Medihelp

Medihelp is one of the 5 largest medical schemes in South Africa and provides cover for approximately 199 000 people.

It offers a choice of 11 different options and premiums for a single member range from R529 (students) to R8202. 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.

Preventative care benefits and a rich maternity programme are offered and through HealthPrint (a free wellness programme) and members can track their health activity, access their health and benefit data and enjoy benefits/discounts from certain retailers.


Medihelp plan Plus

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

Medihelp plan Elite

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 costs are subject to defined annual limits and /or an annual benefit pool limit.

Medihelp plan Prime 3

This all round general cover plan offers unlimited hospital cover and is suitable for young families.

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 (PMBs only).

Day to day costs are subject to defined limits.

Medihelp plan Prime 3
Medihelp plan Prime 2

Medihelp plan Prime 2

This plan offers unlimited hospital cover and is suitable for young families. 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 (PMBs only).

Day to day claims are payable from savings.

Medihelp plan Prime 1

This plan offers unlimited hospital cover and is suitable for young, health 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 (PMBs 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.

Medihelp plan Prime 1
Medihelp plan Unify

Medihelp plan Unify

This plan offers unlimited hospital cover and is suitable for young, health 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 (PMBs only).

Day to day claims are payable from savings with a separate benefit for specialised radiology & preventative care benefits.

Medihelp plan Necesse and Necesse for Students

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 provider network protocols.

Medihelp plan Necesse and Necesse for Students