Medical Aid Plans
Medical Aid for South African Expats Abroad

According to Stats SA, over 900,000 South Africans are living and working abroad, with Australia, the UK, Canada, and the UAE being top destinations. A major concern for expats is access to quality healthcare, especially in countries with expensive private medical systems.
For example, in the United States, an emergency room visit can cost anywhere between $1,500 and $3,000 (R28,000 - R56,000) without insurance. Similarly, in the UK, private healthcare fees for a specialist consultation range from £200 to £500 (R4,800 - R12,000) per visit.
For South Africans working abroad, medical aid or international health insurance is essential to avoid overwhelming medical costs. This guide compares the best medical aid plans for expats, focusing on international coverage, emergency benefits, and network hospitals.
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Comparative Table of Best Medical Aid Providers for Expats
Provider | Plan Name | Monthly Premium (2024) | Hospital Coverage | Day-to-Day Benefits | International Travel Cover |
Discovery Health | Classic Saver | ±R3,450 | Private hospitals, no overall annual limit | GP visits, chronic medication, wellness rewards | Yes (International Travel Benefit) |
Bonitas | BonSave | ±R2,900 | Private hospital cover, network hospitals | Limited specialist visits, preventive screenings | Limited (While in South Africa) |
Momentum Health | Ingwe Plan | ±R1,350 | Network hospital plan, emergency services | Day-to-day cover via HealthSaver | No |
Cigna Global | Silver Plan | ±$150 (±R2,850) | Global private hospitals & emergency care | Specialist visits, chronic care | Yes (Worldwide Coverage) |
Allianz Care | Care Pro Plan | ±$200 (±R3,800) | Full international hospital coverage | Specialist visits, outpatient care | Yes (Comprehensive Global Cover) |
Note: Pricing is an estimate for 2024 and varies based on age, dependents, and country of residence. Always check provider websites for exact premiums and coverage details.
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Discovery Health Classic Saver
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Bonitas BonSave
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Momentum Health Ingwe Plan
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Cigna Global – Silver Plan
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Allianz Care – Care Pro Plan
- 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.
Hospital Coverage: Covers private hospitals with a hospital-focused benefit structure.
Day-to-Day Benefits: Minimal outpatient coverage, catering to major health concerns.
Gap Cover: Recommended for those needing financial security against unexpected costs.
- 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.
Key Considerations When Selecting Medical Aid for Expats
- Global Coverage: Ensure full international access rather than just South African-based cover.
- Hospital Networks: Some plans restrict private hospital access—always check.
- Emergency Medical Evacuation: Critical for expats in remote areas.
- Pre-Existing Conditions: Some insurers exclude or require waiting periods for chronic conditions.
- Cost vs. Benefits: Balance monthly premiums with coverage needs, especially if living in high-cost medical regions like the U.S. or Europe.
What is the difference between medical aid and international health insurance?
Medical aid (e.g., Discovery, Bonitas) primarily covers healthcare in South Africa with limited global benefits. International health insurance (e.g., Cigna, Allianz) provides full worldwide coverage.
Do these plans cover pre-existing conditions internationally?
Medical aid plans often exclude or have waiting periods. Cigna and Allianz offer cover, but may require underwriting or higher premiums.
Does South African medical aid cover me abroad?
Most providers allow plan upgrades at the start of each year, enabling you to increase your coverage as your income grows.
Conclusion Summary
With 900,000+ South Africans living abroad, having adequate medical cover is non-negotiable. The cost of healthcare in many countries is significantly higher than in South Africa, with hospital stays in the U.S. averaging $2,500 (±R47,000) per day, and specialist consultations in Australia exceeding $300 (±R5,700) per visit.
For frequent travelers, Discovery Health’s Classic Saver provides a balance of affordability and short-term international benefits. For long-term expats, Cigna Global and Allianz Care offer full global coverage, ensuring protection in any country.
Ultimately, the right plan depends on your location, health needs, and budget. Always compare providers and consult official websites for the latest benefits and premium details.
