To bring you the very best medical care, Medihelp has partnered with service providers and experts in the medical industry. For more information about our partners and their healthcare offering, please click on the links in the table below.
Dental Risk Company (DRC)
Medihelp offers its dental benefits in partnership with the Dental Risk Company (DRC). Members may visit any dentist of their choice, but DRC manages and grants the benefits according to DRC protocols. MedMove! and MedElect members must use a DRC network dentist.
Medihelp Preferred Pharmacy Network
Medihelp’s Preferred Pharmacy Network consists of more than 2 000 pharmacies that offer Medihelp members the most cost-effective professional fee structure for prescribed medicine. This means that members who visit network pharmacies won’t have to pay any excess amounts for higher professional fees, which non-network pharmacies charge, to dispense medicine items.
ICON is the Independent Clinical Oncology Network to which more than 80% of the country’s oncologists belong. They provide the highest quality cancer care through a countrywide footprint of high-tech chemotherapy and radiotherapy facilities. ICON is Medihelp’s designated service provider for cancer treatment.
For members’ convenience, Medihelp has negotiated competitive tariffs for pathology services with Ampath, Lancet, and PathCare Vermaak, as well as other smaller laboratories. Medihelp pays all pathology services according to these preferred provider rates. Members will be liable for the difference in price if they use a laboratory that charges more than these rates.
LifeSense, Dis-Chem Direct and Medipost
LifeSense is the managed healthcare partner for HIV/Aids-related services and post-exposure prophylaxis. Dis-Chem Direct and Medipost are the designated service providers (DSPs) for HIV/Aids medicine.
Medihelp’s back and neck treatment programme is offered in cooperation with Documentation Based Care. Each programme is developed by an interdisciplinary medical team according to the individual’s clinical profile. The programme is a prerequisite for spinal column surgery.
Clicks and Dis-Chem are Medihelp’s designated service providers (DSPs) for preventive care health assessments.
Dis-Chem Oncology and Medipost
Dis-Chem Oncology and Medipost are the DSPs for prescribed minimum benefit (PMB) cancer medicine. Members of MedMove!, MedVital Elect, MedAdd Elect, MedElect, and MedPrime Elect must get their PMB chronic medicine from a DSP to avoid co-payments.
Medipost and the Elect PMB chronic medicine collection points
Members of MedVital Elect, MedAdd Elect, and MedPrime Elect must get their PMB chronic medicine from a DSP to avoid co-payments. Members must use Medipost as the DSP to order their authorised monthly chronic medicine and collect their medicine from an electronic collection point.
The Preferred Provider Negotiators (PPN) provide Medihelp’s optical benefits in partnership with more than 2 300 optometrists across South Africa. Medihelp members may visit any optometrist and benefits are paid according to PPN tariffs.Visit website
Specialist networks effectively manage any specialist care that our members may require, while reducing their out-of-pocket expenses. For members of our network medical aid plans, a referral to a specialist is required by their network GP, and specific specialist networks ensure streamlined care between the specialist and the network hospital, especially for PMB services. Members can get a referral number by completing a form on the Member Zone at Pre-auth, Specialist referrals, and providing the following information:
- Details and practice numbers of the network GP and specialist
- Date of specialist appointment
- ICD-10 codes