Medihelp Medical Aid Scheme
Overall, Medihelp offers 11 medical aid plans
starting from R756 per month. Additionally, Medihelp offers 24/7 emergency support but no native comprehensive gap cover for every plan.
| 🔎 Medical Aid | 🥇 Medihelp |
| 📌 Registration Number | FSP 15738 |
| 📍 The average number of members | 250,000 |
| 📈 Number of Markets | South Africa |
| 📉 Number of Employees | 1,000+ |
| 📊 GCR Rating | AA- |
| ➡️ Listed on the JSE | No |
| 📎 JSE Stock Symbol | None |
| 🔍 The most recent Market Cap reported | None |
| 📌 Average Customer Rating | 3/5 |
Medihelp Review – Analysis of Medical Aids’ Main Features
- ✅ Medihelp at a Glance
- ✅ Medihelp Regulation
- ✅ Medihelp Plan Overview
- ✅ Medihelp Advantages over Competitors
- ✅ Medihelp Medical Savings Account
- ✅ How to apply for Medical Aid with Medihelp
- ✅ How to Submit a Claim with Medihelp
- ✅ How to Submit a Compliment or Complaint with Medihelp
- ✅ How to Switch my Medical Aid to Medihelp
- ✅ Medihelp Customer Support
- ✅ Medihelp vs Momentum vs Bonitas – A Comparison
- ✅ Medihelp Member Reviews
- ✅ Medihelp – Our Verdict
- ✅ Medihelp Pros and Cons
- ✅ Medihelp Frequently Asked Questions
Medical Aid Medihelp at a Glance
| 🔎 Medical Aid | 🥇 Medihelp |
| 📌 Date Established | 1905 |
| 📍 Headquartered | Gauteng, South Africa |
| ✳️ Registration Number | FSP 15738 |
| 👥 The average number of members | 250,000 |
| 🚩 Number of Markets | South Africa |
| 👤 Number of Employees | 1,000+ |
| 📈 GCR Rating | AA- |
| 📉 Listed on the JSE | No |
| 📊 JSE Stock Symbol | None |
| ✒️ The most recent Market Cap reported | None |
| 💙 Average Customer Rating | 3/5 |
| 🔎 Average Number of Reviews | 1,000+ |
| 📌 Market Share | <5% |
| ➡️ Number of plans offered | 12 |
| 🚑 Number of Hospitals in Network | 200+ |
| 🏠 Home care provided | No |
| ❤️ Sponsorships | Medihelp MultiSport Running, Cycling, and Walking |
| 📱 Is a Mobile App offered | ✅ Yes |
| 💻 Social Media Platforms | ✅ Yes |
| 📖 Medihelp Magazine for clients | ✅ Yes |
| 🖥️ Medical Claims Portal | ✅ Yes |
| 😷 Information Hub for COVID-19 | No |
| ⚕️ Chronic Illness Benefits | ✅ Yes |
| ⚙️ Number of PMB Diagnoses | 271 |
| 📈 Screening and Prevention offered | ✅ Yes |
| 👶 Maternity Benefit | ✅ Yes |
| 💵 Medical Aid Contribution Range (ZAR) | 756 ZAR – 10,980 ZAR |
| ⛔ Average Waiting Period | 3 months |
| 💷 Late-joiner penalties charged | Yes, from 1.05 to 1.75 x contribution |
| 🌎 International Medical Cover offered | Yes |
| 💶 International Travel Benefit (ZAR) | Scheme tariff |
Medihelp Regulation
The Council for Medical Schemes regulates 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) | 💴 Day-to-Day Benefit | 💵 Overall Annual Limit – Hospitalization | 💶 Chronic Conditions |
