Medimed Medical Aid Scheme ( 🇿🇦 2025)
Overall, Medimed Medical Aid is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance. The Medimed Medical Aid plan starts from R1,750 ZAR.
| 🅰️ The average number of members | 10,000+ |
| 🅱️ Number of Markets | 1 |
| 📌 Number of Employees | 150+ |
| 📍 Average Customer Rating | 2.9 |
| 🔟 Average Number of Reviews | <10 |
| 1️⃣ Market Share | <1% |
| 4️⃣ The number of plans offered | 4 |
| 🏥 Number of Hospitals in Network | 150+ |
| 💻 Medical Claims Portal | ✅ Yes |
| 😷 Information Hub for COVID-19 | ✅ Yes |
| 🤧 Chronic Illness Benefits | ✅ Yes |
| 🟥 Number of PMB Diagnoses | 271 |
| 🟧 Number of PMB Chronic Conditions | 25 |
| 🟨 Screening and Prevention offered | ✅ Yes |
| 🟩 Maternity Benefit | ✅ Yes |
| 🟦 Medical Scheme Contribution Range (ZAR) | R1,750 – R4,920 |
| 🟪 Average Waiting Period | Between 3 to 12 months |
| 💷 Late-joiner penalties charged | ✅ Yes |
Medimed – Analysis of Medical Aids’ Main Features
- ✅ Medimed Plan Overview
- ✅ Medimed – Advantages Over Competitors
- ✅ How to apply for a Medical Scheme with Medimed
- ✅ How to Submit a Claim with Medimed
- ✅ How to Submit a Compliment or Complaint with Medimed
- ✅ How to Switch my Medical Scheme to Medimed
- ✅ Overview of Medimed Gap Cover
- ✅ How to apply for Gap Cover with Medimed
- ✅ Medimed Medical Savings Account
- ✅ Medimed Customer Support
- ✅ Medimed vs Notable Competitors – A Comparison
- ✅ Medimed Customer Reviews
- ✅ Medimed Pros and Cons
- ✅ Our Verdict on Medimed
- ✅ Medimed Frequently Asked Questions
Medical Aid Medimed Plan Overview
| 🔎 Plan | 💴 Contributions Range (Main) | 💵 Contributions Range (+ Adult) | 💶 Contributions Range (+ Child) | 💷 Medical Savings (Range – Min to Max) |
| 🥇 Medisave Essential | R1,750 – R2,930 | R1,750 – R2,930 | R540 – R680 | Main – R2,100 – R3,516
Main + Spouse – R4,200 – R7,032
Main + Spouse + 1 Child – R4,848 – R7,848
Main + S + 2C – R5,496 – R8,664
|
| 🥈 Alpha | R1,820 | R1,820 | R700 | None |
| 🥉 Medisave Standard | R2,450 – R3,280 | R2,450 – R3,280 | R550 – R700 | Main – R13,350 – R15,840
Main + S – R26,700 – R31,680
Main + S + 1C – R28,350 – R33,780
Main + S + 2C – R30,000 – R35,880 |
| 🏅 Medisave Max | R4,200 – R4,920 | R4,200 – R4,920 | R770 – R860 | Main – R20,100 – R22,260
Main + S – R40,200 – R44,520
Main + S + 1C – R42,510 – R47,100
Main + S + 2C – R44,820 – R49,680 |
Medimed – Advantages Over Competitors
- ✅Comprehensive medical cover: Medimed Medical Aid provides comprehensive medical cover for in-hospital and out-of-hospital medical expenses, including specialist consultations, diagnostic tests, and surgical procedures.
- ✅Chronic condition management: The scheme offers comprehensive coverage for chronic conditions, including HIV/AIDS, diabetes, and hypertension. This includes medication and consultations with specialists.
- ✅Value-added services: Medimed Medical Aid provides access to various value-added services, such as wellness programs, trauma counseling, and emergency medical assistance.
- ✅Network of healthcare providers: Policyholders have access to a network of healthcare providers, which may help them save on healthcare expenses.
- ✅No age limit for beneficiaries: Medimed Medical Aid does not have an age limit for beneficiaries, which means that even older individuals can enroll in the scheme.
- ✅Flexible options: Medimed Medical Aid offers various healthcare plans to cater to different healthcare needs and budgets. This allows policyholders to select the plan that best suits their healthcare needs.
Medimed Medical Aid offers competitive pricing for its healthcare plans, making it a more accessible option for individuals and families.
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How to apply for a Medical Scheme with Medimed
Medical Aid Quote The Medimed Medical Scheme process explained
💙To apply for a Medical Scheme through Medimed, you must:
- ✅ Visit the Medimed Medical Aid website at www.medimed.co.za.
- ✅ Click on the “Join Medimed” button on the homepage.
