Medihelp - MedPrime Elect Medical Aid Plan

Medihelp - MedPrime Elect

The same as the MedPrime plan but subject to use of healthcare providers in the MedPrime network and with monthly contributions that are over 20% lower. Includes private hospital cover; a savings account and insured pooled benefits for out-of-hospital expenses; and good dental and optometry benefits.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% scheme rate


Network hospitals

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


26 PMBs

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R4680

Spouse: R3960

Per Child: R1368

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: R3918

Adult: R3306

Per Child: R1140









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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