Benefits and services
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 membersMedihelp 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 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.