CompCare Medical Scheme
CM

CompCare Medical Scheme · CompCare Medical Scheme Plans

CompCare ExecuCare Plus Medical Aid Plan

standard tier

Antenatal visits with a GP, specialist or midwife.

100% of scheme rate.12 antenatal visits.

General Practitioner (GPs) Consultations

Covered 100% of scheme rate.First paid from AFB, SPG and then ATB once Annual Threshold is reached.

Specialist Consultations

Covered 150% of scheme rate.Paid from AFB, SPG and then from ATB.Accumulates to Annual Threshold at 100% of Scheme tariff.Referral by GP required, and pre-authorisation required to avoid 35% co-payment.

Chronic Medicine

Covered 100% of reference price.First paid from AFB. The Scheme will cover the costs once AFB is depleted.Subject to formularies, protocols and pre-authorisation.25% co-payment for non-formulary medicine, and use of non-DSP.

Medicine for non-CDL conditions

Covered 100% of reference price.47 non-CDL conditions.First paid from available AFB and SPG.Cover Unlimited.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.

Monthly Premiums

family
R880
family
R880

Effective from January 2026

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