Medihelp MedElect: dentistry, optometry and wellness (2024)

This page: Costs | Dentistry | Optometry | Wellness and Preventative | Other Medihelp MedElect We also show benefits for: In-hospital | Out of Hospital | Medicine | Maternity | Cancer | Mental Health | Prosthetics Find all the open medical aid plans here. Compare any two plans side by side, instantly. Monthly Costs: MedElect 2024 prices Main member: Adult member: Child member: Total Cost pm: R2,820 R2,208 R912 Pay for all children Savings (per year): No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits. Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account Main= R3,300 Main+1= R5,850 Main+2= R6,700 Main+3= R7,100 Main+4+= R7,750 Children Rates: Child rates up to age 21 Pay for all children Income band: This plan is only available to households with income in All income levelspm band. View other income bands Note: 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 ♦️View all the other benefits for this plan:♦️ Inhospital | 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 . Dentistry benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medihelp: MedElect Assume scheme pays all these costs, unless otherwise stated Standard Dentistry: Routine check ups, fillings, x-ray, extractions, root canals, oral hygiene: Covered by scheme Specialised Dentistry: Plastic Dentures: 80% of scheme rate, one set per 2 years per family 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 PMBs are always covered by the scheme, and cannot have sublimits or co-payments imposed. These include fracture of face bones, orbit and/or jaw. You can see a full list of maxillo facial PMB benefits here. Orthodontics: No benefit 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 ♦️View all the other benefits for this plan:♦️ Inhospital | 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 . . . Optometry benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medihelp: MedElect Assume scheme pays all these costs, unless otherwise stated Optometry: Every two years: Eye test and lenses Frame/lens enhancement: R595 Contact Lenses: R800 Note: 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. ♦️View all the other benefits for this plan:♦️ Inhospital | 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 . . . Wellness/Preventative benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medihelp: MedElect Assume scheme pays all these costs, unless otherwise stated Flu vaccination: Covered Pneumonia vaccines: Covered, 55yrs+ if registered for asthma or COPD Biometric Screening: Covered Child Immunisation: Covered , up to 6yrs Pap Smear: Covered , every 3 years Mammogram: Covered , every 2 years PAS Test: Covered HIV Test: Covered Other: Tetanus injection:Covered An FOBT test A bone mineral density test ♦️View all the other benefits for this plan:♦️ Inhospital | 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 . Other benefits for 2024: (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) MedElect International Insurance: No benefit Other: ♦️View all the other benefits for this plan:♦️ Inhospital | 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 .

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Important!
• Unless specified, assume that all benefits are paid are paid at 100% scheme rate
• No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
• "Unlimited" benefits are still subject to authorisation, protocols and sublimits
• Assume that all benefits need to be pre-authorised