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Medihelp

Medihelp is one of the 5 largest medical schemes in South Africa and provides cover for approximately 201 000 people. It offers a choice of 11 options and premiums for a single member range from R702 (students) to R10 122. Members have the option of using a hospital of their choice or a plan that uses a network of hospitals – the Elect options and this lowers the contribution rate and makes these options more affordable. A defined list of procedures, on all options, needs to be done in a Network Day Hospital to avoid a co-payment. MedPrime is the most popular option. All options offer maternity benefits and preventative care benefits. 

Medihelp Medical Aid Plans

Medihelp, one of South Africa’s largest schemes, covers 200,000 members and offers 10 plan options. Contributions range from R597 for students to R9,180. The Prime 3 plan is the most popular, with maternity and preventative-care benefits included.

PlanContributions Range (Main) ZARContributions (Main Member)Contributions (Adult Dependant)Contributions (Child Dependant)
MedElect Student R750 R750 R750 R750
MedVital R990 - R2,880 R2,880 R2,214 R990
MedAdd R1,032 - R3,720 R3,720 R3,138 R1,260
MedSaver R1,200 - R3,900 R3,900 R3,204 R1,200
MedElect R1,014 - R3,126 R3,126 R2,448 R1,014
MedPrime R1,548 - R5,304 R5,304 R4,482 R1,548
MedElite R2,214 - R8,172 R8,172 R7,650 R2,214
MedPlus R3,540 - R14,184 R14,184 R14,184 R3,540

*Contributions may differ based on specific requirements. It is recommended to contact MediHelp for detailed and personalized information.

Medihelp plan Plus

MedPlus

MedPlus (previously called Medihelp Plus) is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Day to day costs are subject to defined annual limits and / or an annual benefit pool limit.

Medihelp plan Elite

MedElite

MedElite (previously called The Elite option) is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures. Day to day claims are paid from savings. Once savings depleted, claims are paid from an annual block benefit. Optometry and dentistry claims are paid from a separate benefit (risk).

Medihelp plan Prime 3

MedPrime & MedPrime Elect

MedPrime (previously called Prime 3) is an all-round general cover plan which offers unlimited hospital cover at a hospital of choice or if selecting the Elect option, through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures. Hip/ knee/shoulder replacements are only covered in the case of acute injury (Prescribed Minimum Benefits only). Day to day claims are payable from a savings benefit. Once savings have been depleted, a block benefit is available for certain claims. Additional risk benefits are also provided for dentistry, optometry and specialised radiology.

MedAdd and MedAdd Elect

MedAdd and MedAdd Elect

MedAdd (previously called Prime 2) offers unlimited hospital cover at a hospital of choice or if selecting the Elect option, through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures. Hip/ knee/shoulder replacements are only covered in the case of acute injury (Prescribed Minimum Benefits only). Day to day claims are payable from a savings benefit. Once savings have been depleted, a block benefit is available for certain claims. Additional risk benefits are also provided for specialised radiology.

MedVital & MedVital Elect

MedVital & MedVital Elect

MedVital (previously called Prime 1) offers unlimited hospital cover at a hospital of choice or if selecting the Elect option, through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures. Hip/ knee/shoulder replacements are only covered in the case of acute injury (Prescribed Minimum Benefits only). This is mainly a hospital plan which also provides some preventative care benefits and limited cover for GP and specialist consults, physiotherapy, acute and over the counter meds.

MedSaver

MedSaver

MedSaver (previously called Unify) offers unlimited hospital cover at a hospital of choice and is suitable for young, healthy individuals. In-hospital specialist bills are paid at 100% and co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures. Hip/ knee/shoulder replacements are only covered in the case of acute injury (Prescribed Minimum Benefits only). Day to day claims are payable from savings with a separate benefit for specialised radiology.

MedElect

MedElect

MedElect (previously called Necesse) is an entry level capitated network plan which is an affordable plan, ideal for low earning individuals or for full time students. ALL treatments are subject to network providers and network protocols.

Medihelp - Lifestyle Programme | Hippo.co.za

Lifestyle Programme

HealthPrint is a free online health and wellness education platform. Members can track their health activity, access their health and benefit data and enjoy benefits/discounts from certain retailers.