Medical Aid Plans
Medical Aid for Small Business Owners & Entrepreneurs
Small business owners and entrepreneurs face unique healthcare challenges, balancing personal medical needs while ensuring their employees have affordable, quality medical cover.

According to Statistics South Africa, over 2.6 million small businesses operate in the country, with many owners self-funding medical expenses due to lack of employer-provided health benefits. A private GP visit can cost R450 – R800, while an emergency hospital admission can exceed R15,000 without cover.
Investing in the right medical aid plan helps business owners and startups protect their health, avoid financial strain, and access tax benefits. This guide compares the best medical aid options for small businesses, focusing on affordability, hospital coverage, and scalable benefits.
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5 Best Medical Aid Providers for Small Business Owners
Provider | Plan Name | Monthly Premium (2024) | Hospital Coverage | Day-to-Day Benefits | Gap Cover Availability |
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Discovery Health | Essential Smart | ±R2,250 | Private hospitals, some network restrictions | GP visits, chronic meds, limited specialist cover | Available |
Bonitas | BonSave | ±R2,900 | Private hospital cover, network hospitals | Limited specialist visits, preventive screenings | Available |
Momentum Health | Evolve Plan | ±R1,950 | Network hospital cover, emergency services | Day-to-day cover via HealthSaver | Optional |
Fedhealth | FlexiFed 2 | ±R2,350 | Private hospitals, flexible savings | GP visits, dentistry, optometry | Available |
Medihelp | MedVital | ±R2,200 | Private & network hospitals | GP consultations, basic dentistry, prescribed medicine | Available |
Note: Pricing is an estimate for 2025 and varies based on age, dependents, and business size. Always check provider websites for the latest pricing and benefits.
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Discovery Health Essential Smart
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Bonitas BonSave
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Momentum Health Evolve Plan
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Fedhealth FlexiFed 2
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Medihelp – MedVital
- Best for: Cancer patients needing structured oncology care with specialized support.
- Hospital Coverage: Covers private and network hospitals with dedicated oncology units.
- Oncology Benefits: Includes chemotherapy, radiation, surgery, and pain management.
- Extras: Provides case-managed oncology support, ensuring access to cancer specialists and genetic testing.
- Gap Cover: Available – ensures full cover for additional oncology-related expenses.
Best for: Private school teachers needing private hospital cover and extensive mental health support.
- Hospital Coverage: Covers private hospitals with no annual limit, offering security for unforeseen medical emergencies.
- Day-to-Day Benefits: Includes GP visits, chronic medication, and therapy sessions (essential for stress-related conditions).
- Extras: Covers specialist ENT consultations, making it ideal for teachers who suffer from vocal cord strain.
- Gap Cover: Available – recommended for full coverage of high-cost hospital procedures.
- Best for: Patients needing palliative care and alternative treatments.
- Hospital Coverage: Covers private hospitals with full access to oncologists and specialists.
- Oncology Benefits: Covers chemotherapy, radiation, targeted therapy, and palliative care.
- Extras: Provides cover for alternative therapies and integrative medicine options.
- Gap Cover: Available – protects against unexpected hospital and treatment costs.
- Best for: Patients needing international cancer treatment access.
- Hospital Coverage: Covers private and international hospitals (selected plans).
- Oncology Benefits: Includes chemotherapy, radiation, and experimental treatments abroad.
- Extras: Provides oncology concierge services, ensuring patients receive personalized treatment pathways.
- Gap Cover: Available – particularly beneficial for overseas treatments.
- Best for: Affordable oncology coverage with a focus on essential cancer treatments.
- Hospital Coverage: Covers private and network hospitals with dedicated oncology units.
- Oncology Benefits: Covers chemotherapy, radiation, and biological therapy for approved cancer types.
- Extras: Includes post-cancer rehabilitation and mental health support.
- Gap Cover: Available – ensures coverage of specialist fees and additional treatments.
Key Considerations for Small Business Owners Choosing Medical Aid
Affordability vs. Benefits:
- Choose a plan that balances low monthly premiums with comprehensive medical cover.
Hospital & Day-to-Day Coverage:
- Private hospital access is crucial for entrepreneurs who can’t afford long public hospital waits.
Business Scalability:
- If adding employees to medical cover, look for flexible group discounts.
Tax Benefits:
- Medical aid contributions are tax-deductible for businesses, reducing overall costs.
Gap Cover:
- Protects against unexpected hospital and specialist costs not covered by medical aid.
Can small business owners get group medical aid plans?
Yes! Some medical aid providers offer group discounts for businesses enrolling multiple employees.
What are the tax benefits of offering medical aid to employees?
Discovery Classic Smart and Medihelp MedVital include mental health support, but always check coverage details for therapy and consultations.
Should I get gap cover as a business owner?
Yes. Gap cover helps protect against high specialist or hospital bills not fully covered by medical aid.
What is the best low-cost medical aid plan for entrepreneurs?
Momentum Evolve (±R1,950/month) is one of the most affordable options with network hospital access.
Conclusion Summary
With over 2.6 million small businesses in South Africa, having the right medical aid is crucial for protecting business owners from high medical costs. A private hospital stay can exceed R20,000, making medical aid a vital investment for entrepreneurs.
For affordable coverage, the Momentum Evolve Plan is a great entry-level option, while Fedhealth FlexiFed 2 and Bonitas BonSave offer private hospital access with savings options.
Choosing the right small business medical aid ensures financial protection, access to quality healthcare, and potential tax benefits. Always compare plans and visit provider websites for updated pricing and terms.