- ✅ You will be directed to a page with a list of the different healthcare plans offered by Medimed. Review the available options to determine the best plan for your healthcare needs and budget.
- ✅ Once you have selected a plan, click the “Apply now” button to begin the application process.
- ✅ Fill out the application form with your details, including your name, contact information, and medical history.
- ✅ Submit any required supporting documents, such as income proof and identity documentation.
- ✅ Pay the necessary membership fees and wait for your application to be processed.
Once your application is approved, you will receive a membership certificate and access to the benefits offered by Medimed Medical Aid. New Members 35 years or older may be subject to late-joiner penalties on Medimed Medical Aid Plans.
💙Get a Medimed Medical Aid quote from our Dedicated Medical Aid Specialists Broker
How to Submit a Claim with Medimed
💙Here are the steps to submit a claim with Medimed:
- ✅ Obtain the necessary claim form from the Medimed website or by contacting the scheme directly.
- ✅ Complete the claim form, providing accurate information and supporting documentation as required.
- ✅ Submit the completed claim form and supporting documentation to Medimed via email, fax, or post. In addition, claims can be submitted electronically via the Medimed website or mobile app.
- ✅ Wait for the claim to be processed by Medimed. The processing time may vary depending on the claim’s nature and the required documentation’s availability.
- ✅ If the claim is approved, Medimed will reimburse you for the eligible expenses according to the terms and conditions of your healthcare plan.
Medimed will provide a reason for the decision if the claim is not approved and may request additional information or documentation to support the claim.
How to Submit a Compliment or Complaint with Medimed
💙Here are the steps to submit a compliment or complaint with Medimed:
- ✅ Contact Medimed customer service to express your compliment or complaint by phone or email. Alternatively, you can complete the online feedback form on the Medimed website or mobile app.
- ✅ Provide detailed information about the nature of your compliment or complaint, including the relevant dates, names, and policy details.
- ✅ If submitting a complaint, provide a clear description of the issue, any actions taken to resolve it, and any relevant supporting documentation.
- ✅ Wait for Medimed to acknowledge your compliment or complaint and provide a reference number for tracking purposes.
- ✅ Medimed will investigate your complaint or respond to your compliment within a reasonable timeframe, depending on the feedback’s nature and the information’s availability.
If you are not satisfied with the response from Medimed, you can request a review of the decision or escalate the complaint to the Council for Medical Schemes.
- ✅ Research the healthcare plans offered by Medimed to determine the plan that best suits your healthcare needs and budget.
- ✅ Contact Medimed customer service to discuss switching from your current medical scheme to Medimed. A Medimed representative will provide the necessary information and forms to initiate the switch.
- ✅ Complete the application form for the Medimed healthcare plan you have chosen, providing accurate information and supporting documentation as required.
- ✅ Submit the completed application form and supporting documentation to Medimed by email, fax, or post. Alternatively, the forms may be submitted electronically via the Medimed website or mobile app.
- ✅ Wait for Medimed to process your application. The processing time may vary depending on the application’s nature and the required documentation’s availability.
- ✅ Once your application is approved, you will receive a membership certificate and access to the benefits offered by Medimed Medical Aid.
Cancel your membership with your current medical scheme, following their cancellation procedures and ensuring you provide notice within the required time.
💙Read more about Medimed Alpha Medical Aid Plan
Overview of Medimed Gap Cover
Membership in a medical scheme may not guarantee full coverage, particularly when hospitalized. In addition, some medical practitioners may charge considerably more than the Medical Scheme Tariff (MST). This results in a shortfall or gap between the MST and the actual cost of medical expenses incurred during hospitalization and certain procedures in a day clinic. As a member, you may be personally liable for the difference in cost, which can be significant for specialists, surgeons, and other medical practitioners.
To address this issue, Gap Shield gap cover provides a specially designed product that offers supplementary cover to assist with shortfalls in hospitalization involving surgery or medical treatment. Furthermore, this product intends to bridge the gap between the amount covered by the medical scheme and the actual cost of medical expenses.
💙Members of Medimed can apply for gap cover through Gap Shield, allowing them to benefit in the following ways:
- ✅ Medimed Gap Shield offers a medical expense shortfall Benefit for in-hospital and out-of-hospital procedures. For in-hospital procedures, the scheme covers policyholders for the shortfall between the specialist’s fee and the amount paid by their medical scheme, up to 3 times the amount paid by the medical scheme. Prescribed Minimum Benefit (PMB) procedures are included in this benefit.
- ✅ Similarly, for out-of-hospital procedures performed in day clinics or other registered facilities, Medimed Gap Shield covers policyholders for certain medical procedures up to 3 times the amount paid by their medical scheme.
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PMB procedures are also included in this benefit.
