Medihelp - MedElect Medical Aid Plan

Medihelp - MedElect

Comprehensive network-based medical aid with affordable premiums – and a special discounted rate for students. Includes hospital cover at network hospitals plus limited day-to-day cover for GP visits (including virtual consultations), specialist visits and dental and optical care. The plan also covers a range of health screening and preventive care benefits.

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: R242 500

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

Network

Pooled Day to Day Benefit

Network option: limits apply

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

0-R800

Member: R894

Adult: R894

Per Child: R894

 

R801+

Member: R2820

Adult: R2208

Per Child: R912

 

 

 

 

 

 

 


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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