The MedReach plan provides coverage for students, various day-to-day benefits for the entire family, care extender benefits, optometry, dentistry, and other benefits.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R2412
Dependant Member
From R1752
Child Dependant
From R1014
MedVital Elect
The MedVital Elect plan offers several core benefits, day-to-day benefits, added insured benefits, unlimited PMB medicine, additional GP consultations, childbirth, and other similar benefits.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R3096
Dependant Member
From R2376
Child Dependant
From R1062
MedVital
The MedVital plan covers consultations, PMB and non-PMB medication, care extender benefits, in-hospital services, trauma benefits, and other similar benefits.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R4260
Dependant Member
From R3504
Child Dependant
From R1302
MedSaver
The MedSaver plan offers emergency coverage both in and outside South Africa, advanced treatment benefits, as well as basic and advanced dentistry, optometry, maternity, HIV/AIDS and diabetes care, among other benefits.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R5790
Dependant Member
From R4896
Child Dependant
From R1692
MedPrime
The MedPrime plan offers clinical psychology and psychiatric nursing, medicine, radiology, pathology, in-hospital treatments and procedures, routine screening, wellness programs, and other benefits.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R15486
Dependant Member
From R15486
Child Dependant
From R3864
MedPlus
The MedPlus plan provides comprehensive coverage both in and out-of-hospital for consultations with general practitioners and specialists, radiology, pregnancy, chronic medication, dentistry, prostheses, and reduced co-payments for treatments.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R804
Dependant Member
From R804
Child Dependant
From R804
MedMove!
The MedMove! Student plan provides coverage for network GP consultations and follow-ups, pathology and radiology, chronic conditions and medicine, dentistry, optometry, and more.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R8922
Dependant Member
From R8352
Child Dependant
From R2418
MedElite
The MedElite plan offers day-to-day benefits, as well as coverage for PMB and non-PMB medicines, specialized dental services, in-hospital benefits, and more.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R3186
Dependant Member
From R2496
Child Dependant
From R1110
MedAdd Elect
The MedAdd Elect plan offers a medical savings account, chronic medication, out-of-hospital benefits and cover, care extender, extended maternity benefits, and various other benefits.
The MediSwift plan offers comprehensive in-hospital benefits, oncology benefits, physiotherapy benefits, access to Hospital-at-Home, and more.
Tax Deductible:
Travel Cover:
Principle Member
From R4038
Dependant Member
From R3402
Child Dependant
From R1368
MedAdd
The MedAdd plan offers ample medical savings, day-to-day benefits in case of depleted savings, consultations, oncology, dental and optometry benefits, allied healthcare services, radiology, pathology, and more.
Starting from R804 per month on the MedMove! Student plan. Additionally, Medihelp offers 24/7 emergency support. Gap Cover is not included on any option and can be obtained separately.
Yes, from 1.05 to 1.75 x contribution if applicable and depending on the application information provided
🌎 International Medical Cover offered
Yes
Medihelp Regulation
The Council for Medical Schemes regulates the Medihelp Medical Scheme. The Council governs South Africa’s medical plan business for Medical Schemes (CMS), a regulating body set up under the Medical Schemes Act, No. 131 of 1998 (the Act).
The CMS is responsible for a range of tasks related to the oversight of medical insurance plans, such as:
✅ Responsible for registering medical insurance plans and ensuring they comply with the law and other laws.
✅ Making sure healthcare plans have the money to pay claims.
✅ Examining and authorizing proposed price hikes for medical plans.
✅ Accepting and examining member complaints and initiating disciplinary action against medical plans that violate the Act or other applicable rules.
✅ Helping medical insurance plans follow the law and other laws.
Furthermore, suppose a medical scheme is found to violate the law. In that case, the CMS can issue administrative fines and penalties.
