Open medical scheme · South Africa

Healthcare for every level of life.

Stratum Medical Scheme is built on one principle: affordable does not mean inadequate. Four clear options, full Prescribed Minimum Benefits, transparent limits and a network designed around your family doctor.

4
Benefit options
26
Chronic conditions covered
100%
PMB protection
A family with young children covered by Stratum Medical Scheme

Our founding principles

Private healthcare that fits real household budgets.

Access

Affordable entry into private healthcare, priced in income bands so contributions fit real household budgets.

Protection

Full statutory Prescribed Minimum Benefits on every option — emergencies, 271 diagnosis-and-treatment pairs and 26 chronic conditions.

Sustainability

Disciplined risk management, contracted networks and actuarially sound contributions that hold their value over time.

Benefit options

Four options. No confusion.

Every option includes full Prescribed Minimum Benefits. You choose the network, the day-to-day cover and the level of hospital access.

Full comparison table

Stratum Access

Entry-level cover

From

R950 pm

  • Full PMB cover
  • Network hospital cover
  • Unlimited network GP visits
  • Virtual GP included
View benefits

Stratum Core

Affordable family cover

From

R1 400 pm

  • Everything in Access
  • Expanded day-to-day benefits
  • Stratum MOM maternity programme
  • Paediatric and mental-health cover
View benefits
Most chosen

Stratum Plus

Mid-market comprehensive

From

R2 100 pm

  • Broad private hospital network
  • Enhanced oncology programme
  • Choice of Plus or Prime network
  • Full day-to-day benefits
View benefits

Stratum Premier

Comprehensive private healthcare

From

R3 100 pm

  • Open private hospital access
  • Prostheses and medical devices
  • Rehabilitation and home-based care
  • International emergency assistance
View benefits

Indicative contributions per principal member per month, subject to independent actuarial costing and approval by the Council for Medical Schemes.

A Stratum network GP consulting with a member

Primary-care coordination

Your family GP is the front door to the scheme.

Preventing avoidable hospitalisation is the strongest way to keep contributions affordable. Stratum invests in primary care first, then specialist and hospital care where it is clinically required.

  1. 1Prevention and digital screening
  2. 2GP and nurse-led primary care
  3. 3Structured disease management
  4. 4Specialist care on referral
  5. 5Hospital care where clinically required
  6. 6Rehabilitation and chronic follow-up

Care programmes

Family care, managed end to end.

Stratum Chronic Care

Registration, formulary medicine, monitoring and adherence support for CDL conditions.

Stratum MOM

Maternity care from pre-conception through delivery to postnatal and newborn support.

Stratum CancerCare

Coordinated oncology with designated providers, from diagnosis to survivorship.

Stratum Digital

Membership card, claims, authorisations, GP finder and telemedicine in one app.

Explore care programmes

Our philosophy

"Affordable does not mean inadequate."

We believe every South African family deserves a doctor who knows their name, a hospital they can trust and a benefit statement they can actually understand. We lower the cost of care through better purchasing, better navigation and better prevention — never by quietly reducing your protection.

Care first

Health before claims.

Plain English

No small-print surprises.

Family always

From first scan to grandchildren.

A Stratum family doctor examining a young child

Our facilities and people

Welcoming spaces. Caring professionals.

Visit a Stratum walk-in centre or one of our network practices — bright, calm rooms and uniformed teams trained to look after families.

Member walk-in centres

Member walk-in centres

Friendly reception, card collection and claims help in person.

Network consulting rooms

Network consulting rooms

Modern, fully equipped GP rooms across our Compact, Prime and Open networks.

Doctors and nurses

Doctors and nurses

Credentialed GPs, specialists and nurse practitioners in the Stratum network.

Governance and solvency

Member interests first, in every decision.

A Board of Trustees of fit-and-proper persons, an accountable Principal Officer, seven standing committees and a statutory solvency ratio of 25% of gross annual contributions under Regulation 29 — with an internal target above the minimum.

How Stratum is governed
25%
Statutory minimum solvency ratio
7
Standing board committees
271
PMB diagnosis-and-treatment pairs
≤25%
Maximum medical savings allocation

No surprise underwriting.

Before you join, you will know your contribution, network, waiting periods, late-joiner penalty, exclusions, co-payments, formularies and benefit limits — in plain English.