Bestmed has announced changes to its benefits plan for 2027, which include an average weighted contribution increase of 7.35% and an expansion of preventive healthcare coverage for members.
The medical scheme stated that these changes are due to member feedback, as well as rising healthcare and living expenses. Leo Dlamini, CEO and Chief Officer of Bestmed Medical Scheme, noted that households in South Africa continue to face pressure from the rising cost of living amid the downturn in global and local economic processes, which affects family finances.
He added that healthcare is a key element of this financial equation. Therefore, the scheme's approach for 2027 involved studying stakeholder feedback and making changes that provide greater choice, strengthen preventive care, and deliver more value while protecting the Scheme's long-term sustainability.
New Best Bucks Benefit
A new benefit called Best Bucks is being introduced, which will provide eligible members with R1000 per family after completing the Tempo lifestyle screenings. These funds can be used to pay for suitable consultations, radiology, and pathology before claims are paid from medical savings or other daily benefits.
Bestmed stated that this benefit aims to motivate members to undergo medical check-ups while providing additional funding for specific medical expenses. Furthermore, in 2027, the scheme is implementing several changes in preventive care.
These changes include coverage for respiratory syncytial virus (RSV) antibodies for infants across all options, pediatric vaccinations under Beat1, and a monthly maternity supplement of R151 under Beat2. Members in the Beat, Pace, and Rhythm2 ranges will have access to two postnatal consultations. Women over 45 in the Pace 1 range will also be able to undergo bone density screening every 24 months.
Bestmed clarified that HPV vaccination will also be extended to men. Infants born between January and May will also receive RSV protection during the infection season. The scheme reported that these preventive care benefits will be funded from the risk pool, according to the rules of the respective benefit option, and not from member savings or daily allowances.
The company noted that the 2027 offering is built on a strong position, as the Scheme continues to grow, maintaining a stable risk profile and a high solvency ratio of 37.3%, significantly exceeding the statutory minimum of 25%.