Medihelp Plan Overview
🔎 Plan
💴 Contributions (Main)
💵 Contributions (+ Adult)
💶 Contributions (+ Child)
💷 Medical Savings (Up to, per annum)
MedMove Student
R804
R804
R804
None
MedVital Elect
R2,412
R1,752
R1,014
None
MedVital
R3,096
R2,376
R1,062
None
MedAdd Elect
R3,186
R2,496
R1,110
· 5,760 ZAR (Member)
· 4,464 ZAR (+1 Adult)
· 2,016 ZAR (+1 Child)
MedAdd
R4,038
R3,402
R1,368
· 7,272 ZAR (Member)
· 6,120 ZAR (+1 Adult)
· 2,448 ZAR (+1 Child)
MedSaver
R4,260
R3,504
R1,302
· 12,744 ZAR (Member)
· 10,512 ZAR (+1 Adult)
· 3,888 ZAR (+1 Child)
MedReach
R3,360
R2,634
R1,092
None
MedPrime Elect
R4,746
R4,002
R1,380
· 5,688 ZAR (Member)
· 4,824 ZAR (+1 Adult)
· 1,656 ZAR (+1 Child)
MedPrime
R5,790
R4,896
R1,692
· 6,984 ZAR (Member)
· 5,904 ZAR (+1 Adult)
· 2,016 ZAR (+1 Child)
MedElite
R8,922
R8,352
R2,418
· 10,728 ZAR (Member)
· 10,008 ZAR (+1 Adult)
· 2,418 ZAR (+1 Child)
MedPlus
R15,486
R15,486
R3,864
None
MedMove! Student
While you concentrate on your studies, MedMove’s high-quality network provides comprehensive coverage at a reasonable cost. MedMove Student starts at only R804. Discover more about Medihelp Student plans.
MedVital is a cost-effective medical aid plan that covers minor medical expenses, private hospitalization, and emergency medical services.
MedMove! Student
MedMove! will accompany you on your time studying by providing coverage for health essentials such as private hospitalization and emergency medical services via quality networks. You can also access virtual and in-person doctor consultations, medication, and additional medical services.
MedAdd Elect and MedAdd
The 15% savings account, additional insured coverage once savings are depleted, dental and vision care coverage, and pregnancy benefits make MedAdd a popular option for young families. However, Medihelp members can pay less for the network-based alternative, MedAdd Elect.
MedSaver
MedSaver covers private hospitalization at any hospital, while the 25% savings account covers out-of-hospital medical expenses. Furthermore, when savings are exhausted, additional out-of-hospital coverage becomes available.
MedElect
By leveraging its extensive network, MedElect can easily provide excellent healthcare at a reasonable cost.
MedPrime Elect and MedPrime
In addition to private hospitalization, the MedPrime plan provides excellent coverage for out-of-hospital services via a savings account, insured pooled benefits, and extensive dental and vision benefits. In addition, you can save a lot with MedPrime Elect, as a network alternative .
MedElite
MedElite offers comprehensive coverage for private hospitalization, a savings account, and rich, insured benefits for out-of-hospital medical expenses, such as those associated with chronic medicine, to ensure that its members can rest easy.
MedPlus
MedPlus, Medi help’s premium plan, provides the most comprehensive coverage for medical emergencies, private hospitalization, and preventive care and substantial coverage for acute and chronic medicine, radiology, pathology, and other routine medical expenses.
Medihelp Advantages over Competitors
📌 Medihelp offers 11 plans, each with a range of benefits.
📌 The plans with Medihelp are affordable and cater to every budget in South Africa.
📌 There are savings plans with various benefits, and any unused funds will be carried over to the next year.
📌 Many hospitals in every province form part of the Medihelp hospital network.
📌 There are over 95,540+ principal members with Medihelp.
📌 You can rest assured knowing that Medihelp has a reserve level that significantly exceeds the minimum required by law, giving them a rating that places them among the best in the industry regarding paying claims.
📌 Complete protection against 271 PMB Conditions.
📌 Chronic care and back treatment are just two examples of the specialized healthcare programs available today.
📌 Alternatives at lower costs, with access to private healthcare systems.
📌 Several plans include insurance for maternity and childcare costs.
📌 Medihelp interacts with its customers and provides service via various channels, such as mobile apps, self-service websites, live chat, and telephone support.
📌 Medihelp, as one of the largest medical aids in the country and with more than 120 years of experience in the field, knows exactly what its members need in terms of medical coverage and care.
Medihelp Medical Savings Account
Medihelp offers Medical Savings on the following plans:
With MedAdd Elect and MedAdd, a 15% savings account is available at the start of every new year. Furthermore, you receive insured benefits once your medical savings are depleted. In addition, you are eligible for dental and optical benefits on this plan.
