Medihelp: All the 2019 medical aid plans

Dimension Plans

Main Adult Child Savings? Fund? Threshold? Hospitals
Prime 1
Medihelp
R 1,902 pm R 1,566 R 576 No Yes No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment) maternity, infant paediatrics, hearing aids and wheelchairs. All else paid from fund or from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Prime 1 Network
Medihelp
R 1,488 pm R 1,212 R 450 No Yes No Network
Out-of-hospital, scheme pays for some: specialised radiology (with co-payment) maternity, infant paediatrics, hearing aids and wheelchairs. All else paid from fund or from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Prime 2
Medihelp
R 2,532 pm R 2,082 R 762 Yes No No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, infant paediatrics, preventative/wellness benefits. All else paid from day-to-day benefits or from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Prime 2 Network
Medihelp
R 1,974 pm R 1,626 R 594 Yes No No Network
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, infant paediatrics, preventative/wellness benefits. All else paid from day-to-day benefits or from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Prime 3
Medihelp
R 3,234 pm R 2,736 R 942 No Yes No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, dentistry, optometry, some medical appliances. Limits apply. All else paid from allocated fund or from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Prime 3 Network
Medihelp
R 2,586 pm R 2,184 R 750 No Yes No Network
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, dentistry, optometry, some medical appliances. Limits apply. All else paid from allocated fund or from out of pocket, unless PMB.

Only available for income level:
All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Elite
Medihelp
R 4,698 pm R 4,392 R 1,278 No Yes No Unlimited
Out-of-hospital, scheme pays for some: radiology (co-payment), pathology, GPs, specialists, supplementary services, psychologists, medicine, optometry, dentistry, maternity, infant paediatrics, medical appliances. Limits apply. All else paid from out of pocket, unless PMB.

Only available for income level:
All income levels

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Unify

Main Adult Child Savings? Fund? Threshold? Hospitals
Unify
Medihelp
R 2,304 pm R 1,896 R 696 Yes No No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment). Limits apply. All else paid from savings or from out-of-pocket, unless PMB.

Only available for income level:
All income levels

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Necesse Plans (income based)

Out-of-hospital, scheme pays for some: specialised radiology, maternity, GPs, specialists, supplementary health and medication, dentistry, optometry, medical appliances, radiology and pathology. Limits apply. All else paid from out of pocket, unless PMB.

Your Income: Main: Adult: Child: Hospital Choice:
R0-R600
R529 pm

R529 pm

R529 pm

Network
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R601-R11,000
R1,956 pm

R1,524 pm

R1782 pm

Network
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R11,001+
R2,280 pm

R1,784 pm

R990 pm

Network
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