Medihelp · Medihelp Medical Aid Scheme Plans
Pre-approval and registration on Medihelp’s PMB drug management program are required.Covered up to 100% of the MHRP.The unlimited cover is provided.There is a 30% co-payment if services are obtained from a non-network pharmacy or dispensing GP.
Covered 100% of the MT, following limits apply:M = R2 400 per yearM+1 = R4 450 per yearM+2+= R5 150 per yearSubject to overall annual limit, shared with benefit for clinical psychology.GP network and specialist referral by network GP apply.
Out-of-network GP consultations 80% of the MT, following limits:M = R1 470 per yearM+ = R2 940 per yearSubject to overall annual limit.GP network and specialist referral by network GP apply.
One additional GP consultation is activated for the family per year once a beneficiary claims for a Pap smear, mammogram, prostate test, faecal occult blood test (FOBT) or bone mineral density test
Effective from January 2026
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