Dear Valued Employer,
For over 83 years, our Scheme has stood on a foundation of care, trust and service. That promise remains unchanged: we are still here for our members, still caring for them — paying claims faithfully, supporting them and their loved ones through life’s toughest challenges and giving them the security of knowing that quality healthcare is within reach.
We have grown alongside our members, supporting them as their lifestyles and needs have evolved.
- Partnerships for convenience - At Clicks pharmacies, you enjoy free health screenings and free delivery of HIV medication.
- Hospital at Home - Through Quro Medical, eligible members can receive hospital-level care safely at home.
- Personalised support - Our partnership with Linova Health brings home visits and chronic-condition support.
- Prevention and screening - From adult cancer and cholesterol tests to children’s heart, hearing and vision checks.
- Tools and advanced care - Cover for medical appliances, therapy for children and even laser eye surgery on selected options.
- Savings flexibility - Members can use Savings and Accumulated Savings to cover medical expenses and even co-payments.
- Extensive Maternity Care - Up to 10 consultations for pregnant mothers, ensuring the best health for both mum and baby.
These are not just benefits on paper. They’re practical support when you and your loved ones need it most.
Member contributions make all this possible. They secure access to quality care across our provider network, fund benefits that meet changing health needs, allow us to invest in innovative healthcare solutions and safeguard the Scheme’s sustainability for future generations.
To continue offering this level of care in an environment where medical costs continue to rise, a contribution adjustment or increase is necessary, effective November 1, 2025.
The increase reflects our commitment to protecting members and their loved ones. They are necessary to continue our journey of correcting the historical underpricing of our benefits, while ensuring that no further increase will be needed in January 2026.
We want to remind you that, despite these adjustments, our contributions remain below those of many of our peers in the industry, ensuring that our members receive care at affordable rates.
At the same time, we remain focused on restoring the Scheme’s financial health through the implementation of cost-containment measures and improved operational efficiencies.
2026 Benefit Enhancements
We are committed to giving our members more value and support – even in the new year. In line with this commitment, we are pleased to announce a 5% increase in member benefits effective 1 January 2026. This means members will enjoy enhanced access and greater utilisation across all their benefits — from GP and specialist consultations, chronic treatment and medication to hospitalisation, maternity and wellness services.
These improvements help them and their families get even more from their membership, ensuring they receive the care they need, when they need it. We are proud to continue investing in our members’ health and well-being.
Plan | Member | Adult | Child |
| Essential Copper | R3 625 | R3 625 | R1 255 |
| Access Core | R3 161 | R2 726 | R636 |
| Access Saver | R3 911 | R3 378 | R785 |
| Gold Ascend Plan | R4 468 | R4 291 | R1 234 |
| Gold Ascend EDO Plan | R4 249 | R4 077 | R1 171 |
| Value Platinum Plan | R6 696 | R6 287 | R1 834 |
| Value Platinum Core | R6 363 | R6 094 | R1 624 |
| Titanium Executive | R11 737 | R10 385 | R2 399 |
Plan | Member | Adult | Child |
| Essential Copper | R602 | R602 | R209 |
| Access Core | R525 | R453 | R106 |
| Access Saver | R540 | R467 | R109 |
| Gold Ascend Plan | R742 | R713 | R205 |
| Gold Ascend EDO Plan | R706 | R677 | R195 |
| Value Platinum Plan | R1 113 | R1 045 | R306 |
| Value Platinum Core | R1 057 | R1 012 | R271 |
| Titanium Executive | R1 949 | R1 724 | R399 |
SCHEMES | Principal | Adult | Child |
| Titanium Executive Plan | R11 737 | R10 385 | R2 399 |
| Others Of Similar | R12 509 | R11 796 | R2 548 |
OPTION | Principal | Adult | Child |
| Value Platinum Plan | R6 696 | R6 287 | R1 834 |
| Value Platinum Core Plan | R6 363 | R6 094 | R1 624 |
| Others Of Similar | R8 238 | R7 071 | 2 034 |
OPTION | Principal | Adult | Child |
| Gold Ascend Plan | R4 468 | R4 291 | R1 234 |
| Gold Ascend EDO Plan | R4 249 | R4 077 | R1 171 |
| Others Of Similar | R4 047 | R3 059 | R1 211 |
OPTION | Principal | Adult | Child |
| Access Saver | R3 911 | R3 378 | R785 |
| Others Of Similar | R3 588 | R2 807 | R1 141 |
| Others Of Similar | R3 255 | R2 546 | R1 035 |
In conclusion, thank you for trusting us with your healthcare.
We’re still here for you, still caring for you — today and for generations to come.
Yours Sincerely,
Lebogang Mpakati
Provisional Curator
