Medihelp - MedElite Medical Aid Plan

Medihelp - MedElite

Comprehensive medical aid that’s ideal for families and individuals wanting peace of mind. The MedElite plan features private hospital cover at any hospital, a 10% savings account and annual day-to-day benefits after depletion of savings. Insured day-to-day benefits include cover for GP and specialist visits, dental care and optometry.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% scheme rate


Any hospital

GP's & Specialists

Hospital accounts covered at negotiated rate, limits apply

Oncology: Subject to registration and DSP's: R476 700

Organ Transplants: Protocols apply/limits apply

Dialysis: Protocols apply

Internal Prosthesis: Various limits apply/procedure based


26 PMBs+ additional with limits

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R8856

Spouse: R8280

Per Child: R2376

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



Member: R7368

Adult: R6900

Per Child: R1998









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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