MedSaver

MedSaver provides for private hospitalisation at any hospital, while the 25% savings account covers medical expenses incurred out of hospital. Once savings are depleted, additional out-of-hospital cover is unlocked.

from

R3 516 per month

in 2024

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Main member

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

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Children aged 18-25

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

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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 | Trauma cover

Hospital benefits (no overall annual limit)

Any hospital

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

Day-to-day benefits

25% savings account
Insured benefits for child GP consultations after savings are depleted
Care extender benefit

Product Summary (PDF)

Monthly contributions

Main member		R3 516 (R876 savings contribution included per month and R10 512 per year)
Dependant		R2 892 (R720 savings contribution included per month and R8 640 per year)
Child dependant < 26 years		R1 080 (R270 savings contribution included per month and R3 240 per year)
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.

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
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
Contraceptives Oral/ injectable/ implantable contraceptives – R160 per month, up to R2 100 per year Intra-uterine device – R2 500 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
Babies <2 years Two consultations at a paediatrician/ GP/ ear, nose, and throat specialist	Child immunisation Standard immunisation up to seven years

*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	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
Trauma that necessitates hospitalisation Unlimited	Specialised radiology Angiography, MRI, and CT imaging – unlimited
Post-hospital care for speech therapy, occupational therapy, and physiotherapy R2 200 per member and R3 150 per family	Childbirth In hospital – unlimited Home delivery – R15 600 per event
Treatment of life-threatening conditions Unlimited Includes 271 PMB and 26 Chronic Disease List (CDL) conditions	PMB medicine Unlimited
Cancer treatment PMB – unlimited Non-PMB – R275 100 per family	Mental health (psychiatric treatment) R28 900 per person to a maximum of R39 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 – non-PMB cases are limited to replacements caused by an acute injury	Other prostheses EVARS prosthesis – R155 600 per person Vascular/ cardiac prosthesis – R66 500 per person Prosthesis with reconstructive or restorative surgery – R11 300 per family
Organ transplants PMB – unlimited Cornea implants – R34 200 per implant	Palliative care R25 200 per family
Other core benefits Including renal dialysis, oxygen, hospice, subacute care, and private nursing services as an alternative to hospitalisation

Day-to-day benefits

Savings account
25% savings available at the beginning of the year (see monthly contributions)

Example of available savings:
Member = R10 512 per year
Member + dependant = R19 152 per year
Member + dependant + child = R22 392 per year

Unused savings are carried over to the next year and accumulate interest. Once your savings are depleted, insured day-to-day benefits become available.

Additional child benefit
R1 200 per family, after savings are depleted
(GP consultations for children ≥2 to ≤12 years)

Radiography
R1 250 per family

Dentistry (DRC network)

Insured benefits
Dental procedures under conscious sedation in the dentist’s chair (sedation cost) and performed under general anaesthesia in a day procedure facility
Removal of impacted teeth only (third molars)

Saving account
Conservative and specialised

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 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.

MedSaver

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