Medihelp MedVital Elect: cancer, maternity and mental health (2024)

This page: Costs | Maternity | Oncology | Mental Health Medihelp MedVital Elect We also show benefits for: In-hospital | Out of hospital | Medicine | Dentistry | Optometry | Other/Extra Benefits | Wellness and Preventative | Prosthetics Find all the open medical aid plans here. Compare any two plans side by side, instantly. Monthly Costs: MedVital Elect 2024 prices Main member: Adult member: Child member: Total Cost pm: R2,022 R1,470 R852 Only pay for 2 children under 18yrs 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= R1,450 Main+1= R2,800 Children Rates: Child rates up to age 26. Only pay for 2 children under 18yrs 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 . . . Cancer/ Oncology benefits for 2024: (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medihelp: MedVital Elect Assume scheme pays all these costs, unless otherwise stated Overall coverage (in and out of hospital): Non-PMB: R254,100 per family Treatment required for PMB conditions is always paid by scheme, with no co-payment, if you follow the protocols. Most cancers are PMBs! More info here Most schemes require use of specific providers (DSPs) for oncology treatment. ♦️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 . . . Maternity benefits for 2024: (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medihelp: MedVital Elect Assume scheme pays all these costs, unless otherwise stated Hospital stay: 100% scheme rate Home birth: R15,600 per event Usually covered for 2 nights for natural birth, and 3 nights for C-sections. All newborns receive immediate full medical aid cover at birth, even if parents are on a waiting period. Consultations: Consults: 10 consults with GP, gynaecologist or midwife Post-natal: 2 consults with dietician, lactation specialist, antenatal classes Lactation consult: 1 consult Scans: 2 x 2D scans Note: If you are pregnant and don't have medical aid, your pregnancy will most likely be excluded for new cover, but your baby will be covered from birth. Read more about pregnancy cover if you don’t have medical aid. ♦️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 . . . Mental Health benefits for 2024: \ (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medihelp: MedVital Elect Assume scheme pays all these costs, unless otherwise stated In-hospital: PMBs: 21 days admission Alcoholism/Drug Addiction: 21 days admission Otherwise, R22,800 per person and R34,700 per family, counting PMBs Out-of-hospital: PMBs: 10+ consults Trauma: Note: PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness. 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 .

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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