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
|
|---|

