This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Medihelp MedElect
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Monthly Costs (2025)
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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- R1,014
- Pay for all children
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- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
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- Main= R6,400
- Main+1= R9,500
- Main+2= R11,600
- Main+3= R12,700
- Main+4+= R7,750
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- Up to age 26yrs
- Pay for all children
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- Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list.
- All treatments and procedures are subject to authorisation and protocols
- All benefits are listed as an indication only. Please verify with your broker and scheme
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Medihelp plans, with costs and brief summary.
Find all other open medical aid plans here.
|
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Dentistry benefits (2024):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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Assume scheme pays all these costs, unless otherwise stated
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Main Member: |
Adult: |
Child: |
- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
|
- Main= R6,400
- Main+1= R9,500
- Main+2= R11,600
- Main+3= R12,700
- Main+4+= R7,750
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| Standard Dentistry: |
- Routine check ups, fillings, x-ray, extractions, root canals, oral hygiene: Covered by scheme
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| Specialised Dentistry: |
- Plastic Dentures: 80% of scheme rate, one set per 2 years per family
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| In-Hospital Dentistry: |
- Impacted wisdom teeth, under 12yrs: paid by scheme, if done in-chair,
- Impacted wisdom teeth, in hospital R2,140 co-payment
- Extensive treatment for children under 7yrs: R2,140 co-payment
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| Orthodontics: |
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| Note: |
- PMBs: Prescribed Minimum Benfits. To read more about PMBs click here
- DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
- Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Medihelp plans, with costs and brief summary.
Find all other open medical aid plans here.
|
Optometry benefits (2024):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
|
Assume scheme pays all these costs, unless otherwise stated |
|
Main Member: |
Adult: |
Child: |
- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
|
- Main= R6,400
- Main+1= R9,500
- Main+2= R11,600
- Main+3= R12,700
- Main+4+= R7,750
|
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| Optometry: |
Every two years:
- Eye test and lenses
- Frame/lens enhancement: R595
- Contact Lenses: R800
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- This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Medihelp plans, with costs and brief summary.
Find all other open medical aid plans here.
|
Wellness/Preventative benefits (2024):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
Other benefits for 2024:
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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