Medihelp - MedAdd Elect Medical Aid Plan

Medihelp - MedAdd Elect

The MedAdd plan but subject to use of healthcare providers in the MedAdd network and with significantly lower monthly contributions. Includes cover for private hospitalisation, attractive pregnancy benefits, a 15% savings account and additional insured cover for if savings are depleted.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% scheme rate

Provider

Network hospitals

GP's & Specialists

Hospital accounts covered at negotiated rate, limits apply

Oncology: Subject to registration and DSP's: R275100

Organ Transplants: Protocols apply/limits apply

Dialysis: Protocols apply

Internal Prosthesis: Various limits apply/procedure based

Chronic

26 PMBs

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R4 824

Spouse: R3 744

Per Child: R1 656

Pooled Day to Day Benefit

Once Savings is depleted, certain limited benefits

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

10 Antenatal & Post-natal visits, 2 scans, Register for maternity benefit

Contributions

Contributions

Member: R2676

Adult: R2100

Per Child: R930

 

 

 

 

 

 

 

 


Finding it difficult to make sense of all this? Not to worry, you can:

Finding it difficult to make sense of all this? Not to worry, you can:

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