1. Home
  2. Plans and Products
  3. Value Care Plan

Value Care Plan


The Value Care Plan provides primary healthcare through a network of Prime Cure facilities and providers only.

Facilities are available in major centres nationwide. Members on this plan may only obtain their healthcare services from a Prime Cure Network facility or network provider.

Value Care Plan provides the most cost-effective benefits for families' basic healthcare needs. In addition to the treatment of Prescribed Minimum Benefit (PMB) conditions, this plan includes the below benefits.

Find more information on the Value Care Plan here in our Frequently Asked Questions section.

Contributions 2024
Member Adult dependant Child dependant
R1 230 R1 230 R300

*2024 benefits and contributions as approved by the Council for Medical Schemes.

Prime Cure Network

Find a registered Prime Cure network doctor, pharmacy, dentist, hospital or optometrist on the Prime Cure website or in the Value Care Plan app.

Using a provider out of the Prime Cure network will result in a co-payment, which can be the difference between the actual cost and the network rate, or a specified value, as per the Rules. Self-referral to a specialist might result in non-payment by the Scheme.

Your benefits

Ambulance services

Value Care Plan members are entitled to obtain emergency ambulance services from a Prime Cure network provider only. Call Prime Cure on 0861 665 665 and select the option for a Medical Emergency. You will need to provide personal details to validate your membership, such as the membership number or ID number/passport number of the member. If the member is not able to contact the call centre, a friend or family member can assist them. The member, a family member or healthcare provider must authorise the event by calling Prime Cure on 0861 665 665 within 72 hours of the event. Authorise inter-hospital transfers before the event. Voluntary use of non-DSP results in a 30% co-payment

Ambulance services are subject to the Family Hospital Limit, unless it is a Prescribed Minimum Benefit condition.


Value Care Plan members are entitled to receive cancer (oncology) treatment, provided a Prime Cure Network provider refers them to a specialist.

Find out more


For all consultations (doctor, nurse, allied healthcare provider and specialist), including maternity consultations, members of the Value Care Plan will need to use Prime Cure facilities and the practitioner network.

Find out more


Should you suspect that you have COVID-19, please contact our COVID-19 Medical Line for medical-related advice on prevention, diagnosis and treatment. Call 0861 493 587 and select option five (2) for member and then select option seven (7) for patient management/COVID-19.

Find out more


Members of the Value Care Plan are entitled to the following dental benefits:
Preventative treatment, Conservative treatments, Specialised dentistry, Emergency consultations and Dental hospital admission.

Find out more


Members of the Value Care Plan, diagnosed with diabetes, need to register their condition with Prime Cure on 0861 665 665. On registration, members will receive a detailed treatment plan indicating the services and medicine that are allowed, according to the relevant protocols. The relevant doctor will inform the member of the benefits available.

Eye Care

Every Value Care Plan beneficiary is entitled to one eye examination per year and one pair of spectacles (lenses and frames) every 2 years. The benefit does not cover contact lenses or sunglasses.
If you get a prescription for spectacles, you need to obtain your spectacles within one month.


Prime Cure offers HIV-positive members and dependants of the Value Care Plan a confidential management programme, aimed at keeping them well and providing access to increased benefits to help manage their condition more effectively.

Find out more


Members on the Value Care Plan must obtain authorisation for hospitalisation and must use Prime Cure private hospitals or public hospital facilities. A Prime Cure doctor referral and authorisation is necessary for all planned hospital admissions as well as for admissions following a casualty visit.

Find out more


Value Care Plan members have access to antenatal and postnatal care through Prime Cure facilities and network doctors.

Antenatal care: Consultations, GP and specialists
You are entitled to antenatal vitamins (folic acid), GP consultations, 3 specialist consultations and 2 ultrasound (up to the price of 2D) scans per pregnancy.

Confinement in hospital
We treat the delivery in hospital as a normal hospital admission and the annual Family Hospital Limit applies. Please ensure your Prime Cure healthcare provider registers you on the maternity management programme by phoning 0861 665 665.


Acute medicine, inclusive of dental medication
Formulary medicine only, to be obtained at a network GP, dentist or pharmacy.

Contraceptive medicine is subject to Family Hospital Limit and a limit of R2 635 per qualifying beneficiary.

Pharmacy Advised Therapy (PAT)
R345 per family per year (R115 per purchase up to a maximum of 3 purchases per beneficiary).
Formulary medicine only, to be obtained at a Prime cure Network GP, dentist or pharmacy.

Find out more

Prescribed Minimum Benefits

All medical schemes in South Africa have to include the Prescribed Minimum Benefits in the plans they offer to their members. No matter what plan you decide on, there are some common benefits that apply to all members on all plans subject to Scheme protocols.

Find out more

Preventative care

Flu Vaccine
For members of the Value Care Plan, Prime Cure pays the cost of one flu vaccine per year, per beneficiary.

Vitality Health check
The Scheme pays one Health check per beneficiary per year. The Health check must be done at Wellness partners. It includes the measurement of your cholesterol, blood glucose, BMI and blood pressure.

Other benefits

Read more about other benefits of the Value Care Plan, such as treatment for Alcohol and Drug treatment, Kidney Disease, and Pathology and Radiology services.

Find out more


All benefits paid at 100% of the Prime Cure Agreed Rate / Prime Cure Agreed Rate or negotiated rate.

Familiarise yourself with the most important Scheme exclusions and Rule reminders.

Benefit information on this website is a summary of the registered Scheme Rules. In case of discrepancies the Rules shall prevail.


Authorisation is required for certain procedures, treatments, hospitalisation.

In some instances, you will not be covered if you did not authorise your treatment.
Please phone Prime Cure on 0861 665 665 to receive authorisation for:

  • Ambulance services
  • Specialised conditions (for example cancer, renal disease, diabetes, HIV/AIDS)
  • Hospitalisation
  • Medicines for PMB chronic conditions
  • Maternity programme
  • Oxygen therapy
Log in