| 1️⃣ MedElect Student | 756 ZAR | – | – | None | – | Unlimited | 271 |
| 2️⃣ MedVital Elect | 1,776 ZAR | 1,290 ZAR | 696 ZAR | None | Member – 1,400 ZAR
Family – 2,700 ZAR | Unlimited | 271 |
| 3️⃣ MedVital | 2,256 ZAR | 1,722 ZAR | 744 ZAR | None | Member – 1,400 ZAR
Family – 2,700 ZAR | Unlimited | 271 |
| 4️⃣ MedMove! | 1,254 ZAR | 1,254 ZAR | 1,254 ZAR | None | – | Unlimited | 271 |
| 5️⃣ MedAdd Elect | 2,310 ZAR | 1,722 ZAR | 804 ZAR | · 4,176 ZAR (Member)
· 3,096 ZAR (+1 Adult)
· 1,440 ZAR (+1 Child) | Savings | Unlimited | 271 |
| 6️⃣ MedAdd | 2,796 ZAR | 2,364 ZAR | 948 ZAR |
· 5,040 ZAR (Member)
· 4,248 ZAR (+1 Adult)
· 1,728 ZAR (+1 Child) | Savings | Unlimited | 271 |
| 7️⃣ MedSave | 3,024 ZAR | 2,484 ZAR | 912 ZAR | · 9,000 ZAR (Member)
· 7,416 ZAR (+1 Adult)
· 2,664 ZAR (+1 Child) | Savings | Unlimited | 271 |
| 8️⃣ MedElect | 2,394 ZAR | 1,872 ZAR | 774 ZAR | None | From 3,150 ZAR | Unlimited | 271 |
| 9️⃣ MedPrime Elect | 3,438 ZAR | 2,904 ZAR | 1,002 ZAR | · 4,104 ZAR (Member)
· 3,456 ZAR (+1 Adult)
· 1,152 ZAR (+1 Child) | Savings | Unlimited | 271 |
| 🔟 MedPrime | 4,200 ZAR | 3,552 ZAR | 1,230 ZAR | · 5,112 ZAR (Member)
· 4,248 ZAR (+1 Adult)
· 1,584 ZAR (+1 Child) | Savings | Unlimited | 271 |
| ➡️ MedElite | 6,324 ZAR | 5,922 ZAR | 1,716 ZAR | · 7,560 ZAR (Member)
· 7,128 ZAR (+1 Adult)
· 2,016 ZAR (+1 Child) | Savings | Unlimited | 271 |
| ➡️ MedPlus | 10,980 ZAR | 10,980 ZAR | 2,742 ZAR | None | – | Unlimited | 271 |
MedElect Student
While you concentrate on your studies, MedElect’s high-quality networks provide comprehensive coverage at a reasonable cost.
Poll: 5 Best Medical Aids for Students
MedVital is a cost-effective health insurance plan that covers minor medical expenses, private hospitalization, and emergency medical services.
MedMove! will accompany you on your first career steps 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.
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 24% less for the network-based alternative, MedAdd Elect.
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.
By leveraging its extensive network, MedElect can easily provide excellent healthcare at a reasonable cost.
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, MedPrime Elect, the network alternative to this option, costs 22% less.
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, 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 12 plans, each with a range of benefits.
- The plans with Medihelp are affordable and cater to every budget in South Africa.
- There is no overall annual limit on hospitalization.
- South Africans get international coverage.
