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MedSaver

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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Children aged 18-25

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

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Speak to an adviser

Looking for a new medical aid?

Choosing a new medical aid is made easier by speaking to an accredited adviser about the plan that will suit your healthcare needs and pocket best. Whether you’re studying, moving up the corporate ladder or planning a family, we will help you make an informed decision.

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


MedSaver

Added insured benefits

Women’s and men’s health tests

Contraceptive benefits

Maternity and baby benefits

Cover for health tests, vaccinations, and screenings

MedSaver

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)

MedSaver

Day-to-day benefits

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

 

Main memberMain member

R3 516

(R876 savings contribution included per month and R10 512 per year)

DependantDependant

R2 892

(R720 savings contribution included per month and R8 640 per year)

Child dependant < 26 yearsChild dependant

R1 080

(R270 savings contribution included per month and R3 240 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, 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.

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    		 
    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 

     

    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.