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 |
|---|---|
| Provider |
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 |
| Chronic |
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 |
Contributions
| Contributions |
Member: R3918 Adult: R3306 Per Child: R1140
|
|---|