Medihelp · Medihelp Medical Aid Scheme Plans
Covered up to 100% of the MT.Unlimited cover provided.
Claims are paid from the savings account first.Once savings have been depleted, claims are covered up to 100% of the MT, up to the following amounts (subject to the OAL day-to-day benefit):– Main Member – R3,850 per year.– Main Member +1 Dependent – R5,000 per year.– Main Member +2 Dependents – R6,300 per year.– Main Member +3 Dependents> – R7,550 per year.
When a beneficiary claims for a Pap smear, mammography, prostate exam, fecal occult blood test (FOBT), or bone mineral density test, one additional consultation benefit is activated for the family.
Paid up to 100% of the MMAP.The following limits apply:– Main Member – R5,700 per year.– Main Member +1 Dependent – R8550 per year.– Main Member +2 Dependents – R11,400 per year.– Main Member +3 Dependents> – R12,200 per year.Subject to pre-authorisation, andregistration on Medihelp’s chronicmedicine managementprogramme.
Effective from January 2026
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