MedPlus
Medihelp’s top-of-the-range product offers the most extensive cover to ensure that you and your family’s healthcare needs are always well taken care of.
Added insured benefits
Women’s & men’s health tests
Contraceptives
Maternity & baby benefits
Screenings & immunisations
Core benefits
Specialised radiology
Emergency transport services | Post-hospital | Trauma cover
Hospital benefits (no overall annual limit)
Any hospitals
270 PMB conditions - diagnosis, treatment & care | 26 chronic illnesses (CDL)
Day-to-day benefits
GPs, specialists & supplementary services
Pooled benefits
Acute medicine benefits
Chronic medicine benefits
Standard radiology benefits
Dentistry | Optometry
Pathology benefits
Care extender benefit
Principal member | ![]() | R10 122 | |
Dependant | ![]() | R10 122 | |
Child dependant < 26 years | ![]() | R2 526 | |
Children pay child dependant rates until they turn 26 |
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 immunisation up to 7 years | |
Health screening tests
| Preventive care benefits
|
Contraceptives
| Supporting wellness
|
*Care extender benefits are extra benefits activated when a beneficiary make use of certain added insured benefits.
In-hospital treatment and life-essential services (insured benefits)
Hospitalisation
No overall annual limit Any private hospital | Refractive surgery
Unlimited |
Trauma that necessitates hospitalisation
Unlimited | Childbirth
|
Specialised radiology
| Post-hospital care for speech therapy, occupational therapy and physiotherapy
R2 000 per member and R2 800 per family |
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
Unlimited |
Mental health (psychiatric treatment)
R46 600 per person to a maximum of R63 500 per family | Health-essential functional
prostheses
R67 000 per person
|
Other prostheses
| Organ transplants
PMB only – unlimited Cornea implants – R31 100 per implant Bone marrow/stem cell transplants – R342 000 per person |
Palliative care
R29 200 per family | Other core benefits
Including renal dialysis, prostatectomy, oxygen, hospice, subacute care and private nursing services as an alternative to hospitalisation |
GP and specialist visits, virtual
consultations, physiotherapy, clinical
psychology, psychiatric nursing and
supplementary health services
R3 900 per person (pooled per family) | Acute medicine
R7 000 per person (pooled per family) |
Non-PMB chronic medicine
R20 000 per person | External prostheses and medical
appliances
Per person per 3-year cycle
CPAP apparatus – R10 400 per person per 2-year cycle Medical appliances and hyperbaric oxygen treatment – R2 000 per person |
Optometry (PPN netwerk)
Per person per 24-month cycle
| 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 150 per family | Pathology
Unlimited |
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 |