Your Scheme

Select your medical scheme and plan to see what your benefits look like — and what to watch out for.

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Select your scheme above to see your prosthetic benefits and PMB entitlements.

External Limb Benefit Limits — Confirmed Figures Across Schemes

Standard benefit limits for external prosthetic limbs (pre-PMB). Figures shown are per the plan indicated. PMB coverage is legally unlimited across all schemes — this chart shows the standard benefit only. Discovery and Medihelp do not publish a hard external limb rand limit, so no comparable figure is shown for them below.

External Prosthetic Limb Standard Benefit (Rand)
GEMS Onyx
R72,489
Bonitas Std
R57,630 (combined)
GEMS Ruby
R53,663
Bestmed Pace 1
R28,998 (ext.)
Momentum Inc.
R29,400
Fedhealth Exec
R19,300
Discovery
No Hard Limits Published
Medihelp
No Hard Limits Published

⚠️ A basic below-knee prosthetic system (socket + liner + foot) costs approximately R80,000–R150,000. A microprocessor knee runs R200,000–R400,000+. Standard benefits cover a fraction of actual costs. The PMB pathway and alternative funding are therefore not optional extras — for most amputees, they are the primary route.