Medihelp Medical Aid Comparison - 2019 Plans

 
Medshield Plans: Dimension Prime1 Dimension Prime2
Dimension Prime3
  Unify  
 
 
MEDIHELP
DIMENSION PRIME 1
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
     
  Co-payments on specified  
  procedures may apply  
     
  *30 days Post Hospital Cover  
  limited to R1,750 single member  
  and R2,400 per family per annum  
     
  Annual Sub-limits per person:  
  Psychiatric Treatment R27,800  
   (per family)    
  Hospice Care Unlimited  
  Oncology (PMB) Unlimited  
  Oncology (non PMB) R200,000  
  Internal Prosthesis:    
   See detailed benefits    
       
       
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
            Only from DSP    
       
       
       
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
     
  Does not Apply  
   GP's:  
   Single:  R1,150  
   Family:  R2,300  
     
     
       
   Conservative Dentistry: removal of  
   impacted wisdom teeth only  
       
   Specialists: Shared limit with  
    GP consultatants    
       
       
       
       
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
  MONTHLY CONTRIBUTIONS  
  Principal Member R 1,902  
  Spouse/Adult dependant R 1,566  
  Per Child (max 2) R 576  
       
     
MEDIHELP
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments on specific procedures  
  may apply  
  *30 days Post Hospital Cover  
  limited to R1,750 single member  
  R2 400 per family per annum  
  Annual Sub-limits per person:  
  Psychiatric Treatment R31,800  
    (per family)    
  Hospice Care Unlimited  
  Oncology (PMB) Unlimited  
  Oncology (non PMB) R220,000  
       
       
       
       
   Internal Prosthesis:    
    See detailed benefits    
       
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 MB Chronic Disease Conditions  
  Subject to scheme formulary  
  Only from DSP  
               
               
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% Scheme Rate  
  Limits per annum:  
  Member R 4,536  
  Member+Spouse R 8,280  
  Member+Spouse+Child1 R 9,648  
  Member+Spouse+Child2 R 11,016  
  Member+Spouse+Child3 R 11,016  
  Member+Child 1 R 5,904  
  Member+Child 2 R 7,272  
  Member+Child 3 R 7,272  
       
       
       
       
       
       
       
       
       
     
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
       
  MONTHLY CONTRIBUTIONS  
  Principal Member R 2,532  
  Spouse/Adult dependant R 2,082  
  Per Child (Max 2) R 762  
     
     
MEDIHELP
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments on specific procedures  
  may apply  
  *30 days Post Hospital Cover  
  limited to R1,750 single member  
  R2 400 per family per annum  
  Annual Sub-limits per person:  
  Psychiatric Treatment R37,300  
    (per family)    
  Hospice Care Unlimited  
  Oncology (PMB) Unlimited  
  Oncology (non PMB) R250,000  
       
       
       
   Internal Prosthesis:    
    See detailed benefits    
       
               
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 MB Chronic Disease Conditions  
  Subject to scheme formulary  
  Only from DSP  
               
               
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% Scheme Rate  
  GP's  
  Member R 9,000  
  Member + 1 R 14,300  
  Member + 2 R 16,800  
  Member + 3 + R 17,800  
       
    Specialists  
  Shared limit with GP Consultations  
     
  Conservative Dentistry  
  - 2 Consultations, 2 scale and polish  
      per person per annum  
  - 1 filling per tooth in 365 days  
  - 1 set plastic dentures per family  
      every 4 years  
  - 1 Extra oral xray per person every  
     three years  
       
     
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
       
  MONTHLY CONTRIBUTIONS  
  Principal Member R 3,234  
  Spouse/Adult dependant R 2,736  
  Per Child (Max 2) R 942  
     
     
.
 
MEDIHELP
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Co-payments on specific procedures  
  may apply  
  *30 days post hospital cover limited  
  to R1,750 single member and  
  to R2,400per family  
  Annual Sub-limits per person:  
  Psychiatric Treatment R31,800  
    (per family)    
  Hospice Care Unlimited  
  Oncology (PMB) Unlimited  
  Oncology (non PMB) R220,000  
       
   Internal Prosthesis:    
   See detailed benefits    
       
       
               
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 MB Chronic Disease Conditions  
  Subject to scheme formulary  
  Only from DSP  
               
               
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% Scheme Rate  
  Limits per annum:  
  Member R 6,912  
  Member+Spouse R 12,600  
  Member+Spouse+Child1 R14,688  
  Member+Spouse+Child2 R16,776  
  Member+Spouse+Child3 R18,864  
  Member+Child 1                    R9,000  
  Member+Child 2                    R11,088  
  Member+Child 3                   R13,176  
     
     
     
     
     
     
     
     
       
     
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
       
  MONTHLY CONTRIBUTIONS  
  Principal Member R 2,304  
  Spouse/Adult dependant R 1,896  
  Per Child R 696  
     
     
     
 
     
     
     
     
     
     
     
     
       
       
       
       
       
       
       
       
       
       
       
               
     
     
     
     
     
               
               
               
   
 
 
     
     
     
       
       
       
     
     
     
     
     
     
     
     
      
     
     
     
     
     
       
       
     
     
       
     
       
       
       
       
     
     
 
     
     
     
     
     
     
     
     
       
       
       
       
       
       
       
       
       
       
       
               
     
     
     
     
     
               
               
               
   
 
 
     
     
       
       
       
       
       
     
     
     
     
     
     
     
     
     
     
     
       
     
       
       
     
     
       
     
       
       
       
     
     
     
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For more detailed information on any of the above Medihelp plans, just click on the name of the relevant plan in the tables above. If you already know what you want, why not make use of our site to download the relevant Medical Aid Application form and then fax it back to us on 0866 200 320. Alternatively, if you would like us to confirm some of the finer details and/or pricing, just fill in our Medical Aid Quote Request form and we will get back to you promptly.

Finally, we invite you to contact us on +27 21 712-8866 at any point in your decision making process for further information on the Medihelp Medical Aid.