Benefit Highlights 2026

Benefit Highlights 2026

Four smiling women in professional attire standing together, representing the 2026 Benefit Highlights.

As we move into 2026, we will continue to focus on affordability, innovation, and better healthcare access for you. Here’s a look at what’s coming next!

Contributions

Contributions will go up by 7.0%, which is still below the market average. Since 2020, our total increases have remained well below industry trends — proving our commitment to value and affordability.

New benefits

  1. We’re expanding coverage and introducing new vaccines (pneumococcal for adults and RSV) to ensure members have access to the best possible healthcare.
  2. PlatFreedom: We’re converting the Overall Annual Limit into a dedicated Hospital Annual Limit, unlocking an incredible 36% increase in benefits. All other limits remain as standalone benefits, preserving everyday healthcare access.
  3. PlatComprehensive and PlatCap: We’ve increased benefit limits by 4.5% in line with inflation for 2026. Just another way we are maintaining the richness of our benefits.

Why are pneumococcal and RSV vaccines important additions?

Pneumococcal Disease

Yes, you need to add your spouse within 30 days after getting married. If you don’t, waiting periods may apply, which means that your spouse won’t be able to use certain benefits for a period.

RSV Vaccines

For pregnant women protect newborns during their most vulnerable period, reducing lower respiratory tract disease in infants.

We are upgrading our facilities and opening new pharmacies

We’re opening new pharmacies and upgrading clinical services across our network. This means that our members will have better access to quality care closer to home.

Moving into the Digital Age

Our WhatsApp platform now allows members to:

  • Check benefits
  • Access membership cards
  • Submit claims
  • Receive real-time updates

2026 WhatsApp upgrades

More features are on the way, including your membership welcome packs, feedback surveys, member detail updates, authorisation requests, and chronic medicine orders.

Wait no more with our digital queue management

Members will now receive a digital queue number when they arrive at our facility. You can track waiting times in real-time and will get SMS notifications when it’s almost your turn. Giving you your time back!

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