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MEDICAL AID
Medical aid cover for you. At Medihelp, you can be assured of best-in-class products combined with exceptional support services to help you make informed decisions about your healthcare cover. With more than a century’s experience in the medical aid industry, we maintain the stability and sustainability needed to ensure ourmembers’ peace
MEDIHELP MEMBER ZONE Medihelp Member Zone - Login. Sign in. Membership number. Please select your beneficiary code. Information Circle. Password.COVID-19 - MEDIHELP
COVID-19 update. The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. This number will continue to grow as the number of infectionsincreases.
CONTACT US | MEDIHELP MEDICAL AID Medihelp’s Member Zone. Medihelp’s Member Zone is an online self-service portal which gives you access to your Medihelp profile, claims and benefits in a secure environment, 24 hours a day, seven days a week. On the Member Zone, you can: Check if your claims have been paid, and submit claims; See a breakdown of services covered byyour plan
MEDICAL AID FORMS
Medihelp forms. Log in to the Member Zone to access all Medihelp forms. You can also register dependants electronically once logged in to the Member Zone. Registration of newborn baby 2021. Registration of dependants 2021. Application for continued membership. Permission for third-party access. Necesse members. MEDICAL AID NETWORK PLAN A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) A Pap smear requested by a medical doctor per 3-year cycle (women over 21 years) Contraceptives: Oral/ injectable/ implantable contraceptives (women up to 50 years) –. R125 per beneficiary per month, up to R1 500 per year. Intra-uterine device every 60 months –. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact us BLOG - QUESTIONS AND ANSWERS REGARDING THE COVID-19 Questions and answers regarding the COVID-19 vaccination roll-out. Medihelp forms part of the Funders Working Group and various task teams collaborating with the Council for Medical Schemes to provide input on the vaccine framework of the National Department of Health (NDoH). It is our priority to actively participate and support thisprocess
PMB AND CDL
PMB (prescribed minimum benefits) are a series of services that medical schemes must cover in terms of the Medical Schemes Act 131 of 1998, including: Medical emergencies (in terms of the legal definition); 270 listed diagnosis and treatment pairs (DTPs); and. The 26 diseases on the Chronic Diseases List (CDL).SPECIALIST NETWORKS
Why does Medihelp have specialist networks? Visiting specialists in the network of nominated specialists for PMB services and the contracted network of surgeons with whom tariffs for PMB and non-PMB services have been negotiated can help you to contain out-of-pocketexpenses.
MEDICAL AID
Medical aid cover for you. At Medihelp, you can be assured of best-in-class products combined with exceptional support services to help you make informed decisions about your healthcare cover. With more than a century’s experience in the medical aid industry, we maintain the stability and sustainability needed to ensure ourmembers’ peace
MEDIHELP MEMBER ZONE Medihelp Member Zone - Login. Sign in. Membership number. Please select your beneficiary code. Information Circle. Password.COVID-19 - MEDIHELP
COVID-19 update. The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. This number will continue to grow as the number of infectionsincreases.
CONTACT US | MEDIHELP MEDICAL AID Medihelp’s Member Zone. Medihelp’s Member Zone is an online self-service portal which gives you access to your Medihelp profile, claims and benefits in a secure environment, 24 hours a day, seven days a week. On the Member Zone, you can: Check if your claims have been paid, and submit claims; See a breakdown of services covered byyour plan
MEDICAL AID FORMS
Medihelp forms. Log in to the Member Zone to access all Medihelp forms. You can also register dependants electronically once logged in to the Member Zone. Registration of newborn baby 2021. Registration of dependants 2021. Application for continued membership. Permission for third-party access. Necesse members. MEDICAL AID NETWORK PLAN A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) A Pap smear requested by a medical doctor per 3-year cycle (women over 21 years) Contraceptives: Oral/ injectable/ implantable contraceptives (women up to 50 years) –. R125 per beneficiary per month, up to R1 500 per year. Intra-uterine device every 60 months –. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact us BLOG - QUESTIONS AND ANSWERS REGARDING THE COVID-19 Questions and answers regarding the COVID-19 vaccination roll-out. Medihelp forms part of the Funders Working Group and various task teams collaborating with the Council for Medical Schemes to provide input on the vaccine framework of the National Department of Health (NDoH). It is our priority to actively participate and support thisprocess
PMB AND CDL
PMB (prescribed minimum benefits) are a series of services that medical schemes must cover in terms of the Medical Schemes Act 131 of 1998, including: Medical emergencies (in terms of the legal definition); 270 listed diagnosis and treatment pairs (DTPs); and. The 26 diseases on the Chronic Diseases List (CDL).SPECIALIST NETWORKS
Why does Medihelp have specialist networks? Visiting specialists in the network of nominated specialists for PMB services and the contracted network of surgeons with whom tariffs for PMB and non-PMB services have been negotiated can help you to contain out-of-pocketexpenses.
