Medihelp Medical Aid Comparisons – 2021 Plans
Medihelp Medical Aid Comparisons: Medihelp offers a range of good quality simple plans for corporate and individual clients. The products offer cost-effective and efficient financial cover for health care services.
You can compare Medihelp Medical Aid Comparisons and options side by side to find out which suit you the best. Some plans might require that you use a specific GP or hospital network. If you prefer to having the choice to use any provider’s services, you should choose a non-network option instead.
Please feel free to use our convenient Quote Form provided. Our consultants will assist you in analysing your healthcare needs and supply easy to understand Medical Aid Comparisons and Quotes.
Compare Medihelp’s latest 2021 plan updates in the tables below.
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Medihelp Health PlansCompare 4 Medical Aid Plans - 2021 Updates
| MEDIHELP | ||
| PRIME 1 - Hospital Plan | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 2,202 | |
| Spouse/Adult Dependant | R 1,818 | |
| Per Child (Max 2) | R 672 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 100% Scheme Rate | ||
| No Overall Annual Limit | ||
| Co-payments on specified procedures may apply. | ||
| (eg. Arthroscopy R4 200 in Hospital + a further 35% co-payment | ||
| will apply if services performed out of Day Surgery Network) | ||
| No co-payment if done in doctors room | ||
| *30 days Post Hospital Cover limited to R1 870 single | ||
| member and R2 600 per family per annum. | ||
| Annual Sub-limits per person: | ||
| Psychiatric Treatment (per family) | R 30,400 | |
| Hospice Care | Unlimited | |
| Oncology (PMB) | Unlimited | |
| Oncology (non PMB) | R 220,000 | |
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| Only from a DSP. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| Does not apply | ||
| GP's | ||
| Single | R 1,250 | |
| Family | R 2,500 | |
| Shared limit with Acute / Prescribed Medication | ||
| Specialists | ||
| Shared limit with GP Consultations. | ||
| Conservative Dentistry | ||
| Removal of impacted wisdom teeth only. | ||
| ANNUAL THRESHOLD | ||
| Does not apply | ||
| MEDIHELP | ||
| PRIME 2 - Hospital Plan with Savings | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 2,934 | |
| Spouse/Adult Dependant | R 2,412 | |
| Per Child (Max 2) | R 882 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 100% Scheme Rate | ||
| No Overall Annual Limit | ||
| Co-payments on specified procedures may apply. | ||
| (eg. Arthroscopy R4 050 in Hospital + a further 35% co-payment | ||
| will apply if services performed out of Day Surgery Network) | ||
| No co-payment if done in doctors room | ||
| *30 days Post Hospital Cover limited to R1 870 single | ||
| member and R2 600 per family per annum. | ||
| Annual Sub-limits per person: | ||
| Psychiatric Treatment (per family) | R 34,800 | |
| Hospice Care | Unlimited | |
| Oncology (PMB) | Unlimited | |
| Oncology (non PMB) | R 240,840 | |
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| Only from a DSP. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| 100% Scheme Rate | ||
| Limits per annum: | ||
| Member | R 5,256 | |
| Member + Spouse | R 9,576 | |
| Member + Spouse + Child 1 | R 11,160 | |
| Member + Spouse + Child 2 | R 12,744 | |
| Member + Spouse + Child 3 | R 14,328 | |
| Member + Child 1 | R 6,840 | |
| Member + Child 2 | R 8,424 | |
| Member + Child 3 | R 10,008 | |
| ANNUAL THRESHOLD | ||
| Does not apply | ||
| MEDIHELP | ||
| PRIME 3 - Limited Day to Day Cover | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 3,828 | |
| Spouse/Adult Dependant | R 3,240 | |
| Per Child (Max 2) | R 1,116 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 100% Scheme Rate | ||
| No Overall Annual Limit | ||
| Co-payments on specified procedures may apply. | ||
| (eg. Arthroscopy R3 350 in Hospital + a further 35% co-payment | ||
| will apply if services performed out of Day Surgery Network) | ||
| No co-payment if done in doctors room | ||
| *Take Home Medicine limited to R450 per admission | ||
| *30 days Post Hospital Cover limited to R1 870 single | ||
| member and R2 600 per family per annum. | ||
| Annual Sub-limits per person: | ||
| Psychiatric Treatment (per family) | R 40,800 | |
| Hospice Care | Unlimited | |
| Oncology (PMB) | Unlimited | |
| Oncology (non PMB) | R 273,700 | |
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| Only from Pharmacy Direct. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| 100% Scheme Rate | ||
| Limits per annum: | ||
| Member | R 4,608 | |
| Member + Spouse | R 8,496 | |
| Member + Spouse + Child 1 | R 9,864 | |
| Member + Spouse + Child 2 | R 11,232 | |
| Member + Spouse + Child 3 | R 12,600 | |
| Member + Child 1 | R 5,976 | |
| Member + Child 2 | R 7,344 | |
| Member + Child 3 | R 8,712 | |
| Network GP Limit: | ||
| Singlel | R 6,000 | |
| Family | R 11,000 | |
| ANNUAL THRESHOLD | ||
| Does not apply | ||
| MEDIHELP | ||
| UNIFY - Hospital Plan with Savings | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 2,748 | |
| Spouse/Adult Dependant | R 2,256 | |
| Per Child (Max 2) | R 828 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 100% Scheme Rate | ||
| No Overall Annual Limit | ||
| Co-payments on specified procedures may apply. | ||
| (eg. Arthroscopy R4 050 in Hospital + a further 35% co-payment | ||
| will apply if services performed out of Day Surgery Network) | ||
| No co-payment if done in doctors room | ||
| *Take Home Medicine limited to R350 per admission | ||
| *30 days Post Hospital Cover limited to R1 870 single | ||
| member and R2 600 per family per annum. | ||
| Annual Sub-limits per person: | ||
| Psychiatric Treatment (per family) | R 34,800 | |
| Hospice Care | Unlimited | |
| Oncology (PMB) | Unlimited | |
| Oncology (non PMB) | R 240,840 | |
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| Only from Pharmacy Direct. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| 100% Scheme Rate | ||
| Limits per annum: | ||
| Member | R 8,208 | |
| Member + Spouse | R 14,976 | |
| Member + Spouse + Child 1 | R 17,424 | |
| Member + Spouse + Child 2 | R 19,872 | |
| Member + Spouse + Child 3 | R 22,320 | |
| Member + Child 1 | R 10,656 | |
| Member + Child 2 | R 13,104 | |
| Member + Child 3 | R 15,552 | |
| ANNUAL THRESHOLD | ||
| Does not apply | ||
Comparisons MADE EASY!
Why not use our 25+ years of experience as medical aid brokers,? We can help you choose the most appropriate medical aid, at no extra cost. Changes to legislation, new product innovation and the vast range of available medical aid cover, make choosing or even understanding your medical aid a daunting task. We believe, more than ever, people need professional advice in order to make an informed decision on their healthcare requirements.
For more detailed information on any of the above Medihelp Medical Aid Comparisons, 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 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.
WHY USE OUR SERVICES?
Our consultants at Informed Healthcare Solutions will assist you in analysing your healthcare needs and supply easy to understand comparisons and quotes to ensure you get the best possible benefits to premium value. We are contracted to all major schemes, offering a range of products including Comprehensive Plans, GP Network Plans, Hospital Plans, Hospital Plans With Savings or Limited Day-to-Day Cover and Medical Aid Gap Cover.
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 Comparisons.
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