Medihelp - MedPrime
Good-value, comprehensive medical aid, combining cover for private hospitalisation with a savings account and insured pooled benefits for out-of-hospital expenses. The plan also includes good dental and optometry benefits.
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: R313 900 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: R5760 Spouse: R4824 Per Child: R1656 |
|---|---|
| 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: R4782 Adult: R4044 Per Child: R1398
|
|---|