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 |
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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 |
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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
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