Medimed Medical Aid Medical Aid and Plans
Showing 4 of 4 plans
π₯ Best suited for families in the Nelson Mandela Metropolitan seeking affordable network healthcare.
π₯ Best suited for budget-conscious members seeking affordable private hospital cover.
π₯ Best suited for members wanting comprehensive healthcare with added savings flexibility.
π₯ Best suited for members seeking premium comprehensive cover with generous savings benefits.
Medimed Medical Aid Scheme ( πΏπ¦ 2026)
Overall, Medimed Medical Aid is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance. TheΒ Medimed Medical Aid planΒ starts from R1,860 ZAR.| π °οΈ The average number of members | 10,000+ |
| π ±οΈ Number of Markets | 1 |
| π Number of Employees | 150+ |
| π Average Customer Rating | 2.9 |
| π Average Number of Reviews | <10 |
| 1οΈβ£ Market Share | <1% |
| 4οΈβ£ The number of plans offered | 4 |
| π₯ Number of Hospitals in Network | 150+ |
| π» Medical Claims Portal | β Yes |
| π· Information Hub for COVID-19 | β Yes |
| π€§ Chronic Illness Benefits | β Yes |
| π₯ Number of PMB Diagnoses | 271 |
| π§ Number of PMB Chronic Conditions | 25 |
| π¨ Screening and Prevention offered | β Yes |
| π© Maternity Benefit | β Yes |
| π¦ Medical Scheme Contribution Range (ZAR) | R1,860 β R4,460 |
| πͺ Average Waiting Period | Between 3 to 12 months |
| π· Late-joiner penalties charged | β Yes |
Medimed - Analysis of Medical Aids' Main Features
- β Medimed Plan Overview
- β Medimed β Advantages Over Competitors
- β How to apply for a Medical Scheme with Medimed
- β How to Submit a Claim with Medimed
- β How to Submit a Compliment or Complaint with Medimed
- β How to Switch my Medical Scheme to Medimed
- β Overview of Medimed Gap Cover
- β How to apply for Gap Cover with Medimed
- β Medimed Medical Savings Account
- β Medimed Customer Support
- β Medimed vs Notable Competitors β A Comparison
- β Medimed Customer Reviews
- β Medimed Pros and Cons
- β Our Verdict on Medimed
- β Medimed Frequently Asked Questions
Medical Aid Medimed Plan Overview
| π Plan | π΄ Contributions Range (Main) | π΅ Contributions Range (+ Adult) | πΆ Contributions Range (+ Child) | π· Medical SavingsΒ (Range β Min to Max) |
| π₯ Medisave Essential | R1,860 β R3,110 | R1,860 β R3,110 | R580 β R730 | Main β R2,232 β R3,732 Main + Spouse β R4,464 β R7,464 Main + Spouse + 1 Child β R5,160 β R8,340 Main + S + 2C β R5,856 β R9,216 |
| π₯ Alpha | R2,100 | R2,100 | R740 | None |
| π₯ Medisave Standard | R2,600 β R3,480 | R2,600 β R3,480 | R590 β R750 | Main β R13,800 β R16,440 Main + S β R27,600 β R32,880 Main + S + 1C β R29,370 β R35,130 Main + S + 2C β R31,140 β R37,380 |
| π Medisave Max | R4,460 β R5,230 | R4,460 β R5,230 | R820 - R920 | Main β R20,880 β R23,190 Main + S β R41,760 β R46,380 Main + S + 1C β R44,220 β R49,140 Main + S + 2C β R46,680 β R51,900 |
Medimed β Advantages Over Competitors
- β 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.
- β Chronic condition management: The scheme offers comprehensive coverage for chronic conditions, including HIV/AIDS, diabetes, and hypertension. This includes medication and consultations with specialists.
- β Value-added services: Medimed Medical Aid provides access to various value-added services, such as wellness programs, trauma counseling, and emergency medical assistance.
- β Network of healthcare providers: Policyholders have access to a network of healthcare providers, which may help them save on healthcare expenses.
- β 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.
- β 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.
You might also like: 10 Easy Ways to Get Cheaper Medical Aid
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:- β Visit the Medimed Medical Aid website at www.medimed.co.za.
- β Click on the "Join Medimed" button on the homepage.
- β 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.
- β Once you have selected a plan, click the "Apply now" button to begin the application process.
- β Fill out the application form with your details, including your name, contact information, and medical history.
- β Submit any required supporting documents, such as income proof and identity documentation.
- β Pay the necessary membership fees and wait for your application to be processed.
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:- β Obtain the necessary claim form from the Medimed website or by contacting the scheme directly.
- β Complete the claim form, providing accurate information and supporting documentation as required.
- β 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.
- β 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.
- β If the claim is approved, Medimed will reimburse you for the eligible expenses according to the terms and conditions of your healthcare plan.
How to Submit a Compliment or Complaint with Medimed
Here are the steps to submit a compliment or complaint with Medimed:- β 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.