How to apply for Gap Cover with Medimed
💙Here are the steps to apply for Gap Cover with Medimed:
- ✅ Visit the Medimed Gap Cover website at www.medimedgap.co.za.
- ✅ Click on the “Get a quote” button on the homepage.
- ✅ You will be directed to a page with a list of the different gap cover plans offered by Medimed. Review the options available to determine the best plan for your needs and budget.
- ✅ Once you have selected a plan, click the “Apply now” button to begin the application process.
- ✅ Fill out the application form with your details, including your name, contact information, and medical history.
- ✅ Submit any required supporting documents, such as income proof and identity documentation.
- ✅ Pay the necessary membership fees and wait for your application to be processed.
Once your application is approved, you will receive a membership certificate and access to the benefits offered by Medimed Gap Cover.
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💙What is gap cover in medical aid
Medimed Medical Savings Account
Medimed offers a Medical Savings Account on the Medisave Essential, Medisave Standard, and Medisave Max plans, with yearly MSA available as indicated below.
| 💶 Income Bracket | 1️⃣ Main | 2️⃣ Main + Spouse | 3️⃣ Main, Spouse + 1 Child | 4️⃣ Main, Spouse + 2 Children |
| 💴 R0 – R11,000 | R2,100 | R4,200 | R4,848 | R5,496 |
| 💵 R11,001 – R17,000 | R2,436 | R4,872 | R5,592 | R6,312 |
| 💷 R17,001 – R23,000 | R2,976 | R5,952 | R6,732 | R7,512 |
| 💶 R23,001> | R3,516 | R7,032 | R7,848 | R8,664 |
| 💴 Income Bracket | 1️⃣ Main | 2️⃣ Main + Spouse | 3️⃣ Main, Spouse + 1 Child | 4️⃣ Main, Spouse + 2 Children |
| 💵 Under R11,000 | R13,350 | R26,700 | R28,350 | R30,000 |
| 💶 R11,001 – R17,000 | R13,680 | R27,360 | R29,160 | R30,960 |
| 💷 R17,001 – R23,000 | R14,940 | R29,880 | R31,860 | R33,840 |
| 💴 R23,001> | R15,840 | R31,680 | R33,780 | R35,880 |
| 💴 Income Bracket | 1️⃣ Main | 2️⃣ Main + Spouse | 3️⃣ Main, Spouse + 1 Child | 4️⃣ Main, Spouse + 2 Children |
| 💵 <R11,000 | R20,100 | R40,200 | R42,510 | R44,820 |
| 💶 R11,001 – R23,000 | R21,300 | R42,600 | R45,000 | R47,400 |
| 💷 R23,001> | R22,260 | R44,520 | R47,100 | R49,680 |
Medimed Customer Support
💙The following are features relating to Medimed’s customer support:
- ✅Call Centre: Medimed operates a call center staffed by trained customer service representatives who can assist with various healthcare-related inquiries. Members can call the call center for assistance with claims, benefit queries, plan options, and general healthcare advice.
- ✅Online Services: Medimed offers online services that allow members to manage their healthcare plans and claims online. Members can log in to the Medimed website or mobile app to view their benefits, submit claims, track the status of their claims, and update their personal information.
- ✅Healthcare Professionals Network: Medimed maintains a network of healthcare professionals, including doctors, specialists, and hospitals, to ensure members have access to quality healthcare services. Members can search for healthcare professionals in their area using the Medimed website or mobile app.
- ✅Health Education: Medimed provides educational resources and information on various healthcare topics to help members make informed healthcare decisions. The company offers access to health risk assessments, wellness programs, and other health-related resources.
- ✅Complaints and Feedback: Medimed encourages members to provide feedback on their healthcare experiences, including compliments, complaints, and suggestions for improvement. Members can submit feedback via the Medimed website, email, or phone.
Medimed vs Notable Competitors – A Comparison
| 🔎 Medical Aid | 🥇 Medimed | 🥈 Momentum Medical Scheme | 🥉 Discovery Health |
| 🟥 Years in Operation | 43 years | 58 Years | 31 Years |
| 🟧 Average # Members | 10,000+ | 310,000+ | 2.9 million+ |
| 🟨 GCR Rating | N/A | AA | AAA |
| 🟩 Number of Employees | 150+ | 500 – 1,500 + | 13,500 + |
| 🟦 Market Share | <1% | 20% | 56.7% |
| 🟪 Market Cover | South Africa | South Africa + International | South Africa + International |
| 🟥 Customer Rating | 2.9/5 | 4.2/5 | 4.5/5 |
| 🟧 Number of reviews | <10 | 2,000+ | 20,000+ |
| 🟨 Mobile App | No | ✅ Yes | ✅ Yes |
| 🟩 Contribution Range (ZAR) | 1,750 – 4,920 ZAR | R1,847 – R14,903 | R1,350 – R11,430 |
| 🟦 International Travel Benefit (ZAR) | No | Up to 5Mil ZAR | Up to 5 million ZAR |
💙Read more comparisons:
Medimed Customer Reviews
💙Exceptional Assistance.