CONTACT US | MEDIHELP MEDICAL AID Medihelp’s Member Zone. Medihelp’s Member Zone is an online self-service portal which gives you access to your Medihelp profile, claims and benefits in a secure environment, 24 hours a day, seven days a week. On the Member Zone, you can: Check if your claims have been paid, and submit claims; See a breakdown of services covered byyour plan
COVID MEDICAL AID BENEFITS Medihelp’s Member Zone is an online self-service website which gives members access to their medical aid details. These include claims statements, available benefits and access to membership information in a secure environment. FIND A NETWORK PROVIDER IN YOUR AREA Information on network providers is updated continuously as providers are added to or removed from the network. You are welcome to phone us on 086 0100 678 if you are unable to locate a specific provider. Members can avoid co-payments by making use of the network providers for their benefit options as specified in their benefit guides and theMEDICAL AID FORMS
Medihelp forms. Log in to the Member Zone to access all Medihelp forms. You can also register dependants electronically once logged in to the Member Zone. Registration of newborn baby 2021. Registration of dependants 2021. Application for continued membership. Permission for third-party access. Necesse members. COMPARE MEDIHELP MEDICAL AID PLANS Compare our range of products to find out which Medihelp medical aid plan will best suit you and your family’s unique healthcare needs as well as your budget. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact us MEDIHELP REFERENCE PRICE LIST Medihelp reference price list. If you require treatment for a PMB condition, your benefits will be based on the Medihelp Reference Price (MHRP). Unavailable until further notice! Please select the following fields to view our reference prices. MATERNITY - MEDIHELP 086 0100 678 | www.medihelp.co.za Medihelp is an authorised financial services provider (FSP No 15738) A28746 MAR 2021 Maternity Having a baby is a wonderful and joyous experience, and Medihelp supports you with benefits and services that will add to your experience duringthis exciting time.
SPECIALIST NETWORKS
Why does Medihelp have specialist networks? Visiting specialists in the network of nominated specialists for PMB services and the contracted network of surgeons with whom tariffs for PMB and non-PMB services have been negotiated can help you to contain out-of-pocketexpenses.
CHRONIC ILLNESS AND PRESCRIBED MINIMUM BENEFITS (PMB) Chronic illness and Prescribed Minimum Benefits (PMB) All registered medical schemes in South Africa must cover a set of defined prescribed minimum benefits (PMB) on all the benefit options offered to members,in terms of the
MEDICAL AID
HealthPrint. HealthPrint is a free online health and wellness initiative by Medihelp that is available to all members of Medihelp. Members who join HealthPrint get access to their unique health record, added value through individualised programmes as well as free entry to Medihelp-sponsored events. MEDIHELP MEMBER ZONE Monthly subscription . Tax certificate . Benefits & claimsCOVID-19 - MEDIHELP
The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact us2021 - MEDIHELP
Day-to-day benefits Consultations network P consultations per student per year per student per year for specialist care (subect to referral by a Necesse network P and pre-authorisation)PMB AND CDL
What is the MHRP? The Medihelp Reference Price (MHRP) applies to all PMB medicine. Medihelp applies an average benefit amount per specific medicine according to a therapeutic class, and that benefit amount will be applied to all medicines that contain the same molecule in the same therapeutic class. MEDIHELP REFERENCE PRICE LIST Benefits for medicine used in the treatment of a PMB condition are paid at the Medihelp Reference Price (MHRP). DAY-TO-DAY BENEFITS BENEFITS PRIME3 Added insured benefits Core benefits Women’s health • A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) • A Pap smear requested by a medical MATERNITY - MEDIHELP 086 0100 678 | www.medihelp.co.za Medihelp is an authorised financial services provider (FSP No 15738) A28746 MAR 2021 Maternity Having a baby is a wonderful and joyous experience, and Medihelp supports you with benefits and services that will add to your experience duringthis exciting time.
PMB AND CDL
PMB and CDL Making it easy Prescribed minimum benefits (PMB) shouldn’t be a hassle; simply follow the process of authorisationand remain within
MEDICAL AID
HealthPrint. HealthPrint is a free online health and wellness initiative by Medihelp that is available to all members of Medihelp. Members who join HealthPrint get access to their unique health record, added value through individualised programmes as well as free entry to Medihelp-sponsored events. MEDIHELP MEMBER ZONE Monthly subscription . Tax certificate . Benefits & claimsCOVID-19 - MEDIHELP
The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact us2021 - MEDIHELP
Day-to-day benefits Consultations network P consultations per student per year per student per year for specialist care (subect to referral by a Necesse network P and pre-authorisation)PMB AND CDL
What is the MHRP? The Medihelp Reference Price (MHRP) applies to all PMB medicine. Medihelp applies an average benefit amount per specific medicine according to a therapeutic class, and that benefit amount will be applied to all medicines that contain the same molecule in the same therapeutic class. MEDIHELP REFERENCE PRICE LIST Benefits for medicine used in the treatment of a PMB condition are paid at the Medihelp Reference Price (MHRP). DAY-TO-DAY BENEFITS BENEFITS PRIME3 Added insured benefits Core benefits Women’s health • A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) • A Pap smear requested by a medical MATERNITY - MEDIHELP 086 0100 678 | www.medihelp.co.za Medihelp is an authorised financial services provider (FSP No 15738) A28746 MAR 2021 Maternity Having a baby is a wonderful and joyous experience, and Medihelp supports you with benefits and services that will add to your experience duringthis exciting time.
