MedVital

MedVital

MedVital is an affordable healthcare solution that offers cover for minor medical expenses, private hospitalisation, and emergency medical services. Pay less for MedVital Elect, the network alternative of this plan.

from
R2 022 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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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.


MedVital

Added insured benefits

Women’s and men’s health tests

Contraceptive benefit

Maternity and baby benefits

Screenings and immunisations

MedVital

Core benefits

Specialised radiology benefit

Full trauma and emergency medical cover |
Post-hospital 

Hospital benefits (no overall annual limit)

MedVital Elect: network hospitals apply

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

MedVital

Day-to-day benefits

Insured benefits

Member = R 1 450 | Family = R2 800

Care extender benefit

 MedVital ElectMedVital
Main memberMain memberR2 022
R2 598
DependantDependantR1 470
R1 998
Child dependant <26 yearsChild dependantR852
R894
Pay for only two 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, 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
  • A 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 – R150 per month, up to R2 000 per year
  • Intra-uterine device – R2 250 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

MedVital: Any private hospital. Day procedure facilities apply for certain day procedures

MedVital Elect: Network hospitals. Network 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 – R254 100 per family
    Mental health (psychiatric treatment)
    R22 800 per person to a maximum of R34 700 per family
    Health-essential functional prostheses
    R27 500 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 – R41 300 per person
    • Vascular/ cardiac prosthesis – R41 300 per person
    • Prosthesis with reconstructive or restorative surgery – R5 000 per family
    Organ transplants
    PMB – unlimited
    Cornea implants – R34 200 per implant
    Palliative care
    R22 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 450
    Family = R2 800

    Dentistry (DRC network)

    Insured benefits

    Removal of impacted teeth only (third molars) 

    • Procedures under conscious sedation in the dentist’s chair (sedation cost)
    • Procedures performed under general anaesthesia in a day procedure facility

    Member pays the first R3 880 per admission
    MedVital: Performed in a day procedure facility
    MedVital Elect: Performed in a network day procedure facility

    Radiography
    R1 250 per family

     

    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

    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.
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