Overall, the Medihelp MedMove! Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and network GP consultations to its members. The Medihelp MedMove! Medical Aid Plan starts from R1,638 ZAR.
| MedMove!! | |
| 👤 Main Member Contribution | R1,638 |
| 👥 Adult Dependent Contribution | R1,638 |
| 💙 Child Dependent Contribution | R1,638 |
| 🏥 Hospital Cover | Unlimited |
| 📉 Prescribed Minimum Benefits | ☑️ Yes |
| ➡️ Screening and Prevention | ☑️ Yes |
| 💶 Medical Savings Account | None |
| 🍼 Maternity Benefits | ☑️ Yes |
| 🔁 Home Care | None |
| 🧠 Mental Healthcare Program | ☑️ Yes |
The Medihelp MedMove! medical aid plan is one of 12, starting from R1,683, and offers the MedMove! Student starting from R750. It includes Network GP consultations and follow-ups, pathology and radiology, chronic conditions and medicine, dentistry, optometry, and more. Gap Cover is not available on Medihelp MedMove! Plan. However, Medihelp offers 24/7 medical emergency assistance. According to the Trust Index, Medihelp has a trust rating of 4.2.
💙MediHelp has the following 12 plans to choose from:
👉 Download the MedMove Student plan summary for 2025 from MediHelp.
| 👤 Main Member | 👥 +1 Adult Dependent | 💙 +1 Child Dependent |
| R1,638 | R1,638 | R1,638 |
| 🩺 Virtual Network GP Consultations during nurse visits at a network pharmacy | Covered up to 100% of the MT. Unlimited cover provided. There is an R130 co-payment per virtual Network GP consultation. Clinical guidelines apply. Co-payment does not apply to nurse visits. |
| 👩⚕️ Network GP consults and follow-ups | Covered up to 100% of the MT. Unlimited cover provided. An R130 co-payment per virtual Network GP consultation is until the 10th visit. Pre-authorization is required after the 6th visit, and benefits are canceled without pre-approval. Only PMB visits require authorization from the 11th visit. Clinical guidelines apply. Co-payment does not apply to nurse visits. Out-of-network GP consultations R1 000 per family per year. |
| 👨⚕️ Endoscopic Procedures in a GP’s room | Covered up to 100% of the MT. This benefit includes these procedures: Colonoscopy Gastroscopy Esophagogastroduodenoscopy (EGD) Sigmoidoscopy Proctoscopy Removal of polyps |
| 😊 Specialist Consultations | Clinical guidelines apply. Pre-authorization is needed. The specialist network must be used. |
| 📈 PMB Services (Covers 271 listed conditions and 26 chronic illnesses) | Covered up to 100% of the MT. Benefits for certain listed (PMB) conditions. Must be referred by a network GP. 35% co-payment if not referred or referred by a non-network GP. |
| 📉 Endoscopic Procedures in a GP’s room | Covered up to 100% of the MT. 35% co-payment if not referred or referred by a non-network GP. |
| 📊 Acute Medicine and Immunizations Generic (100% of MMAP) Original medicine if no generic (80% of MT) Original medicine voluntarily used if no generic (70% of MMAP) | Covered up to 100% of the MT. There is a limit of R1,700 per family per year. 20% co-payment if the medication is not obtained through a network pharmacy or network doctor. |
| 💊 Self-medication that does not require a doctor’s script | Covered up to 100% of the MMAP. Limited to R105 per event. Limited to R510 per family per year. 20% co-payment if the medication is not obtained through a network pharmacy. |
| 🅰️ PMB Chronic Medicine | Covered up to 100% of the MHRP. Unlimited cover. Subject to the Medihelp formulary and DSP. 30% co-payment for non-formulary medicine. 30% co-payment for purchases from a non-network pharmacy or dispensing network GP. |
| 🅱️ Physiotherapy (Including treatment and material out-of-hospital) | Covered up to 100% of the MT. Limited to 2 visits per family per year. R130 co-payment per visit. |
| ☑️ Oxygen Out-of-Hospital (Only PMBs) | Covered up to 100% of the MT. Unlimited cover. 20% co-payment if not pre-approved. |
| ✅ Optometry | Subject to authorization by a PPN. Services must be obtained via a PPN provider. Includes 1 composite consultation, including a refraction test, tonometry, and visual field test. Covered up to 100% of the MT. Limited to one examination per beneficiary every 2 years. R130 co-payment per examination. |
| 🦷 Dentistry | Subject to the protocols of the Dental Risk Company (DRC). Covered up to 100% of the MT. Limited to one beneficiary per year. R130 co-payment per check-up. |
| 1️⃣ Chronic Illness and PMB | Subject to protocols, pre-authorization, DSPs, and the specialist network. Covered up to 100% of the cost or the contracted tariff. Unlimited cover provided. Co-payments can apply if not using a DSP or deviating from the code. |