MedAdd Savings
💴 MedAdd Main Member
R7 272 ZAR per year
💵 MedAdd Member +1 Adult Dependent
R13 392 ZAR per year
💶 MedAdd Member +2 Child Dependents
R12 168 ZAR per year
MedAdd Elect Savings
💷 MedAdd Elect Main Member
R5 760 ZAR per year
💴 MedAdd Elect Member +1 Adult Dependent
R10 224 ZAR per year
💵 MedAdd Elect Member +2 Child Dependents
R9 792 ZAR per year
📌 Any unused savings will be carried over to the following year
With MedSave, members have a 25% medical savings account at the start of every year. Furthermore, members have insured benefits for child GP consultations if savings are depleted.
💴 Main Member
12,744 ZAR per year
💵 Main Member +1 Adult Dependent
23,256 ZAR per year
💶 Main Member +2 Child Dependents
20,520 ZAR per year
📌 Any unused savings will be carried over to the following year
📌 If savings are depleted, insured day-to-day benefits become active
MedPrime Elect and MedPrime
With MedAdd Elect and MedAdd, a 10% savings account is available at the start of every new year. Furthermore, these plans have immediate day-to-day cover when savings are depleted, and there is no self-funding gap. A large additional pooled insured benefit block for the family’s use for doctor’s visits and medication.
MEDPRIME ELECT
💴 MedPrime Elect Main Member
R5 688 ZAR per year
💵 MedPrime Elect +1 Adult Dependent
R10 512 ZAR per year
💶 MedPrime Elect +2 Child Dependents
R9 000 ZAR per year
MEDPRIME
💷 MedPrime Main Member
R6 984 ZAR per year
💴 MedPrime Member +1 Adult Dependent
R12 888 ZAR per year
💵 MedPrime Member +2 Child Dependents
R11 016 ZAR per year
📌 Any unused savings will be carried over to the following year
📌 If savings are depleted, insured day-to-day benefits become active
MedElite
With MedElite, a 10% savings account is offered at the start of each year. Members have immediate daily coverage upon depletion of savings with no self-funding gap. There are extensive non-PMB chronic medication advantages and separate extensive dental and optical coverage
💴 Main Member
R10 728 ZAR per year
💵 Main Member +1 Adult Dependent
R20 736 ZAR per year
💶 Main Member +2 Child Dependents
R16 488 ZAR per year
📌 Any unused savings will be carried over to the following year
📌 If savings are depleted, insured day-to-day benefits become active
How to apply for Medical Aid with Medihelp
Medical Aid Quote Medihelp Medical Scheme process explained
In most cases, doctors and other healthcare providers will submit claims to Medihelp on your behalf. However, some providers may require you to pay their bills fully before issuing a refund.
Members of Medihelp can submit claims through any of the following channels:
Before switching to Medihelp, you should inform your current medical aid provider of your intention to cancel coverage. After notifying your current medical assistance provider of your intent to cancel coverage, you can apply for Medihelp online or by phone.
Medihelp Customer Support
You can contact Medihelp’s customer support in several ways, such as:
✔️ Phone: You can call their customer support hotline and speak with a representative directly.
✔️ Email: You can email their customer support email address, and they will respond as soon as possible.
✔️ Online chat: The Medihelp website can chat with a customer support representative in real time.
✔️ Social media: Medihelp has a customer support account on various social media platforms like Facebook, Twitter, Instagram, etc. You can reach out to them through a direct message.
✔️ Postal mail: You can also contact Medihelp’s customer support by sending a letter to their mailing address.
As a recent member of Medihelp, I wholeheartedly recommend their services to anyone in need of medical aid or hospital coverage. My daughter, who has been diagnosed with asthma for eight years, recently began experiencing severe asthma attacks. Despite this difficult time, Medihelp has been exemplary in its support and care. They assisted my daughter during her hospital admissions, and I have no complaint to lodge against them. Therefore, I strongly encourage anyone seeking medical aid or hospital coverage to consider Medihelp seriously. I am confident that you will not regret your decision. – Olivia Branch
Great Support.
I have been a member of Medihelp Medical Aid since 2016, and throughout my tenure as a member, I have had numerous interactions with their call center for various reasons. On each occasion, I have been treated with the utmost respect and provided with the necessary information and assistance. Recently, following the passing of my father, I was faced with the task of settling numerous medical bills from doctors and hospitals. Medihelp provided unwavering support throughout this difficult time, settling all bills as promised and without fail. I am deeply grateful for their friendly and professional handling of this sensitive situation. I would highly recommend their services to others. – Lana Perez
Impressive.
