This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Medihelp MedPrime Elect
View all the Medihelp plans, with costs and brief summary.
Find all the open medical aid plans here.
Compare any two plans side by side, instantly.
Monthly Costs (2025)
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
Dentistry 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: |
|
|
|
- Main= R7,200
- Main+1= R13,300
|
|
| Standard Dentistry: |
- Routine check ups, fillings, x-ray, extractions, root canals, oral hygiene: Covered by scheme
|
|
| Specialised Dentistry: |
- Plastic Dentures: one set per person, every 4 years
Partial metal frame dentures: one partial frame per person every 5 years
Crowns and bridges: 1 crown per family
Implants: No benefit
Periodontics: Covered, with protocols
Maxillofacial surgery in dentist chair: Unlimited
Paid by scheme
|
| In-Hospital Dentistry: |
- Impacted wisdom teeth, under 12yrs: paid by scheme, if done in-chair,
- Impacted wisdom teeth, in hospital R1,750 co-payment
- Extensive treatment for children under 7yrs: R1,750 co-payment
|
| Orthodontics: |
- R10,630 per person, per lifetime
- Paid by scheme
|
|
| 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)
|
Assume scheme pays all these costs, unless otherwise stated |
|
Main Member: |
Adult: |
Child: |
|
|
|
- Main= R7,200
- Main+1= R13,300
|
|
| Optometry: |
Every two years:
- Eye test and lenses
- Frame/lens enhancement: R865
- Contact Lenses: R1,270
- Refractive surgery: R13,700 per family, 18-50yrs
|
|
- 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)
Other benefits for 2024:
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
|
