drugs?
Key 'constraint': biologic funding is limited per beneficiary per year; strategy is to keep regimen within cap and avoid non-formulary drift.
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.