Optical care cover across SA medical schemes (2026)
Here is how cover for optical care compares across major South African medical schemes for 2026. Each figure is published only once confirmed against that scheme's official benefit schedule; unverified figures are marked pending. Always confirm with your scheme before proceeding.
Discovery Health
| Plan | Indicative limit | Co-pay | Status | |
|---|---|---|---|---|
| Executive | Pending | — | Pending verification | View → |
| Classic Comprehensive | Pending | — | Pending verification | View → |
| Comprehensive | Pending | — | Pending verification | View → |
| Priority | Pending | — | Pending verification | View → |
| Saver | Pending | — | Pending verification | View → |
| Smart | Pending | — | Pending verification | View → |
| Core | Pending | — | Pending verification | View → |
| KeyCare | Pending | — | Pending verification | View → |
Momentum Medical Scheme
Bonitas
Bestmed
| Plan | Indicative limit | Co-pay | Status | |
|---|---|---|---|---|
| Beat 1 | Pending | — | Pending verification | View → |
| Beat 2 | Pending | — | Pending verification | View → |
| Beat 3 | Pending | — | Pending verification | View → |
| Beat 4 | Pending | — | Pending verification | View → |
| Pace 1 | Pending | — | Pending verification | View → |
| Pace 2 | Pending | — | Pending verification | View → |
| Pace 3 | Pending | — | Pending verification | View → |
| Pace 4 | Pending | — | Pending verification | View → |
Medihelp
Frequently asked questions
Which medical schemes cover optical care in South Africa?
Most major schemes — including Discovery Health, Momentum, Bonitas, Bestmed and Medihelp — provide some cover for optical care under a Optical / vision benefit, subject to plan rules, limits and (where applicable) pre-authorisation.
How much do medical aids pay towards optical care?
It varies by scheme and plan. CoveredMed publishes each scheme's indicative figure only once confirmed against the official 2026 schedule — see the table above and the per-plan pages.
Compare other benefits
General information only — not medical or financial advice.
Figures are indicative and may be out of date. Confirm directly with your scheme.