Benefits and services

Medihelp benefits

Medihelp provides comprehensive cover on all benefit options in and out of hospital for COVID-19 which qualifies in terms of prescribed minimum benefits (PMB) criteria.

COVID-19 related telephonic and video consultations are covered at 100% of the Medihelp tariff. Members of MedElect are required to make use of network GPs to avoid co-payments. You can find a network GP on Medihelp's website at the provider search function at https://www.medihelp.co.za/connect/provider-search.

Medihelp will cover COVID-19 pathology tests, namely the PCR and antigen tests, in full according to the COVID-19 protocols. Members of MedElect should please make use of Lancet or PathCare laboratories and must be referred by a network GP.

Should you prefer to be tested at a Dis-Chem facility, please contact them directly to make the necessary arrangements. In such cases, you will need to pay Dis-Chem first and then submit a claim to Medihelp.

Should you need to have a COVID-19 test done prior to a planned hospital admission, please phone the pathology depot to make the necessary arrangements, as some depots do not accept walk-ins. Remember that such tests do not qualify for PMB and will be paid from your benefit option’s available day-to-day benefits for pathology (if applicable).

The vaccination centre where you receive your vaccine will submit a claim for your vaccination and administering of the vaccine to Medihelp and the Scheme will cover the cost as PMB.

24-hour online services for members

Medihelp offers members various options to access information about their membership, claims and contributions.

Medihelp’s Member Zone is an online self-service website which gives members access to their medical aid details.

On the Member Zone, you can –

  • access your digital membership card,
  • view a breakdown of available benefits.
  • locate a network provider,
  • request pre-authorisation.
  • update your personal information,
  • register and deregister dependants,
  • submit and track claims,
  • download your tax certificate, and
  • view your monthly contributions.
Members can click here to register on the Member Zone and start using these and other features right away.

 

Members can also use Medihelp’s member app, available on Google Play, iStore and Windows Store. The app allows members to view and share their e-membership card, find a network healthcare provider, view available benefits, submit claims and more.

Medihelp members always have their product’s benefits at hand with our handy e-guides that are available online and offline. The app will automatically update the guide with the latest benefits and network information when you are online.

 

Medihelp's contact list

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