About Medihelp
Medihelp is one of the five largest medical schemes in South Africa and provides cover for approximately 201 000 people. It offers a choice of 11 options and premiums for a single member range from R702 for students to R10 122.
Members may choose a hospital of their choice or an Elect hospital network option which lowers contributions. A defined list of procedures must be done at a Network Day Hospital to avoid a co-payment. MedPrime is the most popular option. All options offer maternity and preventative care benefits.
1
Medihelp Medical Aid Plans – Contributions
MedElect Student
*Contributions may differ based on specific requirements. It is recommended to contact Medihelp for detailed and personalised information.
2
MedPlus
MedPlus (previously called Medihelp Plus) is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Day to day costs are subject to defined annual limits and or an annual benefit pool limit.
3
MedElite
MedElite (previously called The Elite option) is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialised radiology and or scopes and a few other in-hospital procedures. Day to day claims are paid from savings. Once savings depleted, claims are paid from an annual block benefit. Optometry and dentistry claims are paid from a separate benefit.
4
MedPrime & MedPrime Elect
MedPrime (previously called Prime 3) is an all-round general cover plan which offers unlimited hospital cover at a hospital of choice or if selecting the Elect option, through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialised radiology and or scopes and a few other in-hospital procedures. Hip, knee and shoulder replacements are only covered in the case of acute injury. Day to day claims are payable from a savings benefit. Once savings have been depleted, a block benefit is available for certain claims. Additional risk benefits are also provided for dentistry, optometry and specialised radiology.
5
MedAdd and MedAdd Elect
MedAdd (previously called Prime 2) offers unlimited hospital cover at a hospital of choice or if selecting the Elect option, through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialised radiology and or scopes and a few other in-hospital procedures. Hip, knee and shoulder replacements are only covered in the case of acute injury. Day to day claims are payable from a savings benefit. Once savings have been depleted, a block benefit is available for certain claims. Additional risk benefits are also provided for specialised radiology.
6
MedVital & MedVital Elect
MedVital (previously called Prime 1) offers unlimited hospital cover at a hospital of choice or if selecting the Elect option, through a hospital network, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialised radiology and or scopes and a few other in-hospital procedures. Hip, knee and shoulder replacements are only covered in the case of acute injury. This is mainly a hospital plan which also provides some preventative care benefits and limited cover for GP and specialist consults, physiotherapy, acute and over the counter medication.
7
MedSaver
MedSaver (previously called Unify) offers unlimited hospital cover at a hospital of choice and is suitable for young, healthy individuals. In-hospital specialist bills are paid at 100% and co-payments are applied to specialised radiology and or scopes and a few other in-hospital procedures. Hip, knee and shoulder replacements are only covered in the case of acute injury. Day to day claims are payable from savings with a separate benefit for specialised radiology.
8
MedElect
MedElect (previously called Necesse) is an entry level capitated network plan which is an affordable plan, ideal for low earning individuals or full time students. All treatments are subject to network providers and network protocols.
9
Lifestyle Programme
HealthPrint is a free online health and wellness education platform. Members can track their health activity, access their health and benefit data and enjoy benefits and discounts from certain retailers.
Medihelp is an authorised financial services provider (FSP No 15738).
Hippo Comparative Services (Pty) Ltd is an authorised financial service provider.
FSP number: 16357. Block A, Steyn City Capital Park, Erling Road, Riverglen, Dainfern, 2191
*Based on independent research by Kaufman Levin & Associates 2025.
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