Medihelp Medical Aid Comparisons – 4 Medical Aid Plans Compared

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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