- β Provide detailed information about the nature of your compliment or complaint, including the relevant dates, names, and policy details.
- β If submitting a complaint, provide a clear description of the issue, any actions taken to resolve it, and any relevant supporting documentation.
- β Wait for Medimed to acknowledge your compliment or complaint and provide a reference number for tracking purposes.
- β 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.
How to Switch my Medical Scheme to Medimed
- β Research the healthcare plans offered by Medimed to determine the plan that best suits your healthcare needs and budget.
- β 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.
- β Complete the application form for the Medimed healthcare plan you have chosen, providing accurate information and supporting documentation as required.
- β 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.
- β Wait for Medimed to process your application. The processing time may vary depending on the application's nature and the required documentation's availability.
- β Once your application is approved, you will receive a membership certificate and access to the benefits offered by Medimed Medical Aid.
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.Β 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.Β 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:- β 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.
- β 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.
POLL: 5 Best Dental Gap Cover
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:- β Visit the Medimed Gap Cover website at www.medimedgap.co.za.
- β Click on the "Get a quote" button on the homepage.
- β 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.
- β Once you have selected a plan, click the "Apply now" button to begin the application process.
- β Fill out the application form with your details, including your name, contact information, and medical history.
- β Submit any required supporting documents, such as income proof and identity documentation.
- β Pay the necessary membership fees and wait for your application to be processed.
You might also like: Top 10 Best Gap Cover options in South Africa
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.Medisave Essential
| πΆ Income Bracket | 1οΈβ£ Main | 2οΈβ£ Main + Spouse | 3οΈβ£ Main, Spouse + 1 Child | 4οΈβ£ Main, Spouse + 2 Children |
| π΄ R0 β R11,000 | R2,232 | R4,464 | R5,160 | R5,856 |
| π΅ R11,001 β R17,000 | R2,592 | R5,184 | R5,952 | R6,720 |
| π· R17,001 β R23,000 | R3,156 | R6,312 | R7,140 | R7,968 |
| πΆ R23,001> | R3,732 | R7,464 | R8,340 | R9,216 |
Medisave Standard
| π΄ Income Bracket | 1οΈβ£ Main | 2οΈβ£ Main + Spouse | 3οΈβ£ Main, Spouse + 1 Child | 4οΈβ£ Main, Spouse + 2 Children |
| π΅ Under R11,000 | R13,800 | R27,600 | R29,370 | R31,140 |
| πΆ R11,001 β R17,000 | R14,190 | R28,380 | R30,300 | R32,220 |
| π· R17,001 β R23,000 | R15,480 | R30,960 | R33,060 | R35,160 |
| π΄ R23,001> | R16,440 | R32,880 | R35,130 | R37,380 |
Medisave Max
| π΄ Income Bracket | 1οΈβ£ Main | 2οΈβ£ Main + Spouse | 3οΈβ£ Main, Spouse + 1 Child | 4οΈβ£ Main, Spouse + 2 Children |
π΅ | R20,880 | R41,760 | R44,220 | R46,680 | |
| πΆ R11,001 β R23,000 | R22,200 | R44,400 | R46,980 | R49,560 |
| π· R23,001> | R23,190 | R46,380 | R49,140 | R51,900 |
Medimed Customer Support
The following are features relating to Medimedβs customer support:- β 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.
- β 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.
- β 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.
- β 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.
- β 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 β A Comparison
| π Medical Aid | π₯ Medimed (2026) | π₯ Momentum Medical Scheme (2026) | π₯ Discovery Health (2026) |
| π₯ Years in Operation | 43 years | 58 Years | 31 Years |
| π§ Average # Members | 10,000+ | 310,000+ | 2.9 million+ |
| π¨ GCR Rating | N/A | AA | AAA |
| π© Number of Employees | 150+ | 500 β 1,500 + | 13,500 + |
| π¦ Market Share | <1% | 20% | 56.7% |
| πͺ Market Cover | South Africa | South Africa + International | South Africa + International |
| π₯ Customer Rating | 2.9/5 | 4.2/5 | 4.5/5 |
| π§ Number of reviews | <10 | 2,000+ | 20,000+ |
| π¨ Mobile App | No | β Yes | β Yes |
| π© Contribution Range (ZAR) | R1,860 β R4,460 | R645 - R16,469 | R1,350 - R11,430 |
| π¦ International Travel Benefit (ZAR) | No | Up to 5Mil ZAR | Up to 5 million ZAR |
- π Medimed vs. Discovery Health
- π Medimed vs. BestMed Medical Scheme
- π Medimed vs Medshield
- π Medimed vs. Medihelp
- π Medimed vs Sizwe Hosmed Medical Fund
- π Medimed vs Momentum Medical Scheme
Medimed Customer Reviews
πExceptional 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 πExtensive 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 πThe 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
| β Pros | β 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.
- β You might also like: Medimed Review
- β You might also like: Medimed Alpha
- β You might also like: Medimed Medisave Essential
- β You might also like: Medimed Medisave Max
- β You might also like: Medimed Medisave Standard