5 Best Medical Aids for Students in South Africa

5. Medihelp Medical Aid

Overview

👉 When it comes to covering the costs of medical care for students, Medihelp is a dependable and constant organisation.

👉 Even from its inception over a century ago, Medihelp has prioritised the health and well-being of its members. The ability to respond quickly to customer feedback and implement innovative solutions has kept Medihelp as one of the top five medical aid providers in the market.

👉 When it comes to the health of its members, Medihelp’s primary focus is on providing for their individual requirements.

👉 Members control the Medihelp medical aid scheme and handle all administrative duties such as submitting and paying claims, securing necessary pre-authorization and communicating with other members. For this reason, students can have faith that Medihelp staff will provide them with excellent care.

Medihelp Medical Aid Option Plans Suitable for Students in South Africa

👉 Medihelp offers the following option plans that are ideally suited to students:

MedMove

👉 Through reliable partnerships, the MedMove plan is able to offer basic health coverage, including private hospitalisation and emergency medical services. Members have access to a range of medical resources, including virtual and in-person doctor consultations, prescription medication, and more.

MedElect Student

👉 In order to provide comprehensive coverage at an affordable price, MedElect utilises a reliable network of service providers while still allowing students to focus on their education. It provides substantial hospital coverage, in addition to screenings and other advantages.

MedVital

👉 MedVital is an alternative healthcare option that provides reasonably priced protection against the cost of unanticipated medical emergencies, private hospitalisation, and minor medical procedures.

MedAdd

👉 An added savings account, additional insured coverage if savings are gone, dental and vision coverage and maternity benefits are all perks of MedAdd that students with new families might appreciate.

MedSaver 

👉 In addition to covering private hospitalisation at any hospital, MedSaver also has a 25% savings pocket for out-of-hospital medical costs. When a person’s emergency fund is gone, a secondary form of out-of-hospital coverage kicks in.

Benefits under Medihelp Medical Aid’s Option Plans for Young Adults in South Africa

👉 MedMove is the perfect programme for students in South Africa to receive Medihelp’s services.

👉 Health necessities like private hospitalisation and emergency medical care are covered by MedMove with monthly charges starting at R1,476.

👉 Members can get prescription medication, see doctors online or in person, and use a variety of other medical services.

How Much Are Medihelp Medical Aid Monthly Premiums? 

👉 Medihelp monthly premiums start with Medmove’s R1 476 per month per member for health essentials cover such as private hospitalisation and emergency medical services through networks and go up to R7,368 per month for the top-of-the-range MedElite plan that offers the most extensive cover for medical emergencies, private hospitalisation and preventive care, as well as extensive provision for acute and chronic medicine, radiology, pathology and other day-to-day medical expenses.

What Is the Waiting Period for Medihelp Medical Aid’s Benefits? 

👉 Medihelp may apply a general waiting period or a condition-specific waiting period.

👉 A general waiting period of up to three months applies from the date that a member joined. During this period, a person is not entitled to any benefits except prescribed minimum benefits (PMB). Claims submitted during this waiting period, will not be paid by the scheme.

👉 During a condition-specific waiting period of up to 12 months a member will not be entitled to benefits for a particular condition for which the person receives medical advice, a diagnosis, care or treatment (excluding PMB).

👉 Upon joining Medihelp, members receive a document with the conditions under which they are enrolled as beneficiaries, indicating any waiting periods and/or late-joiner penalties.

How to Claim Benefits from Medihelp Medical Aid 

👉 To submit a medical aid claim with Medihelp, a member can use one of the following options:

• ➡️ Use Medihelp’s member app to upload the account and proof of payment and submit.
• ➡️ Email the account and proof of payment to [email protected].
• ➡️ Submit your claim by logging in to Medihelp’s Member Zone and clicking on “Claims” – “Submit a claim”.

👉 To guarantee that your claim is valid according to the Medical Schemes Act and Medi help’s Rules, ensure that you have provided the following details:

• ➡️ Your membership number
• ➡️ The member’s name and surname
• ➡️ The name, surname and date of birth of the patient
• ➡️ Medihelp Medical Scheme – not “Private” (this has tax implications)
• ➡️ The healthcare practitioner’s name and practice code number
• ➡️ The amount charged per item
• ➡️ The amount you have paid
• ➡️ Your proof of payment (attached)
• ➡️ The relevant codes such as ICD-10, NAPPI and item code(s)
• ➡️ The date on which the service/procedure was rendered/performed

👉 The account should not be modified by hand in any way, as this will cause your claim to be invalid.

👉 Your claims must reach Medihelp on or before the last workday of the fourth calendar month after the month in which the service was rendered.

Medihelp Medical Aid Contact Details 

Medihelp Head Office

Postal address

PO Box 26004

Arcadia, 0007

Street address

189 Clark street,

Brooklyn, 0181

Customer care

General enquiries – 086 0100 678

International – +27 12 336 9000

Email: [email protected]

Claims submission: [email protected]