Medihelp - MedVital Elect Medical Aid Plan

Medihelp - MedVital Elect

The MedVital plan but subject to use of healthcare providers in the MedVital network and with contributions as much as 25% lower. Includes basic cover, subject to limits, for private hospitalisation, emergency medical services and minor medical expenses, as well as a range of preventive care and health screening 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: R254100

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: R1450 & Member+: R2800 Plus a few additionals, basic cover, no savings

Pooled Day to Day Benefit

Day-to-day limit covers certain providers and excludes some services/treatments, care extender unlocks an extra GP and medication benefit/limited, Very basic day-to-day cover option

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: R 2022

Adult: R1470

Per Child: R852

 

 

 

 

 

 

 

 


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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