South African healthcare & funding
Above-threshold benefits apply on certain scheme options once your day-to-day claims for the year exceed a defined amount. Cover is usually limited to specified services and scheme tariff rates, so check whether fertility-related consultations, scans and medicines qualify before assuming they will be paid.
Also known as: ATB, threshold benefit
Related South Africa guides
Sources
- Council for Medical Schemes (South Africa)
Last reviewed: 8 September 2026. Written by the Antega Editorial Team. General information only — always follow the advice of your own clinic, doctor or pharmacist.