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MedPrime 2024Limited Day-to-day Cover

MedPrime 2024 Options & Benefits

MedPrime Options And Benefits: MedPrime by Medihelp is a comprehensive hospital plan with limited day-to-day cover. The MedPrime benefits include unlimited private hospitalisation, excellent out-of-hospital cover, a savings account, and other MedPrime options.

Medihelp’s comprehensive plans offer discounted family rates, separate dental and optometry benefits. Save up to 25% on monthly contributions by selecting the MedPrime network option, MedPrime Elect.

MedPrime Day-to-day Benefits

On top of your added benefits, MedPrime includes limited day-to-day cover such as:

  • 10% Savings account for daily medical expenses.
  • GP’s, specialists and supplementary health services.
  • Acute medicine and non-PMB chronic medicine.
  • Standard radiology, and pathology.
  • Conservative and specialised dentistry (DRC network).
  • Medical appliances and external prostheses.
  • T&C’s apply.

MedPrime Added Insured Benefits

In addition to insured day-to-day benefits, Added Insured Benefits can be activated when members register for HealthPrint, Medihelp’s free health programme. These added MedPrime benefits include:

  • Maternity benefits.
  • Child immunisation.
  • Health screening tests.
  • Preventive care benefits.
  • Contraceptives.
  • T&C’s apply.

Get A MedPrime Quote

Please use our convenient MedPrime quote form provided. One of our Medihelp consultants will access your healthcare requirements, and supply easy to understand quotes according to your budget.

Compare the options and latest 2024 MedPrime plan updates in the table below.

medihelp medprime options and benefits hospital plan with limited day-to-day cover doctor inspecting x-ray

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Medihelp Medical Scheme

Medihelp is one of South Africa’s five largest medical schemes, providing a selection of 12 options. As a self-administered medical aid, it has an affordable plan for every South African. Whether you are:

  • A student,
  • Newly employed,
  • Self-employed,
  • Or providing for a family.

The MedPrime Hospital Plan with limited day-to-day cover is well suited to South African’s on a budget.

Why Choose Medihelp?

Medihelp is dependable and consistent, with over 210 000 members and a AA – Global Credit Rating for 15 consecutive years. Always adapting and improving the way it does business, Medihelp uses cutting-edge technology to optimise customer care while reducing costs.

Medihelp History

For the past 118 years, Medihelp has been addressing the needs of its members. This is due to the scheme’s ability to react to changes in the industry, and evolve their service delivery.

Medihelp MedPrimeBenefits & Options – 2024 Updates

Column 1 Column 2 Column 3 Column 4

MEDPRIME - LIMITED DAY TO DAY COVER

Contributions/Savings/Day to Day
Monthly Contributions Savings Day to Day benefit once savings depleted
Main Member R4 782 R5 760 Member - R6 900
Spouse/Adult dependent R4 044 R4 824 Member + - R12 700
Child (Max 3) R1 398 R1 656 ---
Benefits
100% scheme rate in-hospital.
Co-payments on certain procedures may apply.
30 days post hospital cover: Subject to limitations annually per member and per family.
Oncology: PMB: Unlimited. Non-PMB: R313 900.
26 Chronic disease conditions: medication from DSP.
Oncology PMB unlimited: Non-PMB R299 000.
R3850 upfront for all scopes..
MRI/CT scans: No annual limit.
MRI/CT scans: Member pays the first R2500 per examination in-hospital: R1950 out of hospital.
--- --- ---
Column 1 Column 2 Column 3 Column 4

MEDPRIME - LIMITED DAY TO DAY COVER

Contributions/Savings/Day to Day
Monthly Contributions Savings * Day to Day benefit once savings depleted **
Main Member R4 782 R5 760 * Member - R6 900 **
Spouse/Adult dependent R4 044 R4 824 * Member + - R12 700 **
Child (Max 3) R1 398 R1 656 * ---
Benefits
100% scheme rate in-hospital.
Co-payments on certain procedures may apply.
30 days post hospital cover: Subject to limitations annually per member and per family.
Oncology: PMB: Unlimited. Non-PMB: R313 900.
26 Chronic disease conditions: medication from DSP.
R3850 upfront for all scopes.
MRI/CT scans: No annual limit.
MRI/CT scans: Member pays the first R2500 per examination in-hospital: R1950 out of hospital.
--- --- ---

MedPrime Hospital Plan With Day-to-day Application

Should you need assistance applying for the MedPrime Hospital Plan With Limited Day-to-day Cover, why not use of our Medical Aid Application Form Help Page, and one of our Medihelp consultants will contact you to explain the MedPrime Options.

WHY USE OUR SERVICES?

Our medical aid consultants at Informed Healthcare Solutions are ready to assist you in getting the best possible benefits to premium value.

In conclusion, we invite you to give us a call on +27 21 712 8866 at any point in your decision-making process for further information about the Medihelp MedPrime plan.

View Benefits On Medihelp Website.

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MedPrime 2024 FAQS

What is the Medihelp MedPrime hospital plan?

Medihelp MedPrime provides comprehensive medical aid that includes unlimited private hospital admission. MedPrime limited day-to-day cover offers a 10% savings account for daily medical expenses and access to a network of healthcare providers. MedPrime provides 24 hour medical emergency assistance, additional core benefits, wellness programs, in and out-of-hospital treatments and procedures. T&C’s apply.

Does the Medihelp MedPrime offer cancer treatment?

MediPrime offers cover for both PMB (Prescribed Minimum Benefit,) and non-PMB cancer treatment. PMB oncology cover includes hospitalisation and treatment for cancer. Non-PMB oncology cover is offered for cancer treatment that does not qualify for PMB. Cancer medication is eligible for 100% cover, and is charged at the Medihelp Oncology Reference Price (MORP).

What is the difference between the MedPrime and MedPrime Elect plans?

MedPrime members receive 100% cover at any private hospital or certain day treatments. While MedPrime Elect members need to use MedPrime Network hospitals for treatment to avoid a 35% co-payment. T&C’s apply.

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