- 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 240,000 registered 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 100 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:
- ☑️ MedAdd Elect and MedAdd
- ☑️ MedSave
- ☑️ MedPrime Elect and MedPrime
- ☑️ MedElite
MedAdd Elect and MedAdd
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 Main Member | 5,040 ZAR per year |
| 💵 MedAdd Member +1 Dependent | 9,288 ZAR per year |
| 💶 MedAdd Member +2 Dependents | 11,016 ZAR per year |
| 💷 MedAdd Elect Main Member | 4,176 ZAR per year |
| 💴 MedAdd Elect Member +1 Dependent | 7,272 ZAR per year |
| 💵 MedAdd Elect Member +2 Dependents | 8,712 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
MedSave
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 | 9,000 ZAR per year |
| 💵 Main Member +1 Dependent | 16,416 ZAR per year |
| 💶 Main Member +2 Dependents | 19,080 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 Main Member | 4,104 ZAR per year |
| 💵 MedPrime Elect +1 Dependent | 7,560 ZAR per year |
| 💶 MedPrime Elect +2 Dependents | 8,712 ZAR per year |
| 💷 MedPrime Main Member | 5,112 ZAR per year |
| 💴 MedPrime Member +1 Dependent | 9,360 ZAR per year |
| 💵 MedPrime Member +2 Dependents | 10,944 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 | 9,000 ZAR per year |
| 💵 Main Member +1 Dependent | 16,416 ZAR per year |
| 💶 Main Member +2 Dependents | 19,080 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
You can apply for Medical Aid with Medihelp by:
- Completing the Online Application
- Speaking to an Advisor
- Getting a Quote Online
- Also take note of late joiner fee
Get a Medihelp Medical Aid quote from our Dedicated Medical Aid Specialists Broker
How to Submit a Claim with Medihelp
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:
- Medihelp App
- Member Zone
- Email
You might consider reading more about Medical Aid Tax Credit
How to Submit a Compliment or Complaint with Medihelp
When submitting a compliment, members, and non-members can do so directly via email, live chat, online call requests, or telephonically. The complaints procedure with Medihelp works as follows:
- Visit the Medihelp website and go to “Connect.”
- Select “Contact us” from the options.
- Scroll down below the map to find the “Online Complaint Form.”
How to Switch my Medical Aid to Medihelp
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.
Medical Aid Comparisons : Medihelp vs Momentum vs Bonitas – A Comparison
| 🔎 Medical Aid | 🥇 Medihelp | 🥈 Momentum Medical Scheme | 🥉 Bonitas Medical Fund |
| 📌 Years in Operation | 118 years | 57 Years | 40 Years |
| 📍 Average # Members | 250,000+ | 293,000 | 750,000+ |
| 📊 GCR Rating | AA- | AA | AA |
| 👥 Number of Employees | 1,000 | 500 – 1,000 | 150+ |
| 📈 Market Share | <5% | 20% | +-25% |
| 📉 Market Coverage | South Africa | South Africa | South Africa |
| 💙 Customer Rating | 3.5 | 4.5 | 4.9 |
| ➡️ Number of reviews | 1,000+ | 2,000+ | 5,000+ |
| 📱 Mobile App | Yes | Yes | Yes |
| 💶 Contribution Range (ZAR) | 756 – 10,980 ZAR | 482 – 28,202 ZAR | 1,338 – 8,990 ZAR |
| 🌎 International Travel Benefit (ZAR) | Scheme Tariff | Up to 9.01M ZAR | Up to 10 million ZAR |
You might also to compare MediHelp Medical Aid Scheme with other providers:
Medihelp Member Reviews
Highly Recommend.
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 programs 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 systems in the country.
You might also like to read more articles about
Medihelp Pros and Cons
| ✅ Pros | ❎ Cons |
| Medihelp offers 12 affordable and comprehensive plans for every type of budget | Medihelp does not offer gap cover on its plans |
| There are several medical savings plans with ample funds | The savings accounts are smaller than that of competitors |
It is advisable to take out Gap Cover with your MediHelp plan:
5 Best Gap Cover Options for Under R1500
5 Best Gap Cover Options for Under R1 000
Medihelp Frequently Asked Questions
Is Medihelp a good medical aid?
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. After that, you will not be eligible for benefits other than the minimum prescribed benefits (PMB).
Is there a Medihelp app for Android and iOS?
Medihelp has an app for Android and iOS.
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 2023?
There are currently 12 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.
Does Medihelp have gym benefits?
With HealthPrint, you can receive discounts on gym memberships at Planet Fitness and Just Gym, as well as other benefits.
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.
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 2023,” print the form, and completethe 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 policies cover unlimited scans during hospitalization. In contrast to MediMove!, if you choose a plan with more extensive coverage or a larger savings account, you will also be covered for out-of-hospital scans.
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.
