Does my medical aid cover sensor technology?

Not sure whether your medical aid already covers sensor technology? Find out below!

The medical aid schemes below provide access to sensor technology.

If your medical aid is not yet funding your device or you need to submit a motivation for funding to your medical aid provider - please find a medical aid reimbursement checklist, a motivation form and a quotation form below. These forms can all be used to motivate for funding from your medical aid.

Reimbursement Checklist
Motivation Form
Quotation Form

  • Scroll through the alphabetical list below to find your medical aid.

  • Click on the name of your medical aid to see the details of the benefits you are entitled to and what you need to provide to qualify.

  • *Please not that Discovery Health cover is for Type 1 diabetes only: most of the schemes below will accept a motivation letter for Type 1 and Type 2. We’re working on it!

  • Motivation letter from doctor required (Type 1 and Type 2):

    Comprehensive and Value

  • Motivation letter from doctor required (Type 1 and Type 2):

    Alliance-Midmed Medical Scheme

  • Motivation letter from doctor required (Type 1 and Type 2):

    Bankmed Basic, Bankmed Comprehensive, Bankmed Core Saver, Bankmed Essential Plan, Bankmed Plus and Bankmed Traditional

  • Motivation letter from doctor required (Type 1 and Type 2):

    Barloworld Medical Scheme

  • Not covered: Beat 1, Beat 2, Beat 3, Beat 4

    Motivation letter from doctor required (Type 1 and Type 2):

    Pace 1, Pace 2, Pace 3, Pace 4, Pulse 1, Pulse 2.

  • Motivation letter from doctor required (Type 1 and Type 2):

    BMW Option 119

  • Motivation letter from doctor required (Type 1 and Type 2):

    Boncap, BonClassic, BonComplete, BonComprehensive, BonEssential, BonFit Select and Bonsave Hospital Standard, Primary and Standard.

    *Beneficiaries younger than 18 years who are diagnosed with Type 1 Diabetes will now be covered for an insulin pump or continuous glucose monitoring (CGM) device of up to R51 010 per family per year, subject to pre-authorisation. This benefit is limited to one device per beneficiary every 5 years, based on the last claim date. In addition, there is a separate limit of R25 740 per family for an insulin pump or CGM consumables. Once the benefit for consumables is exceeded, the benefit limit for the pump may not be used to cover such costs.

  • Motivation letter from doctor required (Type 1 and Type 2):

    BPSA Medical Society

  • Motivation letter from doctor required (Type 1 and Type 2):

    Basic option

  • Motivation letter from doctor required (Type 1 and Type 2):

    Healthpact, Premium, Healthpact Select and Healthpact Silver

  • Motivation letter from doctor required (Type 1 and Type 2):

    Alliance Benefit Option, Double Plus Benefit Option, Essential Plus Benefit Option, First Choice Benefit Option and Network Choice Benefit Option

  • Motivation letter from doctor required (Type 1 and Type 2):

    De Beers Benefit Society

  • Not covered: KeyCare Core, KeyCare Plus and KeyCare Start

    Once-off prescription from doctor required (ONLY Type 1):

    Discovery members need to get their prescription from an approved list of Doctors.

    Discovery member has to log in on the Discovery website, https://www.discovery.co.za/portal/medical-aid/maps-2, select Doctors and type in the area that you stay in.

    Under the ‘Cover’ section you will need to select ‘Continuous Glucose Monitoring’ under ‘Additional/other cover’

    Classic Comprehensive, Classic Core, Classic Priority, Classic Saver, Classic Smart, Classic Smart Comprehensive, Coastal Core and Coastal Saver Essential Comprehensive, Essential Core, Essential Priority, Essential Saver, Essential Smart and Executive.

    The total co-payment per month for 2 Freestyle Libre sensors: Executive and Comprehensive plans

    Type 1 diabetic members under 18 = R0

    Type 1 diabetic members over 18 = R390.00

    All other plans (excluding Keycare)

    Type 1 diabetic members under 18 = R390.00

    Type 1 diabetic members over 18 = R780.00

  • Motivation letter from doctor required (Type 1 and Type 2):

    Engen Medical Benefit Fund

  • Not covered: MyFed

    Motivation letter from doctor required (Type 1 and Type 2):

    Flexi Fed 1, Flexi Fed 2, Flexi Fed 3 and Flexi Fed 4

    Maxima Exec and Maxima Plus

    You don’t have to do this alone!

  • Not covered:

    Ingwe and Summit

  • Motivation letter from doctor required (Type 1 and Type 2):

    Foodmed

  • Motivation letter from doctor required (Type 1 and Type 2):

    Private, Private Choice, Private Comprehensive and Private Plus

  • Motivation letter from doctor required (Type 1 and Type 2):

    107

  • Motivation letter from doctor required (Type 1 and Type 2):

    Advance, Primary and Standard

  • Motivation letter from doctor required (Type 1 and Type 2):

    Beryl, Emerald, Emerald Network, Onyx, Ruby and Tanzanite One

  • Motivation letter from doctor required (Type 1 and Type 2):

    Option 1

  • Motivation letter from doctor required (Type 1 and Type 2):

    Advance, Aspire, Cobalt, Flex, Flex Plus, Foundation, Millennium, Optimum, Rise and Ultimate

  • Motivation letter from doctor required (Type 1 and Type 2):

    Hospital Plus, Savings Plan, Hospital Core Plan and Hospital Plus Network Plan

  • Motivation letter from doctor required (Type 1 and Type 2):

    Access, Essential, Plus and Value

  • Motivation letter from doctor required (Type 1 and Type 2):

