• Medihelp Plan, Scheme Plans

Medihelp MedMove Student:
in-and-out of hospital benefits (2025)

Contents:

This page has overview information on: Costs, In-hospital, Out of Hospital and Medicine benefits for MedMove Student. Please consult and verify with the scheme or your broker for full benefits, and an explanation of all the "fine print".

Terminology:

  • PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
  • DSPs: Designated Service Providers. Where stipulated, you must use 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.
  • All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2026)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medihelp:MedMove Student (2026)
Main member: Adult member: Child member:
Total Cost pm:
  • R804
  • R804
  • R804
Savings:
  • No savings account option on this plan
  • The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Children Rates:
  • Up to age 26yrs
  • Pay for all children
Income band:
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In-hospital Procedures (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medihelp: MedMove Student
Assume scheme pays all these costs, at 100% scheme rate, unless otherwise stated
GPs and Specialists:
  • 100% scheme rate
Gap Cover:
Can push payout up to 700% scheme rate
(Plans coming soon)
Hospital Choice:
  • Overnight procedure: you must use network hospitals, or pay 35% penalty
  • Day procedure: you must use network hospitals, or pay R12,500 penalty
  • You can always use any hospital in an emergency
Penalty for using other hospital: . Gap Cover:
Can cover the penalty in full
(Plans coming soon)
Co-payments:
Precedure: Co-payments:
Hospital admission:R1,750 (not for PMBs)
Endoscopic procedures, in day hospital: R4,900
Specialized radiology: R2,850
Prostatectomy: R11,700
Note:
  • If you use a DSP (designated service provider), you never have to pay a co-payment for protocol treatment of a PMB (Prescribed Minimum Benefit). More info here
  • There might be other co-payments, especially if you don't use a DSP for a PMB or when buying medicine.
 Gap Cover:
Can cover most co-payments
(Plans coming soon)
Specialised Radiology:
  • Angiography, MRI and CT scan: R13,600 per family with R2,850 co-payment. No co-payment if scan is part of PMB protocol
 Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Scopes: . Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Supplementary Services: (Physio, etc) .
Transplants:
  • PMBs only
Dialysis:
  • PMBs only
Exclusions:
  • NB: See scheme's rules for all exclusions. All schemes have plenty!
 Gap Cover:
Coming soon
Alternatives to hospitals:
  • Palliative care: R20,700 per family
Casualty/ER:
  • All medical emergencies are paid by scheme, in or out of hospital
  • Non-emergencies must be paid for out of pocket
 Gap Cover:
Can cover ER claims
(Plans coming soon)
Other:
  • Post hospital care for speech therapy, OT and physio: R2,300 per person and R3,300 per family
PMBs = Prescribed Minimum Benefits (more info) | DSP = Designated Service Provider

Out-of-hospital Procedures (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medihelp: MedMove Student
Assume scheme pays all these costs, at 100% scheme rate, unless otherwise stated
Main Member: Adult: Child:
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.
Other Day-to-Day Funds:
PMBs out of hospital:
  • All schemes must pay for the diagnosis, treatment and management of all PMB conditions, in or out of hospital. You can see a full list of the conditions here.
  • This can include consults with specialists, blood or other tests, radiology and medicine.
  • PMB benefits must never be paid from your savings account.
  • Schemes usually impose the use of specific providers for treatment of PMBs. Read more about that here.
  • See our Guide to PMBs for more information.
GP consultations:
  • Virtual GP consults: R130 co-payment
  • Network Nourse consults: Unlimited
  • Network GP consults: R130 co-payment
Childcare:
Gap Cover:
Can pay for child ER visits
(Plans coming soon)
Specialist consultations:
  • Network Specialists: R1,000 per family
Pathology:
  • R1,700 per family
  • Shared with pathology, standard radiology and acute medicine
General radiology:
  • R1,700 per family
  • Shared with pathology, standard radiology and acute medicine
Specialised radiology:
  • PMBs only
 Gap Cover:
Can pay co-payments and increase sublimits
(Plans coming soon)
Scopes: . Gap Cover:
Can pay co-payments and increase sublimits
(Plans coming soon)
Supplementary Services: (Physio, etc)
  • Physio: 2 consults per family with R130 co-payment
General Appliances:
  • No benefit
1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
PMBs = Prescribed Minimum Benefits (more info) | DSP = Designated Service Provider

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme. The benefits listed here are an indication only. Please verify all benefits and their conditions with the scheme.

Medication Benefit (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medihelp: MedMove Student
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child:
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.
Other Day-to-Day Funds:
Chronic:
Acute (prescribed) medication:
  • R1,700 per family
  • Shared with pathology, standard radiology and acute medicine
Over-the-counter:
  • R510 per family
Birth Control:
  • Oral/injectable/implantable: R110 per month
  • IUD: R1,900 every 5 years
On Discharge:
  • R390 per admission
Biological:
  • PMBs only
PMBs = Prescribed Minimum Benefits (more info) | DSP = Designated Service Provider

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme. The benefits listed here are an indication only. Please verify all benefits and their conditions with the scheme.

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