Medihelp Medical Aid Comparison - 2017 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 R2 120 per family  
     
     
  Annual Sub-limits per person:  
  Psychiatric Treatment R25,150  
   (per family)    
  Hospice Care Unlimited  
  Oncology (PMB) Unlimited  
  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:  R1,050  
   Family:  R2,100  
     
     
       
   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 1,608  
  Spouse/Adult dependant R 1,302  
  Per Child (max 2) R 486  
       
     
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 R2 120 per family  
  Annual Sub-limits per person:  
  Psychiatric Treatment R28 750  
    (per family)    
  Hospice Care Unlimited  
  Oncology (PMB) Unlimited  
       
       
       
       
   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 3,096  
  Member+Spouse R 5,616  
  Member+Spouse+Child1 R 6,552  
  Member+Spouse+Child2 R 7.488  
  Member+Spouse+Child3 R 7,488  
  Member+Child 1 R 4,032  
       
       
       
       
       
       
       
       
       
       
       
     
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
       
  MONTHLY CONTRIBUTIONS  
  Principal Member R 2,136  
  Spouse/Adult dependant R 1,746  
  Per Child (Max 2) R 642  
     
     
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 R2 120 per family  
  Annual Sub-limits per person:  
  Psychiatric Treatment R33,700  
    (per family)    
  Hospice Care Unlimited  
  Oncology (PMB) Unlimited  
       
       
       
       
   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 5,700  
  Member + 1 R 9,550  
  Member + 2 R 11,700  
  Member + 3 R 12, 600  
       
    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 two years  
  - 1 Extra oral xray per person every  
     three years  
       
     
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
       
  MONTHLY CONTRIBUTIONS  
  Principal Member R 2,730  
  Spouse/Adult dependant R 2,316  
  Per Child (Max 2) R 798  
     
     
.
 
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 R2,120 per family  
  Annual Sub-limits per person:  
  Psychiatric Treatment R28,750  
    (per family)    
  Hospice Care Unlimited  
  Oncology (PMB) Unlimited  
   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 5,832  
  Member+Spouse R 10,656  
  Member+Spouse+Child1 R12,456  
  Member+Spouse+Child2 R14,256  
  Member+Spouse+Child3 R16,056  
  Member+Child                     R7,632  
     
     
     
     
     
     
     
     
     
     
       
     
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
       
  MONTHLY CONTRIBUTIONS  
  Principal Member R 1,994  
  Spouse/Adult dependant R 1,602  
  Per Child (Max 2) R 588  
     
     
     
 
     
     
     
     
     
     
     
     
       
       
       
       
       
       
       
       
       
       
       
               
     
     
     
     
     
               
               
               
   
 
 
     
     
     
       
       
       
     
     
     
     
     
     
     
     
      
     
     
     
     
     
       
       
     
     
       
     
       
       
       
       
     
     
 
     
     
     
     
     
     
     
     
       
       
       
       
       
       
       
       
       
       
       
               
     
     
     
     
     
               
               
               
   
 
 
     
     
       
       
       
       
       
     
     
     
     
     
     
     
     
     
     
     
       
     
       
       
     
     
       
     
       
       
       
     
     
     
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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.