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 |
|---|---|
| Provider |
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 |
| Chronic |
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 |
Contributions
| Contributions |
Member: R7368 Adult: R6900 Per Child: R1998
|
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