F L E X I C A R E C O M P E T I TO R C O M PA R I S O N S

1
FLEXICARE COMPETITOR LANDSCAPE

Kaelo Unity Health Momentum Health4Me Affinity Health EssentialMed

Primary Healthcare Benefits FLEXICARE Stratum
MyHealth Plus Plan C Gold Chrome Green

Unlimited, auth required Subject to limits, auth Unlimited, auth required Unlimited, auth required Unlimited, auth required Unlimited, auth required
Unlimited GP visits Subject to limits
after 10th visit required after 5th visit after 10th visit after 5th visit after 10th visit after 5th visit

Medical procedures performed in

      
network GP rooms

Virtual GP consultation       

Day-to-day prescribed medication       

R420 per person R420 per person R300 per person per 
Over the counter medicine    No specific amount
per year per year year
provided

Basic pathology and radiology       

Basic dentistry       

Basic optometry       

R1,920 per R1,275 per visit/ R1,920 per event,

R1 000 per visit/ R1,275 per visit/R2,650
Specialist benefit  person/R3,850 R2,650 per family per  limited to R3,850
R2 000 per family per per family per year
per family per year year per year
year



Nurse consultations  auth required after 10th    
Limits apply
visit

2
FLEXICARE COMPETITOR LANDSCAPE

Benefits
FLEXICARE Kaelo Unity Health Momentum Health4Me Affinity Health
Stratum
EssentialMed
PLUS MyHealth Plus Plan C Gold Chrome Green
     
Chronic medication 
27 conditions 27 conditions 27 conditions 26 conditions 27 conditions 24 conditions
Chronic

 
HIV management     Limited to R350 pm/  Limited to R500 pm/
R4,200 per year R6 000 per year
2 gynaecologist visits, 2 2 gynaecologist visits, 2
Maternity

GP visit, 2 2D scans, 2 2D scans, blood

GP visits, 2 2D scans, GP visits, 2 2D scans, 2D scans, limited to 2D scans, limited to
Maternity blood tests, vitamins, 2 2D scans
blood tests, medication blood tests, medication R3,250 per family per tests, virtual consults R3,250 per family per
home check-up
year year

Annual flu vaccine       

COVID-19 diagnosis and treatment       

Ancillary

Up to R15,000 when
R15,000 per main
Accidental death cover R16,600 per person R20,000 per person optional emergency   
member and spouse
benefit selected
Optional add on, up to Optional add on Optional add on
R15,000 per main
Funeral cover R5000 per policy   R10,000 – R30,000 per  R10,000 – R30,000 per
member only
holder* main member* main member*
when optional When accident and When accident and When accident and
Ambulance services   emergency benefit emergency cover  emergency cover emergency cover
selected selected selected selected
R6,500 per event, when Up to R30,000 when Optional add on
Casualty R18,750 per event R18,750 per event optional benefit emergency benefit  R6,500 per event R4,000 – R6,000 per
Emergency

selected selected person per year

Optional add on
Up to R1.2 million cover R150,000 –
Optional add on R350,000 per Optional add on R175,000 per
when optional Optional add on R400,000 per
Emergency Trauma Benefit R370,000/R1 million admission R200,000/R1m per person/R225,000 per
emergency benefit R1.2m per event person/R300,000 –
per admission (buy up option R1.5m) admission family
selected R800,000 per family
per year

*Spouse and dependents receive cover on a sliding scale 3

FLEXICARE COMPETITOR LANDSCAPE

Benefits
FLEXICARE Kaelo Unity Health Momentum Health4Me Affinity Health
Stratum
EssentialMed
PLUS MyHealth Plus Plan C Gold Chrome Green

Wellness screening As part of an employee      
Health & Wellness

wellness day

Employee Support Legal and Financial      
support

R180 voucher per

Prepaid Health Voucher      
person

*Spouse and dependents receive cover on a sliding scale 4

FLEXICARE COMPETITOR LANDSCAPE

R500.00
R469.00

R450.00

R400.00 R386.00 R390.00

R350.00
R350.00
R320.00

R294.00
R300.00

R250.00

R200.00

R150.00

R100.00

R50.00

R-
Health4me Gold Flexicare Unity Health Plan C EssentialMed Green Stratum Affinity Chrome

*Pricing is indicative and not reflective of individual employer group discounts. Pricing excludes any additional ‘add-on’ benefits such as a Trauma Benefit or Funeral cover. No indicative pricing was available for Kaelo MyHealth. 5