South Africa’s corporate medical aid landscape is undergoing major change in 2026 as Sanlam and Fedhealth launch a new integrated scheme aimed at employers seeking flexible, affordable, and wellness-driven healthcare benefits. Despite more than 70 medical schemes nationally, only a small group of open schemes dominate the market, led by Discovery Health. The new Sanlam–Fedhealth partnership introduces a corporate-focused model combining medical aid, primary care, gap cover, wellness programs, mental-health support, on-site clinics, and data-driven reporting to reduce absenteeism, improve productivity, and provide predictable, customisable benefits for companies and employees.