Partners

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’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 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 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.

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.

Improved Clinical Pathway Services (ICPS) provides non-PMB hip and knee replacement services for qualifying patients on MedElite.