    Impala

  • Motivation letter from doctor required (Type 1 and Type 2):

    Imperialmed Health Plan and Imperialmed Budget Plan

  • Not covered: Equilibrium, Essence, Gold, Origin, Platinum and Silver

  • Prescription only to pharmacy

    LA Active, LA Comprehensive, LA Core, LA Focus and LA Keyplus

  • Motivation letter from doctor required (Type 1 and Type 2):

    Libcare

  • Motivation letter from doctor required (Type 1 and Type 2):

    Lonmin Medical Scheme Benefit Plan

  • Motivation letter from doctor required (Type 1 and Type 2):

    Makoti Comprehensive and Makoti Primary

  • Motivation letter from doctor required (Type 1 and Type 2):

    Plan A, Plan B, Plan C and Plan D

  • Not covered:

    Essential

    Motivation letter from doctor required (Type 1 and Type 2):

    Choice and Network

  • Motivation letter from doctor required (Type 1 and Type 2):

    MB Med

  • Not covered:

    Elite, Necesse, Plus and Unity Prime 1, Prime 2 and Prime 3

  • Motivation letter from doctor required (Type 1 and Type 2):

    Alpha, Essential Option, Medisave – Max and Medisave – Standard

  • Motivation letter from doctor required (Type 1 and Type 2):

    Plan A, Plan B, Plan C and Plan D

  • Motivation letter from doctor required (Type 1 and Type 2):

    MediBonus, MediCore, MediPhila, MediPlus Prime, MediSaver, MediValue Prime and Premium Plus

  • Not covered:

    Ingwe and Summit

    Motivation letter from doctor required (Type 1 and Type 2):

    Custom, Evolve, Extender and Incentive

  • Motivation letter from doctor required (Type 1 and Type 2):

    Classic, Custom, Essential, Hospicare and Optimum

  • Prescription only to pharmacy

  • Motivation letter from doctor required (Type 1 and Type 2):

    Comprehensive Plan, Hospital Network Plan, Platinum, Savings and Traditional

  • Motivation letter from doctor required (Type 1 and Type 2):

    Netcare Savings

  • Not included:

    Network and Hospital

    Motivation letter from doctor required (Type 1 and Type 2):

    Traditional Plus, Traditional and Savings

  • Motivation letter from doctor required (Type 1 and Type 2):

    007

  • Motivation letter from doctor required (Type 1 and Type 2):

    PG Group Medical Scheme

  • Motivation letter from doctor required (Type 1 and Type 2):

    Plus option and Primary option

  • Motivation letter from doctor required (Type 1 and Type 2):

    Platinum health

  • MARINE OPTION: An initial script from a doctor is required for all types of diabetes. Additional motivation is required for members with Type 1 diabetes over the age of 18 and for members with Type 2 diabetes.

  • Motivation letter from doctor required (Type 1 and Type 2):

    Pro Active, Pro Active Plus, Pro Pinnacle, Pro Secure and Pro Secure Plus

  • Motivation letter from doctor required (Type 1 and Type 2):

    Essential Comprehensive, Essential Saver and Keycare Plus

  • Motivation letter from doctor required (Type 1 and Type 2):

    Option A and Option B Plus

  • Motivation letter from doctor required (Type 1 and Type 2):

    Classic, Comprehensive and Standard

  • Motivation letter from doctor required (Type 1 and Type 2):

    Essential Option, Essential Plus Option

  • Motivation letter from doctor required (Type 1 and Type 2):

    RUMED

  • Motivation letter from doctor required (Type 1 and Type 2):

    SABC Plan 009

  • Motivation letter from doctor required (Type 1 and Type 2):

    Option A and Option B

  • Motivation letter from doctor required (Type 1 and Type 2):

    Sasolmed

  • Motivation letter from doctor required (Type 1 and Type 2):

    Sedmed

  • Motivation letter from doctor required (Type 1 and Type 2):

    Pride Plan and Heritage Plan

  • Motivation letter from doctor required (Type 1 and Type 2):

    Copper Core Plan, Gold Ascend Plan, Hospital Care, Platinum Enhance Plan and Titanium Executive Plan

  • Motivation letter from doctor required (Type 1 and Type 2):

    Comprehensive option and Essential Option

  • Not covered:

    Aquarium

    Motivation letter from doctor required (Type 1 and Type 2):

    Marine

  • Motivation letter from doctor required (Type 1 and Type 2):

    Challenger, Explorer, Navigator and Shuttle

  • Motivation letter from doctor required (Type 1 and Type 2):

    TFG Health Plan and TFG Health Plus

  • Motivation letter from doctor required (Type 1 and Type 2):

    Energy, Fantasy, Universal and Energy

  • Not covered:

    Base

    Motivation letter from doctor required (Type 1 and Type 2):

    Level A, Level B and Level C

  • Not covered:

    Link Plan and Select Plan

    Motivation letter from doctor required (Type 1 and Type 2):

    Guardian and Prime Plan

  • Motivation letter from doctor required (Type 1 and Type 2):

    Classic Comprehensive and Classic Saver

  • Motivation letter from doctor required (Type 1 and Type 2):

    Activator, Standard, Supreme, Ultra Affordable and Extreme

  • Motivation letter from doctor required (Type 1 and Type 2):

    Savings Plus Plan

  • Motivation letter from doctor required (Type 1 and Type 2):

    Comprehensive option, Midmas option, Ntsika option, Yebomed and Comprehensive option

  • Motivation letter from doctor required (Type 1 and Type 2):

    Comprehensive Option, Network Option, Saver Option and Comprehensive Option