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MedSaver

This plan offers exceptional private hospital and essential cover with a generous 25% savings account that allows you to take control and manage your out-of-hospital medical expenses. The plan also includes health screening and preventive vaccination benefits, as well as other benefits.

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Quick price overview: include dependants

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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MedSaver

Added insured benefits

Women’s & men’s health tests

Contraceptives

Maternity & baby benefits

Screenings & immunisations

MedSaver

Core benefits

Specialised radiology

Emergency transport services | Post-hospital | Trauma cover

Hospital benefits (no overall annual limit)

Any hospital

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

MedSaver

Day-to-day benefits

Insured child GP consultations - R1 140 (paid from savings first)
25% savings account
Care extender benefit

 

Principal memberPrincipal memberR2 814
(R696 savings contribution included per month and R8 352 per year)
DependantDependantR2 310
(R576 savings contribution included per month and R6 912 per year)
Child dependant < 26 yearsChild dependantR846
(R204 savings contribution included per month and R2 448 per year)
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.

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 – R145 per month, up to R1 690 per year
  • Intra-uterine device – R2 300 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 makes use of certain added insured benefits.

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

Hospitalisation
No overall annual limit

Any private hospital
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 – R250 000 per family
    		Mental health (psychiatric treatment)
    R26 300 per person to a maximum of R36 200 per family
    Health-essential functional prostheses
    R67 000 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 – R141 200 per person
    • Vascular/ cardiac prosthesis – R60 400 per person
    • Prosthesis with reconstructive or restorative surgery – R10 300 per family
    Organ transplants
    PMB – unlimited
    Cornea implants – R31 100 per implant    		Palliative care
    R22 900 per family
    Other core benefits
    Including renal dialysis, oxygen, hospice, subacute care and private nursing services as an alternative to hospitalisation    		 
    Savings account
    25% savings available at the beginning of the year (see monthly contributions)

    Example of available savings:
    Member = R8 352 per year
    Member +1 = R15 264 per year
    Member +2 = R17 712 per year

    Unused savings are carried over to the next year and earn interest. Once your savings are depleted, insured day-to-day benefits become available.    		Additional child benefit
    R1 140 per family, after savings are depleted
    (GP consultations for children ≥2 to ≤12 years)
    Radiography
    R1 150 per family
    Dentistry (DRC network)
    Removal of impacted teeth in the dentist’s chair

     

    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

    		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.