MedPlus

Medihelp’s top-of-the-range plan offers the most extensive cover for medical emergencies, private hospitalisation, and preventative care. It also makes substantial provision for acute and chronic medicine, radiology, pathology, and other day-to-day medical expenses.

from

R12 792 per month

in 2024

Contribution calculator for {{small.SelectedProductName}}
Add your dependants

Main member

1 ({{small.model.MainMemberTotal}} a month)

{{small.StudentProducts.indexOf(small.SelectedProductCode) !== -1 ? 'Adults aged 21 and older' : 'Adults aged 26 and older'}}

Children aged 18-25

Children up to age 25 Children up to age 20 Children up to age 17*

{{small.model.DiscountOption ? '*You only pay for two children younger than 18 years, until they are 26 years old' : ' '}}

Total monthly contribution is:
{{small.model.Total}} a month

Apply here

Speak to an adviser

Looking for a new medical aid?

Choosing a new medical aid is made easier by speaking to an accredited adviser about the plan that will suit your healthcare needs and pocket best. Whether you’re studying, moving up the corporate ladder or planning a family, we will help you make an informed decision.

I am not a member

I am a member

Added insured benefits

Women’s and men’s health tests

Contraceptive benefits

Maternity and baby benefits

Cover for health tests, vaccinations, and screenings

Core benefits

Specialised radiology benefit

Emergency transport services | Post-hospital benefit | Trauma cover

Hospital benefits (no overall annual limit)

Any hospitals

271 PMB conditions - diagnosis, treatment, and care and 26 chronic illnesses (CDL)

Day-to-day benefits

GPs, specialists, and supplementary services

Pooled benefits

Acute medicine benefits

Chronic medicine benefits

Standard radiology benefits

Dentistry | Optometry

Pathology benefits

Care extender benefit

Product Summary (PDF)

Monthly contributions

Main member		R12 792
Dependant		R12 792
Child dependant < 26 years		R3 192
Children pay child dependant rates until they turn 26

Added insured benefits

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 Ten antenatal and postnatal consultations at a midwife/ GP/ gynaecologist Two antenatal and postnatal consultations at a dietician/ lactation specialist/antenatal classes Two 2D ultrasound scans Nine months’ antenatal iron supplements Nine months’ antenatal folic acid supplements	Babies< 2 years Two consultations at a paediatrician/ GP/ ear, nose, and throat specialist
	Child immunisation Standard immunisation up to seven years
Health screening tests One combo health screening (blood glucose, cholesterol, BMI, and blood pressure measurement)* or an individual test (blood glucose or cholesterol) HIV testing, counselling, and support	Preventive care benefits A tetanus vaccine A flu vaccine A mammogram* every two years A Pap smear* every three years A prostate test* A pneumococcal vaccine An FOBT test* A bone mineral density test* every two years Two HPV vaccinations for girls and boys between 10-14 years or three between 15-26 years
Contraceptives Oral/ injectable/ implantable contraceptives – R178 per month, up to R2 300 per year Intra-uterine device – R2 700 every 60 months	Supporting wellness Back treatment at a Documentation Based Care facility (a prerequisite for spinal column surgery) One dietician consultation if BMI is >30

*Making use of these benefits activate the care extender benefit.

Core benefits

In-hospital treatment and life-essential services (insured benefits)

Hospitalisation No overall annual limit Any private hospital. Day procedure facilities apply for certain day procedures	Refractive surgery Unlimited
Trauma that necessitates hospitalisation Unlimited	Childbirth In hospital – unlimited Home delivery – R15 600 per event
Specialised radiology Angiography, MRI, and CT imaging – unlimited PET scans – R26 200 per case	Post-hospital care for speech therapy, occupational therapy, and physiotherapy R2 200 per member and R3 150 per family
Emergency transport (Netcare 911) In country of residence Unlimited (RSA, Lesotho, Eswatini, Mozambique, Zimbabwe, Namibia, and Botswana) Outside country of residence R2 400 for road transport and R16 100 for air transport	Treatment of life-threatening conditions Unlimited Includes 271 PMB and 26 Chronic Disease List (CDL) conditions
PMB medicine Unlimited	Cancer treatment Unlimited
Mental health (psychiatric treatment) R51 400 per person to a maximum of R69 900 per family	Health-essential functional prostheses R73 800 per person Intra-ocular lenses – R4 900 per lens, two lenses per person Hip, knee, and shoulder replacement – PMB and non-PMB
Other prostheses EVARS prosthesis – R155 600 per person Vascular/ cardiac prosthesis – R66 500 per person Prosthesis with reconstructive or restorative surgery and external breast prostheses – R11 300 per family Implantable hearing devices (including device and components) – R320 200 per person	Organ transplants PMB only – unlimited Cornea implants – R34 200 per implant Bone marrow/ stem cell transplants – R376 900 per person
Palliative care R32 200 per family	Other core benefits Including renal dialysis, prostatectomy, oxygen, hospice, subacute care, and private nursing services as an alternative to hospitalisation

Day-to-day benefits

GP and specialist visits, virtual consultations, physiotherapy, clinical psychology, psychiatric nursing, and supplementary health services R4 300 per person (pooled per family)	Acute medicine R7 850 per person (pooled per family)
Non-PMB chronic medicine R22 000 per person	External prostheses and medical appliances Per person per three-year cycle Artificial eyes – R18 900 Speech and hearing aids – R18 900 Wheelchairs – R10 200 Artificial limbs – R10 200 Wigs – R2 200 CPAP apparatus – R11 400 per person per two-year cycle Medical appliances and hyperbaric oxygen treatment – R2 200 per person
Optometry (PPN netwerk) Per person per 24-month cycle R1 080 for frame/ lens enhancements R1 780 for contact lenses	Conservative dentistry (DRC network) Routine check-ups, fillings, X-rays, and oral hygiene
Specialised dentistry (DRC network) Crowns, implants, bridges, and orthodontic treatment	Standard radiology Unlimited
Radiography R1 250 per family	Pathology (Ampath, Lancet, and PathCare Vermaak) Unlimited

Care extender (activate additional day-to-day benefits)

One additional GP consultation
Activates for the family once the first claim for either a Pap smear, mammogram, prostate test, faecal occult blood test (FOBT) or bone mineral density test is paid from your added insured benefits

R490 for self-medication
Activates for the family once the first claim for a combo health screening (blood glucose, cholesterol, BMI, and blood pressure measurement) is paid from your added insured benefits

This is only a summary of the available benefits and deductibles may apply to certain benefits. Please consult the registered Rules of Medihelp and your plan’s brochure for more details. In case of a dispute, the Rules of Medihelp will apply (subject to approval by the Council for Medical Schemes). Certain added insured benefits are not available if the patient has registered the medical condition for PMB or chronic medicine benefits, as the treatment is no longer considered as preventive care.

MedPlus

{{small.model.NumOfAdultDependants}}

{{small.model.NumOfYoungAdultDependants}}

{{small.model.NumOfChildDependants}}

Looking for a new medical aid?

Help

Members

Join

Connect