Medimed Alpha Plan (🇿🇦 2026)

Overall, the Medimed Alpha Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and private hospitalization to up to 3 Family Members. The Medimed Alpha Medical Aid Plan starts from R2,100 ZAR.    

Medimed Alpha Plan - 7 Key Point Quick Overview

1. ✅ Medimed Alpha Plan Overview
2. ✅ Medimed Alpha Plan Contributions
3. ✅ Medimed Alpha Plan Benefits and Cover Comprehensive Breakdown
4. ✅ Medimed Alpha Plan Exclusions and Waiting Periods
5. ✅ Medimed Alpha Plan vs Similar Plans from Other Medical Schemes
6. ✅ Our Verdict on the Medimed Alpha Plan
7. ✅ Medimed Alpha Plan Frequently Asked Questions

Medimed Alpha Plan Overview

The Medimed Alpha medical aid plan is one of 4, starting from R1,820, and includes cover for private hospitalization, maternity care, chronic medication, and emergency medical services.  Gap Cover is available on the Medimed Alpha Plan, along with 24/7 medical emergency assistance. According to the Trust Index, Medimed has a trust rating of 3.0.   💙Medimed Medical Aid has a late joiner fee and also has the following plans to choose from:  

• 🏆 Medimed Alpha
• 🏆 Medimed Medisave Essential
• 🏆 Medimed Medisave Max
• 🏆 Medimed Medisave Standard

Medimed Alpha Plan Contributions

 

Medimed Alpha Plan Benefits and Cover Comprehensive Breakdown

Medimed Alpha In-Hospital Benefits and Major Medical Expenses

• ✅Subject to pre-authorization and managed care protocols, the hospital account is paid at 100% of the Medimed Scheme Tariff.
• ✅Members will be liable for the applicable member levy (25-40%) for providers who provided services related to non-PMB conditions during the hospital admission.
• ✅Specialist and GP levies will not apply if the member is admitted to treating a valid PMB condition per the Scheme's managed care protocols.

   

💙POLL: 5 Best Medical Aids under R3000

Medimed Alpha Day-to-Day Benefits

   

Medimed Alpha Plan Exclusions and Waiting Periods

Alpha Plan Exclusions

💙Medimed Alpha has some of the following exclusions:

• ✅All costs incurred for treating sickness conditions or injuries sustained by a member or a Dependent, for which any other party is liable, can be recovered by that party.
• ✅Members are entitled to benefits provided per the rules, provided that they agree to sign a third-party claim and reimburse the Scheme upon receipt of payment.
• ✅Costs for treatment of self-inflicted sickness or injuries, excessive use of intoxicating substances or drugs, or material violation of the law are not covered unless according to the Prescribed Minimum Benefits.
• ✅Costs for injuries arising from professional sports, speed contests, and speed trials are not covered unless according to the Prescribed Minimum Benefits.
• ✅Costs for cosmetic procedures, treatment of obesity and its direct implications, and holidays for recuperative purposes are not covered unless according to the Prescribed Minimum Benefits.
• ✅Accommodation or treatment in headache and stress-relief clinics, spas, and resorts for health, slimming, recuperative, or other similar purposes, and traveling expenses incurred by practitioners, are not covered.
• ✅Any benefits not available under the Prescribed Minimum Benefits and not included in Annexure B are not covered.
• ✅Treatment of sexually transmitted diseases is not covered unless according to the Prescribed Minimum Benefits.
• ✅Treatment of alcoholism and drug addiction is not covered unless according to the Prescribed Minimum Benefits.
• ✅Accommodation in convalescent or nursing homes or similar institutions catering to the aged is not covered.

  Infertility tests and treatments are not covered unless according to the Prescribed Minimum Benefits.  Medical treatment necessitated due to non-compliance with prescribed therapy is not covered.  

💙Discover more: 5 Best Hospital Plans for Pregnancy Coverage

Alpha Plan Waiting Periods

💙The following Waiting Periods might apply to the Medimed Alpha Plan:

• ✅Medimed may impose a waiting period on a person who applies for membership or admission as a dependent and was not a beneficiary of a medical scheme for at least 90 days before the application date.
• ✅This period could be a general waiting period of up to three months and a condition-specific waiting period of up to 12 months.
• ✅Medimed may impose a waiting period on a person who applies for membership or admission as a dependent and was previously a beneficiary of a medical scheme for a continuous period of up to 24 months, terminating less than 90 days immediately before the date of application.
• ✅This period may be a condition-specific waiting period of up to 12 months, except for any treatment or diagnostic procedures covered within the Prescribed Minimum Benefits.
• ✅Suppose the previous medical scheme had imposed a waiting period that had not expired at the time of termination. In that case, the Scheme might impose a waiting period for the unexpired duration of such a waiting period.
• ✅Medimed may impose a general waiting period of up to three months on a person who applied for membership or admission as a dependent and was previously a beneficiary of a medical scheme for a continuous period of more than 24 months, terminating less than 90 days immediately before the date of application.
• ✅This waiting period does not apply to any treatment or diagnostic procedures covered within the Prescribed Minimum Benefits.

