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MedVital

While you are busy realising your dreams, MedVital will ensure that you have private hospital and emergency medical cover, and benefits for minor expenses such as doctors' visits, medicine and contraceptives. Completing your health and screening tests will unlock additional benefits. Pay 25 % less when opting for MedVital Elect, the network alternative of this plan.

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Quick price overview: include dependants to be covered in addition to the principal member

Adult

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Child

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*You only pay for two children younger than 18 years, until they are 26 years old
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MedVital

Added insured benefits

Women’s & men’s health tests

Contraceptives

Maternity & baby benefits

Screenings & immunisations

MedVital

Core benefits

Specialised radiology

Emergency transport services | Post-hospital | Trauma cover

Hospital benefits (no overall annual limit)

MedVital Elect Network hospitals

270 PMB conditions - diagnosis, treatment & care
26 chronic illnesses (CDL)

MedVital

Day-to-day benefits

Insured benefits

M = R 1 300 | M+ = R2 600

Care extender benefit

  MedVital Elect MedVital
Principal member Principal member R1 650
 R2 100
Dependant Dependant R1 200
 R1 602
Child dependant <26 years Child dependant R648
 R690
Pay for only 2 children under the age of 18 and 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.

Health screening tests
  • One combo health screening (blood glucose, cholesterol, BMI & blood pressure measurement)*
    • or
    an individual test (blood glucose or cholesterol)
  • HIV testing, counselling & support
 Preventive care benefits
  • A tetanus vaccine
  • A flu vaccine
  • A mammogram* every 2 years
  • A Pap smear every* 3 years
  • A prostate test*
  • A Pneumovax vaccine
  • A Faecal occult blood test (FOBT)* 
  • A bone mineral density test* every 2 years
  • 2 HPV vaccinations for girls and boys between 10-14 years or three between 15-26 years
Maternity benefits
  • 10 antenatal and post-natal consultations at a midwife/ GP/ gynaecologist
  • 2 antenatal and post-natal consultations at a dietician/ lactation specialist/ antenatal classes
  • Two 2D ultrasound scans
Contraceptives
  • Oral/ injectable/ implantable contraceptives – R140 per month, up to R1 550 per year
  • Intra-uterine device – R2 050 every 60 months
 Supporting wellness
  • Back treatment at a Document Based Care facility (a prerequisite for spinal column surgery)
  • Chronic Care programme
  • One dietician consultation if BMI is >30
Babies <2 years

2 consultations at a paediatrician/ GP/ ear, nose and throat specialist

 Child immunisation

Standard immunisation up to 7 years

 

*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
MedVital Elect: Network hospitals and day procedure network applies for certain day procedures 		Emergency transport (Netcare 911)
  • In country of residence
    Unlimited (RSA, Lesotho, Eswatini, Mozambique, Zimbabwe, Namibia & Botswana) 
  • Outside country of residence
    R2 210 for road transport and R14 700 for air transport
Trauma that necessitates hospitalisation
Unlimited		 Specialised radiology
Angiography, MRI and CT imaging – unlimited
    Post-hospital care for speech therapy, occupational therapy and physiotherapy
    R2 000 per member and R2 800 per family
    		 Childbirth
    • In hospital – unlimited
    • Home delivery – R14 100 per event
    Treatment of life-threatening conditions
    Unlimited
    Includes 270 PMB and 26 Chronic Diseases List (CDL) conditions     		PMB medicine
    Unlimited
    Cancer treatment
    • PMB – unlimited
    • Non-PMB – R230 000 per family
    		 Mental health (psychiatric treatment)
    R20 800 per person to a maximum of R31 600 per family
    Health-essential functional prostheses
    R24 900 per person
    • Intra-ocular lenses – R4 480 per lens, 2 lenses per person
    • Hip, knee and shoulder replacement – non-PMB cases are limited to replacements caused by an acute injury

    		 Other prostheses
    • EVARS prosthesis – R37 500 per person
    • Vascular/ cardiac prosthesis – R37 500 per person
    • Prosthesis with reconstructive or restorative surgery – R4 580 per family
    Organ transplants
    PMB – unlimited
    Cornea implants – R31 100 per implant    		 Palliative care
    R20 800 per family
    Other core benefits
    Including renal dialysis, oxygen, hospice, subacute care and private nursing services as an alternative to hospitalisation    		  

    Consultations, acute medicine, immunisations, physiotherapy and visits to emergency units

    MedVital Elect GP network and specialist referrals by a network GP apply
    Member = R1 300
    Family = R2 600

    		Radiography
    R1 150 per family
    Dentistry (DRC network)
    Removal of impacted teeth in the dentist’s chair

    An 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

    		 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

     

    This is only a summary of the available benefits and co-payments 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.

    If you are interested in a medical aid, complete the form below and an accredited adviser will get in touch with you:

    To request pre-authorisation, view your benefits, and for other member services please log in to the Member Zone.