Earlier today, I contacted Medimed for assistance regarding a claim that appeared on my account. I regret not catching the name of the lady who assisted me. Nevertheless, she went beyond to provide clear explanations and even offered further assistance. – Gabriel Marshall
💙Extensive Coverage.
I am thoroughly satisfied with the service provided by Medimed. Recently, I had to be hospitalized due to respiratory distress. I received care at Fourways Life Hospital and am pleased to note that Medimed covered everything. I am grateful that I joined the scheme three years ago. – Thabo Munyai
💙The Best Service.
Yesterday, I received the best service from Medimed. A lady assisted me by thoroughly explaining the full maternity benefits of my plan. The professionalism of their consultants is noteworthy, as they take the time to provide detailed explanations. – Nkosinathi Khoza
Medimed Pros and Cons
| ✅ Pros | ❌ Cons |
| Offers a range of healthcare plans to suit different needs and budgets | Some plans may have waiting periods or benefit limits |
| Provides access to a network of healthcare professionals, including doctors and hospitals | Higher-level plans may be expensive and may not be affordable for all members |
| Offers comprehensive hospital and day-to-day benefits, including chronic medication and emergency medical services | Certain plans may not cover some procedures or treatments |
| Provides online services and customer support to assist with claims and inquiries | Membership fees may increase annually |
| Committed to corporate responsibility and sustainability | Availability of healthcare services may vary depending on the location |
Our Verdict on Medimed
Overall, Medimed Medical Aid offers a range of healthcare plans with varying levels of coverage to suit the needs and budgets of its members. While each plan has unique features, benefits, and drawbacks, all plans offer access to quality healthcare services and resources through Medimed’s network of healthcare professionals. Furthermore, prospective members must carefully review the terms and conditions of each plan and consult with a Medimed representative to determine the best plan for their healthcare needs and budget.
Medimed Frequently Asked Questions
What is Medimed, and what does it offer?
Medimed is a South African medical scheme offering various healthcare plans to suit unique needs and budgets.
What healthcare plans does Medimed offer?
Medimed offers a range of healthcare plans with varying levels of coverage to suit diverse needs and budgets.
Is Medimed a Good Medical Aid?
Medimed is a reputable medical aid in South Africa registered and overseen by the Council for Medical Aids (CMS).
How do I contact Medimed?
You can contact Medimed telephonically, via email, or WhatsApp.
Where can I view Medimed medical aid reviews?
You can find Medimed customer reviews and unbiased summaries online from several websites.
How do I apply for a Medimed healthcare plan?
You can apply for a Medimed healthcare plan by contacting customer service or visiting their website.
Does Medimed cover chronic illness?
Yes, Medimed covers chronic illness under all four healthcare plans.
What are the day-to-day benefits offered by Medimed?
Medimed offers a range of day-to-day benefits, including general practitioner visits, specialist consultations, and prescribed medication.
Does Medimed provide dental cover?
Yes, Medimed provides basic dental coverage under all healthcare plans and specialized coverage under others.
What is covered under Medimed’s hospital plan?
Medimed’s hospital plan covers private hospitalization and related expenses.
Does Medimed offer maternity benefits?
Yes, Medimed offers maternity benefits under all healthcare plans. However, certain plans might have extended coverage and additional benefits.
Ladies can make use of our free Ovulation Calculator
What are preventative care benefits included in Medimed’s healthcare plans?
Medimed’s healthcare plans include preventative care benefits such as health assessments and screenings.
Does Medimed provide emergency medical services?
Yes, Medimed provides emergency medical services under all healthcare plans.
How do I submit a claim with Medimed?
You can submit a claim with Medimed by completing a claims form and providing relevant documentation.
What is the process for adding a beneficiary to my Medimed healthcare plan?
You can add a beneficiary to your Medimed healthcare plan by contacting their customer service or visiting their website and completing the necessary forms.
What happens if I miss a payment on my Medimed healthcare plan?
Suppose you miss a payment on your Medimed healthcare plan. In that case, you may be subject to penalties or other consequences, such as a suspension of benefits.
How do I Downgrade My Plan with Medimed?
Contact Medimed customer service to discuss your options and the potential impact of downgrading your plan.
How do I add a Beneficiary to Medimed?
If you want to add a child or adult dependent, you can log into your Medimed profile or Contact Medimed customer service to request a beneficiary addition form or download the form from the Medimed website.
