Medihelp MedPlus:
dentistry, optometry and wellness (2025)

What's on this page:

This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Medihelp MedPlus View all the Medihelp plans, with costs and brief summary.

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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)

MedPlus 2025 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R14,184
  • R14,184
  • R3,540
  • 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
  • R4,500
  • R4,500
  • R4,500
Children Rates:
  • Up to age 26yrs
  • Pay for all children
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:
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.
.

Dentistry benefits (2024):

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

Medihelp: MedPlus
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
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.
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R4,500
  • R4,500
  • R4,500
Standard Dentistry:
  • Routine check ups, fillings, x-ray, oral hygiene
Specialised Dentistry:
  • Plastic Dentures: one set per person, every 4 years
  • Partial metal frame dentures: two partial frames per person every 5 years
  • Crowns and bridges: 2 crowns per family
  • Implants: No benefit
  • Periodontics: Covered, with protocols
  • Maxillofacial surgery in dentist chair: Unlimited
  • Paid by scheme
    		•
    In-Hospital Dentistry: 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:
    • From day-to-day 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:
    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)

    Medihelp: MedPlus
    Assume scheme pays all these costs, unless otherwise stated
    Summary of day-to-day benefits:
    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.
    Extended Fund:
    Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
    • R4,500
    • R4,500
    • R4,500
    Optometry:
      Every two years:
    • Eye test
    • Frame/lens enhancement: R1,080
    • Contact Lenses: R1,780
    • Refractive surgery: Unlimited
    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:
    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)

    Medihelp: MedPlus
    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:
    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.

    Other benefits for 2024:

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

    MedPlus
    International Insurance:
    • No benefit
    Other:
    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.

      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


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