| 2️⃣ Trauma Benefits This applies to major trauma requiring hospitalization, for example: Motor Vehicle Accidents Stab Wounds Gunshot Wounds Head Trauma Burns Near-drowning | Subject to authorization, PMB protocols, and case management. Covered up to 100% of the cost or the contracted tariff. |
| 3️⃣ Post-Exposure Prophylaxis (HIV/AIDS) | Subject to authorization, PMB protocols, and case management. Covered up to 100% of the cost or the contracted tariff. |
| 4️⃣ Hospitalization: MedMove Hospital Network Intensive Care and high-care wards Ward Accommodation Theatre fees Treatment and medicine in the ward In-hospital consultation with GPs and specialists Surgery Anesthesia | Unlimited Cover. R1,750 payment per non-PMB admission Covered up to 100% of the MT. If not pre-approved, a 20% co-payment applies. If not admitted to a hospital in the network, a 35% co-payment applies. Additional co-payments on certain procedures may apply. |
| 5️⃣ Hospitalization: MedMove Hospital Network Day Procedures Limited to MedMove! Day Procedure Network (Including Ophthalmological, endoscopic, ear, nose, and throat procedures, dental procedures, removal of skin lesions, circumcisions, and procedures as pre-authorized) | Unlimited Cover. R1,750 payment per non-PMB admission. R12,500 co-payment for services outside the day procedure network. Covered up to 100% of the MT. Additional co-payments on certain procedures may apply. |
| 6️⃣ Hospitalization: MedMove Hospital Network Hospital Medicine upon Discharge | Covered up to 100% of the MT. There is an R390 limit per admission. |
| 7️⃣ Childbirth: In-hospital (PMB Cases) | Covered up to 100% of the MT. Natural births in hospital. 20% co-payment if not pre-approved. |
| 8️⃣ Childbirth: Caesarean Section (C-Section) | Covered up to 100% of the MT. Only for emergency C-sections. 20% co-payment if not pre-approved |
| 9️⃣ Childbirth: Neonatal Admissions | Covered up to 100% of the MT. Hospitalizations are limited up to R53 500 per family. Member must pay R1,750 per admission. 20% co-payment if not pre-approved 35% co-payment if admitted to a non-network hospital. |
| 🔟 Childbirth: In-hospital Specialist consultations | Covered up to 100% of the MT. The unlimited cover is in-hospital. |
| 📈 Radiography | Covered up to 100% of the MT. Limited to R1,250 per family yearly. |
| 📉 Specialized Radiography | MRI and CT scans Subject to pre-authorization. Covered up to 100% of the MT. Limited to R13,600 per family. Member pays the first R2,850. Angiography Covered up to 100% of the MT. Unlimited Cover. |
| 📊 Post-Hospital Care Speech therapy, occupational therapy, and physiotherapy 30 days after discharge | Main Member – R2,300 per year. Main Member + Dependents – R3,300 per year. |
| 🧠 Psychiatry and mental health treatment Clinical technologist services Organ transplants (DSP apply) Oxygen Kidney dialysis Services as an alternative to hospitalization: Hospice services and subacute care Other medical services: Occupational and speech therapy, physiotherapy, audiometry, podiatry, orthoptic and dietitian services on the referral of the attending medical doctor | Covered up to 100% of the cost or contracted tariff. Unlimited cover for PMBs. 20% co-payment per admission that has not been authorized. 35% co-payment for voluntarily using a non-network hospital |
| ➡️ Oncology | Subject to pre-approval. Members must register on the Medihelp Oncology Program. Protocols, DSPs, and MORP apply. Covered up to 100% of the MT. Unlimited cover provided. 20% co-payment for unauthorized admissions. 30% co-payment for using non-DSPs voluntarily. 25% co-payment for protocol deviation. |
| ☑️ Prostatectomy: Conventional or Laparoscopic Procedure | Unlimited cover. Limited to R11,700 co-payment per procedure. Covered up to 100% of the MT. |
| ✅ Prostatectomy: Alternatives to Hospitalization | Subject to pre-authorization, protocols, and services as prescribed by a medical doctor. Subject to a treatment plan and quote from a registered nursing practitioner. Services covered under this benefit include nursing care and services a social worker provides. Covered up to 100% of the MT. Limited to R20,700 per family per year. 20% co-payment if pre-approval is not given. |
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A medical emergency is a sudden and unexpected occurrence that necessitates quick medical or surgical treatment to safeguard a patient’s health. Failure to offer medical or surgical treatment would result in severe impairment of bodily functioning or severe dysfunction of a bodily organ or portion or jeopardize the individual’s life. Netcare 911 is the designated service provider for Medihelp’s emergency transport services, and you must contact them in an emergency. Phone 082 911. Furthermore, you may also seek assistance at the nearby hospital’s emergency room.