  💙Furthermore, no waiting periods may be imposed on a person who applies for membership or admission as a dependent and was previously a beneficiary of a medical scheme, terminating less than 90 days immediately before the date of application in the following cases:  

• ✅If the transfer of membership is required as a result of a change of employment; or
• ✅If an employer changes or terminates the medical scheme of its employees, in which case the transfer must occur at the beginning of the financial year, or reasonable notice must have been furnished to the Scheme to which an application is made for such transfer to occur at the beginning of the financial year.
• ✅Suppose a waiting period was imposed by the former medical scheme and had not expired at the time of termination. In that case, the Scheme may impose such a waiting period for the unexpired duration.
• ✅No waiting periods may be imposed on a beneficiary who changes from one benefit option to another within the Scheme, except if the beneficiary is subject to a waiting period on the current benefit option, in which case the remaining period may be applied.

  No waiting periods may be imposed on a child dependent born during the membership period.  

Medimed Alpha Plan vs Similar Plans from Other Affordable Medical Aid Schemes

   

💙READ more about Health Insurance

Our Verdict on the Medimed Alpha Plan

Medimed Alpha is a comprehensive medical aid plan that offers its members a wide range of benefits. The plan covers in-hospital and out-of-hospital medical expenses, chronic medication, and specialized maternity and mental health care treatments. In addition, the plan also provides emergency medical assistance, trauma counseling, and access to a range of wellness programs. One of the key features of the Medimed Alpha plan is its comprehensive cover.   In addition, the plan offers extensive benefits for both in-hospital and out-of-hospital treatments and chronic medication. This makes it an attractive option for individuals who require regular medical care and treatment. Another advantage of the Medimed Alpha plan is its flexibility. Members can choose from various benefits, allowing them to tailor their cover to their needs and budget.   Additionally, the plan offers various payment options, including monthly, quarterly, and annual payments. Despite its many benefits, the Medimed Alpha plan does have some drawbacks. Furthermore, the plan may not be suitable for individuals who require limited medical care, as it may offer more coverage than they need.  

• ✅You might also like: Medimed Review
• ✅You might also like: Medimed Medisave Essential
• ✅You might also like: Medimed Medisave Max
• ✅You might also like: Medimed Medisave Standard

Medimed Alpha Plan Frequently Asked Questions

What is the Medimed Alpha plan?

The Medimed Alpha is a medical aid plan offering comprehensive cover for in-hospital and out-of-hospital treatments, chronic medication, and specialized care.  

What benefits does the Medimed Alpha plan offer?

The Medimed Alpha plan offers extensive benefits for in-hospital and out-of-hospital treatments, chronic medication, and specialized care such as maternity and mental health care. It also provides emergency medical assistance, trauma counseling, and access to wellness programs.  

How much are Medimed Alpha plan premiums?

The premiums for the Medimed Alpha plan may vary depending on the chosen benefit option and payment plan. Contact Medimed for a quote.  

Does the Medimed Alpha plan cover chronic medication?

Yes, the Medimed Alpha plan covers chronic medication.  

What wellness programs are included in the Medimed Alpha plan?

The Medimed Alpha plan includes access to various wellness programs, including weight management, smoking cessation, and stress management.  

Does the Medimed Alpha plan cover in-hospital treatments?

Yes, the Medimed Alpha plan covers in-hospital treatments. However, Alpha only covers a certain percentage of treatment.  

Does the Medimed Alpha plan cover out-of-hospital treatments?

Yes, the Medimed Alpha plan covers out-of-hospital treatments. However, there are several limits and sub-limits to consider.  

Does the Medimed Alpha plan provide emergency medical assistance?

Yes, the Medimed Alpha plan provides emergency medical assistance.  

What is the waiting period for the Medimed Alpha plan?

The waiting period for the Medimed Alpha plan may vary depending on the chosen benefit option and individual circumstances. Waiting periods can range from 3 months up to 24 months.  

How can I enroll in the Medimed Alpha plan?

To enroll in the Medimed Alpha plan, visit the Medimed website or contact their customer service for assistance.