Products & Benefits

Our Products and Benefits are Developed and Designed with You in Mind

How dependable are we?


• Hosmed has been in existence for over 30 years • Solvency ratio of 32.4% as at 31 December 2018 • Low pensioner ratio of 4.9% as at 31 December 2018 • The average size of families on the Scheme is 2.7% • Average number of beneficiaries is 61739 • Sustained Global Credit Rating of A- for the past 5 years • Non-Healthcare Expenditure maintained below 10%




Enhancements to Products and Benefits introduced in 2020


• Introduction of an Efficiency Discount Option (Value Core) • Rand sub limits increased by 5% across all options • Essential Option Income bands expanded • Reference to State Hospitals as DSP removed on all options • Sterilisation limit increased to R16 000 on Plus, Value and Access • Vasectomy co-payment on all options removed • Insulin pump benefit on all options moved to the appliances benefit • Hyperbaric Oxygen Therapy removed from the exclusion list on all options • 30% co-payment on accommodation, medicines, consultations and procedures for back surgery removed on Plus and Value • Limits for medication for age related macular degeneration on all options removed • Introduction of conscious sedation for children up to the age of 12 for basic dentistry on all options • Introduction of implants benefit of R15000 per family every 5 years for Plus and Value • Per beneficiary limit for contraceptives removed on Plus and Value • Mothers qualify for the BAMBINO maternity bag at 24 weeks of pregnancy





Summary of All Benefits