CompCare Medical Scheme · CompCare Medical Scheme Plans
Unlimited.Specialists paid at 150% of the scheme rate (excluding dental treatment) and GPs paid at 100% of scheme rate.
Covered up to 100% of scheme rate.First paid from AFB, SPG and then ATB once Annual Threshold is reached.Children <6 years have unlimited GP visits.
Covered 150% of scheme rate.Paid from AFB, SPG and then ATB.Accumulates to Annual Threshold at 100% of Scheme tariff.Referral by GP is required, and pre-authorisation required to avoid 35% co-payment.
Covered 100% of scheme rate.Subject to AFB and SPG.Limited to R6 700 PB and subject to available AFB.ATB: No benefits.
Covered 100% of reference price.First paid from AFB. The Scheme will cover costs once AFB is depleted.DSP pharmacies only.Subject to formularies, protocols and pre-authorisation.25% co-payment for non-formulary medicine, and use of non-DSP.
Covered 100% of reference price.47 non-CDL conditions.First paid from available AFB and SPG.Cover Unlimited.DSP pharmacies only.Subject to formularies, protocols and pre-authorisation.25% co-payment for non-formulary medicine, and use of non-DSP.Cover also provided for the 27 listed CDL conditions.
Effective from January 2026
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