Medihelp · Medihelp Medical Aid Scheme Plans
Covered up to 100% of the MT.Unlimited cover provided.An R135 co-payment per virtual Network GP consultation is until the 10th visit.Pre-authorization is required after the 6th visit, and benefits are canceled without pre-approval.Only PMB visits require authorization from the 11th visit.Clinical guidelines apply.Co-payment does not apply to nurse visits.
Clinical guidelines apply.Pre-authorization is needed.The specialist network must be used.Specialist referral by network GP applies.R1 050 per family per year at network specialists only.
Covered up to 100% of the MHRP.Unlimited cover.Subject to the Medihelp formulary and DSP.30% co-payment for non-formulary medicine.30% co-payment for purchases from a non-network pharmacy or dispensing network GP.
Effective from January 2026
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