Mental Health Cover & Benefits

Mental health care is finally receiving the attention it deserves, but navigating your medical aid’s mental health benefits can still feel overwhelming. From therapy sessions and psychiatric consultations to hospital admissions, different plans offer different levels of support — some better than others.

Comparative Overview of Medical Aid Providers

This comparison shows how providers support mental wellness through therapy coverage, hospital benefits, and psychiatric medicine allowances.

Provider

Plan Name

Monthly Premium (± 2024)

Therapy & Psychiatric Consultations

Hospitalisation & Medication

Discovery

Essential Saver

±R3,300

6 sessions per year

21 days hospital + basic meds

Momentum

Custom Option

±R3,700

Out-of-hospital: limited

Psychiatric hospital: limited days

Fedhealth

flexiFED 4

±R5,200

Full therapy & consults (authorised)

30 days p.a. + specialist meds

Best Plans for Different Profiles

Students & Young Professionals

Recommended Plan:

Discovery Essential Saver
Why? Affordable entry with essential outpatient therapy and hospitalisation coverage.

Chronic Mental Health Conditions

Recommended Plan:

Fedhealth flexiFED 4
Why? Robust support for both outpatient and inpatient mental healthcare, plus specialist medication access.

Families

Recommended Plan:

Momentum Custom Option
Why? Includes child-friendly sessions and family-focused mental wellness resources.

Key Considerations Before Choosing a Plan

  • Are therapy and counselling sessions limited annually?
  • Is medication for mental health conditions fully covered or partially subsidised?
  • How many hospital days are available for psychiatric admissions?
  • Do I need pre-authorisation for therapy or psychiatry benefits?

FAQs

Yes – but session limits and provider rules may apply.

Most comprehensive plans cover 21–30 days per year; basic plans may limit this.

It varies by plan – typically 6 to 12 per year, subject to pre-authorisation.