Cover for everyday medical expenses
Your everyday medical expenses (such as GP consultations and medicine) are covered from day-to-day benefits that differ per plan.
How does your cover for these services work?
The cover you will enjoy for day-to-day medical expenses depends on your plan, so ensure you choose a plan based on your specific healthcare needs and preferences. Your day-to-day benefits include cover for:
- Consultations at GPs and specialists
- Over-the-counter medicine
- Acute and chronic medicine prescribed by your doctor
- Dental services
- Eye tests, contact lenses and spectacles
- Blood tests
- Physiotherapy
- Dietician visits
- X-rays and scans
- Medical appliances
Here is how Medihelp covers these expenses:
Members who prefer to have fixed amounts available for specific healthcare services should choose a plan that offers fixed benefits. Some of these benefits are available as pooled amounts that you or any of your registered beneficiaries can use.
A medical savings account gives you the freedom to use your available funds for medical services or co-payments. You have the entire year’s savings funds available immediately at the beginning of the year. Any unclaimed funds in your savings account are automatically carried forward to the next year, allowing you to build a nest egg for future medical expenses.
Some plans offer a combination of fixed benefits and a savings account, giving you the best of both worlds. You can then enjoy the flexibility of a savings account and the assurance of fixed benefits for certain services should you deplete your savings account.
All Medihelp’s plans also include a separate basket of added insured benefits, which covers routine preventive health screenings, women’s and men’s health tests, and maternity and child medical expenses. Click here to read more.
What is the care extender benefit?
All Medihelp’s plans (except for our entry-level plan) offer a care extender benefit, which stretches your benefits and gives you even more cover. You will receive one additional GP consultation for the family once you or one of your registered family members undergoes a specific preventive care health test and claims the test from your preventive care benefits. You will also get an additional R450 for the family to use for non-prescribed medicine once you or one of your beneficiaries undergoes the combo health screening and claims this from your preventive care benefits.
How the different plans offer day-to-day benefits
