MedElect
MedElect’s quality networks enable comprehensive cover at an affordable premium for those individuals and families requiring more care.
Added insured benefits
Women’s & men’s health tests
Contraceptives
Maternity & baby benefits
Screenings & immunisations
Core benefits
Specialised radiology
Emergency transport services | Trauma cover
Hospital benefits (no overall annual limit)
Network hospitals
270 PMB conditions - Diagnosis, treatment & care | 26 chronic illnesses (CDL)
Day-to-day benefits
Network GP consultations & virtual care
M = R2 100 | M+1 = R3 700
M+2 = R4 350 | M+3 = R4 650
M+4+ = R5 200
Physiotherapy & occupational therapy
M = R2 200 | M+ = R3 450
Day-to-day benefits
Specialist visits, radiology, pathology, clinical psychology, acute medicineM = R3 000 | M+1 = R5 300
M+2 = R6 100 | M+3 = R6 500
M+4+ = R7 000
Dentistry | Optometry
Care extender benefit
| R0 - R800 (Student) | R801+ | ||
| Principal member |  | R702 | R2 226 |
| Dependant | | R702 | R1 740 |
| Child dependant <21 years |  | R702 | R720 |
| Children pay child dependant rates until they turn 21 | |||
These benefits are provided in addition to your insured day-to-day benefits and are activated when you register on HealthPrint, Medihelp’s free wellness programme for members, on the Member Zone. Your health screening results from Dis-Chem or Clicks will automatically upload to your health record on HealthPrint.
Maternity benefits
| Babies <2 years
2 consultations at a paediatrician/ GP/ ear, nose and throat specialist |
| Child immunisation
Standard immunisations up to 7 years | |
Health screenings
| Preventive care benefits
|
Contraceptives
| Supporting wellness
|
*Care extender benefits are extra benefits activated when a beneficiary makes use of certain added insured benefits.
In-hospital treatment and life-essential services (insured benefits)
| Hospitalisation
No overall annual limit Network hospitals Day procedure network applies for certain day procedures | Trauma that necessitates
hospitalisation
Unlimited |
Childbirth
| Standard radiology
Unlimited during hospitalisation |
| Specialised radiology
Angiography, MRI and CT imaging – unlimited | Emergency transport
(Netcare 911)
|
| Treatment of life-threatening
conditions
Unlimited Includes 270 PMB and 26 Chronic Diseases List (CDL) conditions | PMB medicine
Unlimited |
Cancer treatment
| Mental health (psychiatric treatment)
R20 800 per person to a maximum of R31 600 per family |
| Internally implanted prostheses
PMB only – unlimited | Organ transplants
PMB only – unlimited Cornea implants – R31 100 per implant |
| Palliative care
R18 800 per family | Other core benefits
Including renal dialysis, prostatectomy, oxygen, subacute care and private nursing services as an alternative to hospitalisation |
| Day-to-day benefit
Member = R3 000 Member +1 = R5 300 Member +2 = R6 100 Member +3 = R6 500 Member +4+ = R7 000 | Specialist consultations and
services, standard radiology,
pathology, acute medicine and
clinical psychology services
Subject to day-to-day benefit |
| Self-medication
(non-prescribed medicine)
Member = R530 Family = R1 570 Subject to day-to-day benefit | Network GP consultations
Member = R2 100 Member +1 = R3 700 Member +2 = R4 350 Member +3 = R4 650 Member +4+ = R5 200 |
| Non-network GP consultations
Member = R1 200 Family = R2 450 | Medical appliances
R1 000 per family |
| Physiotherapy and occupational
therapy
Member = R2 200 Family = R3 450 | Radiography
R1 150 per family |
| Dentistry (DRC network)
Routine check-ups, fillings, X-rays, oral hygiene and removal of impacted wisdom teeth | Optometry (PPN network)
Per person per 24-month cycle
|
One additional GP consultation
| R450 for self-medication
Activates for the family once the first claim for a combo health screening (blood glucose, cholesterol, BMI & blood pressure measurement) is paid from your added insured benefits |