As a member of Medihelp for just under a year, I have been consistently impressed with the level of service they have provided. Recently, during the COVID-19 pandemic, I reached out to Medihelp for assistance in finding an appropriate testing facility. The process was seamless – they guided me to the appropriate location, and the expenses incurred were promptly and efficiently reimbursed. I am pleased with the level of care and attention I have received from Medihelp and would recommend their services to others. – Jac Zamora
Medihelp – Our Verdict
Medihelp is one of the best medical schemes in South Africa, with over a century of experience in the field. As a result, the Global Credit Rating Company has assigned an AA rating to the company. According to Deloitte, it is the seventh-best medium-sized employer in South Africa.
Unsurprisingly, the medical scheme consistently receives positive feedback. This includes employees, customers, and other stakeholders to whom they are connected. Medihelp is truly assisting South Africans by providing one of the best medical schemes in the country.
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Yes, Medihelp is one of the largest and oldest medical schemes in South Africa, with a solid reputation for providing quality healthcare coverage and customer service.
Medihelp has consistently been awarded high ratings and accolades by independent rating agencies and has a broad range of benefit options to suit different healthcare needs and budgets.
Does Medihelp have a waiting period?
Medihelp may implement either a general or condition-specific waiting period. The general waiting period is up to three months from the date of membership during which you will not be eligible for benefits other than the minimum prescribed benefits (PMB).
Where can I find the Medihelp Medical Aid contact number?
You can find Medihelp’s contact number on the official website.
How many Medihelp plans are there for 2026?
There are currently 11 plans available from Medihelp.
Is there an electronic Medihelp membership card?
✅ Yes, Medihelp offers an electronic membership card on the official site and member’s area.
How do I get Authorization from Medihelp?
Log in to the Member Zone of Medihelp and select “pre-auths.” Then, send all necessary information to [email protected].
Members can also contact the pre-authorization consultants of Medihelp at 086 0200 678. Discover more about the Authorization process from Medihelp
How do I Downgrade my Plan with Medihelp?
Medihelp does not currently indicate whether members can downgrade their plan.
How do I add a Beneficiary to Medihelp?
If you want to add a child or adult dependent, you can log into your Medihelp profile, Navigate to the Medihelp website, and click on “Connect.”
Hover over “Members” and click on “Medihelp forms.” Click on “Registration of Dependents 2025,” print the form, and complete the applicable sections.
How do I pay Medihelp?
Your monthly contribution should be debited automatically from the bank account you indicated. However, you can settle any outstanding balances straight into Medihelp’s bank account at an ABSA branch or by Internet transfer.
Does Medihelp cover MRI scans?
Your physician may request a CT or MRI scan to confirm a diagnosis. Medihelp’s plans cover scans IN and out of hospital, but note that sub-limits do apply.
Does Medihelp pay for blood tests?
✅ Yes, Medihelp medical aid covers blood tests, but the extent of coverage depends on your specific medical aid plan benefits. Most Medihelp plans include some level of coverage for blood tests, either as part of routine checkups or as diagnostic tests for specific conditions
Does Medihelp cover dental implants?
✅ Yes, Dental implants are covered on certain Medihelp options, but there are some important things to take notice of like Pre-authorization requirements. Some plans may have higher co-payments or deductibles for implants than others. Certain types of implants or procedures may not be covered by your plan. You can find more information on the Medihelp website.
❌ No, Medihelp does not offer gap cover directly. Medihelp has partnered with gap cover providers, MedGap and Cura, to offer discounted gap cover options to their members. But you may opt for a Gap Cover of your choice.
What kind of electronic health records does Medihelp offer?
Medihelp offers a comprehensive electronic health records (EHR) system that allows healthcare providers to manage patient records, track patient progress, and communicate with other providers.
The EHR system is designed to be user-friendly and customizable. Therefore, providers can tailor it to their specific needs.
Does Medihelp support Telemedicine?
✅ Yes, Medihelp supports telemedicine by providing a secure platform for virtual visits between patients and providers. The platform includes video conferencing, secure messaging, and other features to facilitate remote care.
How does Medihelp engage patients?
Medihelp offers a patient engagement platform that allows patients to access their health records, communicate with their providers, and manage their health. The platform includes appointment scheduling, medication reminders, and educational resources to help patients stay informed and engaged in their care.
Adriaan Schoeman
Adriaan holds an MBA and specializes in medical aid research. With his commitment to perfection, he ensures the accuracy of all data presented on medicalaid.com every three months. When he is not conducting research, Adriaan can be found indulging in his passion for trout fishing amidst nature.
