Medihelp

Medihelp is one of the 5 largest medical schemes in South Africa and provides cover for approximately 200 000 people. It offers a choice of 10 options and premiums for a single member range from R597 (students) to R9 180. Members have the option of using a hospital of their choice or a plan that uses a network of hospitals (this lowers the contribution rate and makes these options more affordable). Prime 3 is the most popular option. All options offer maternity benefits and preventative care benefits.


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 Plus
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).

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.

Medihelp plan Prime 3
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 (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.

MedVital & MedVital Elect
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 (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.

MedElect

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.