Medihelp - MedSaver
Good mid-level medical aid that combines cover for private hospitalisation at any hospital with the flexibility of a 25% savings account, for medical expenses incurred out of hospital. Once savings are depleted, additional out-of-hospital cover is unlocked. The plan also covers a range of health screening and preventive care 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: R275100 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: R9 000 Spouse: R7 416 Per Child: R2 664 |
|---|---|
| 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: R3516 Adult: R2892 Per Child: R1080
|
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