💙However, the following conditions apply:
Emergency Transport Services via Netcare 911: In the Beneficiary’s Country of Residence (RSA, Lesotho, Eswatini, Mozambique, Namibia, Zimbabwe, Botswana), including road and air transport.
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| 📌 Pap Smear | For women 21 – 65 years old. Every three years. A medical doctor must request it. |
| 📍 Flu Vaccines | Once yearly. It must be done at network pharmacy clinics. |
| ☑️ Preventative Care | A combination test (including blood glucose, cholesterol, BMI, and blood pressure measurement) at a network pharmacy clinic. Individual test (blood glucose or cholesterol) at a network pharmacy clinic. |
| ✅ HIV testing, counseling, and Support | Available at network pharmacy clinics. |
| 🅰️ Contraceptives | Oral, injectable, or implantable contraceptives Female beneficiaries up to 50 years. Covered up to R105 per month and up to R2,100 per beneficiary. Intra-uterine devices for women up to 50 years Every 60 months. Covered up to R2,350 per beneficiary. |
| 🅱️ Wellness Support | Oncology Program is offered by oncologists in the Independent Clinical Oncology Network (ICON). HIV Program offered with LifeSense Disease Management. |
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As medical research advances, new medical services are introduced each year. However, Medihelp covers life-saving medical treatment first.
The Medical Schemes Act requires medical schemes to cover the diagnostic, treatment, and care costs of the mandated minimum benefits (PMB) without co-payments or limits.
Furthermore, services must follow legislation’s PMB treatment algorithms and Medihelp’s managed healthcare guidelines, which may include pharmaceutical formularies.
Medihelp will cover the cost of a substitute treatment if a protocol or formulary drug is ineffective or hazardous.
💙However, the Medihelp MedMove! plan excludes several items, including but not limited to the following:
💙During waiting periods, members are eligible for membership but not for benefits. For example, Medihelp could implement either a general or condition-specific waiting period as follows:
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| MedMove! (2025) | Discovery Health Essential Smart (2024) | Bestmed Rhythm 2 (2024) | |
| 🌎 International Cover | None | Nne | None |
| 👤 Main Member Contribution | R1,638 | R1,881 | R2,100 |
| 👥 Adult Dependent Contribution | R1,638 | R1,881 | R1,996 |
| 💙 Child Dependent Contribution | R1,638 | R1,881 | R1,264 |
| 🔁 Gap Cover | None | TBC | None |
| 📉 Annual Limit | Unlimited Hospital Cover | Unlimited Hospital Cover | Unlimited Hospital and other benefits |
| ⚕️ Hospital Cover | Unlimited | Unlimited | Unlimited for DSPs |
| 💶 Prescribed Minimum Benefits | ☑️ Yes | ☑️ Yes | ☑️ Yes |
| 💻 Screening and Prevention | ✅ Yes | ✅ Yes | ✅ Yes |
| 🍼 Maternity Benefits | ☑️ Yes | ☑️ Yes | ☑️ Yes |
👉 Medihelp MedMove! is a health plan offered by Medihelp Medical Scheme that is designed to cater to the needs of health-conscious and active individuals. This plan offers several benefits, including coverage for preventative care, specialist consultations, and chronic medication.
👉 One of the key advantages of MedMove! the plan is focused on preventative care. By offering coverage for wellness programs and preventative care services, MedMove! encourages members to take proactive steps to maintain their health and prevent illness.
👉 Furthermore, this can lead to lower overall healthcare costs long term. Additionally, the plan offers good value for money, with competitive premiums and various benefits. However, there are some drawbacks to MedMove! plan. For example, it may not be the best option for individuals with chronic health conditions who require extensive medical treatment. The plan’s benefit limits may not be sufficient to cover the full cost of certain treatments or procedures.
💙You might also consider the following options of MediHelp:
Medihelp MedMove! is a comprehensive medical scheme plan offered by Medihelp Medical Scheme that focuses on preventative care, fitness and wellness benefits, and comprehensive coverage for healthcare needs.
MedMove! covers health necessities, such as private hospitalization and emergency medical care, via excellent networks. In addition to virtual and in-person doctor consultations and medication, you can access various other medical services.
Medihelp MedMove! is designed to offer more comprehensive coverage for preventative care, fitness, and wellness benefits compared to other Medihelp plans. In contrast, while other plans may focus more on traditional medical benefits, MedMove! is geared towards a more holistic approach to healthcare.
One potential drawback of Medihelp MedMove! is that it may be more expensive than other Medihelp plans due to its additional fitness and wellness benefits. In addition, it might not be suitable for individuals who do not prioritize preventative care or fitness.
Anyone who is a member of the Medihelp Medical Scheme can enroll in MediMove! However, eligibility for specific benefits may depend on age, health status, and other personal factors.
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.
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