PMB AND CDL
PMB and CDL Making it easy Prescribed minimum benefits (PMB) shouldn’t be a hassle; simply follow the process of authorisationand remain within
COVID-19 - MEDIHELP
The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. COVID MEDICAL AID BENEFITS Medihelp’s Member Zone is an online self-service website which gives members access to their medical aid details. These include claims statements, available benefits and access to membership information in a secure environment. COMPARE MEDIHELP MEDICAL AID PLANS Compare our range of products to find out which Medihelp medical aid plan will best suit you and your family’s unique healthcare needs as well as your budget. GET A MEDICAL AID PREMIUM ESTIMATION Membership fee estimation. Medihelp offers a range of 10 medical aid products, including a hospital plan, a network plan for students, two savings plans, and comprehensive plans with fully-insured benefits for medical services rendered in and out of hospital. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact usMEDICAL AID FORMS
Download the forms you need to do your medical aid business withMedihelp.
MEDIHELP REFERENCE PRICE LIST Medihelp reference price list If you require treatment for a PMB condition, your benefits will be based on the Medihelp Reference Price(MHRP).
FORMAL COMPLAINT PROCEDURE Please rate your experience of the following on a scale of 1 (poor) to 5 (excellent): Medihelp's productsSPECIALIST NETWORKS
Why does Medihelp have specialist networks? Visiting specialists in the network of nominated specialists for PMB services and the contracted network of surgeons with whom tariffs for PMB and non-PMB services have been negotiated can help you to contain out-of-pocketexpenses.
PMB AND CDL
PMB and CDL Making it easy Prescribed minimum benefits (PMB) shouldn’t be a hassle; simply follow the process of authorisationand remain within
MEDICAL AID
Medical aid cover for you. At Medihelp, you can be assured of best-in-class products combined with exceptional support services to help you make informed decisions about your healthcare cover. With more than a century’s experience in the medical aid industry, we maintain the stability and sustainability needed to ensure ourmembers’ peace
MEDIHELP MEMBER ZONE Medihelp Member Zone - Login. Sign in. Membership number. Please select your beneficiary code. Information Circle. Password.COVID-19 - MEDIHELP
COVID-19 update. The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. This number will continue to grow as the number of infectionsincreases.
CONTACT US | MEDIHELP MEDICAL AID Medihelp’s Member Zone. Medihelp’s Member Zone is an online self-service portal which gives you access to your Medihelp profile, claims and benefits in a secure environment, 24 hours a day, seven days a week. On the Member Zone, you can: Check if your claims have been paid, and submit claims; See a breakdown of services covered byyour plan
2021 - MEDIHELP
Day-to-day benefits Consultations network P consultations per student per year per student per year for specialist care (subect to referral by a Necesse network P and pre-authorisation) HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact usPMB AND CDL
PMB (prescribed minimum benefits) are a series of services that medical schemes must cover in terms of the Medical Schemes Act 131 of 1998, including: Medical emergencies (in terms of the legal definition); 270 listed diagnosis and treatment pairs (DTPs); and. The 26 diseases on the Chronic Diseases List (CDL). MEDIHELP REFERENCE PRICE LIST Medihelp reference price list. If you require treatment for a PMB condition, your benefits will be based on the Medihelp Reference Price (MHRP). Unavailable until further notice! Please select the following fields to view our reference prices. MATERNITY - MEDIHELP 086 0100 678 | www.medihelp.co.za Medihelp is an authorised financial services provider (FSP No 15738) A28746 MAR 2021 Maternity Having a baby is a wonderful and joyous experience, and Medihelp supports you with benefits and services that will add to your experience duringthis exciting time.
DAY-TO-DAY BENEFITS BENEFITS PRIME3 Added insured benefits Core benefits Women’s health • A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) • A Pap smear requested by a medicalMEDICAL AID
Medical aid cover for you. At Medihelp, you can be assured of best-in-class products combined with exceptional support services to help you make informed decisions about your healthcare cover. With more than a century’s experience in the medical aid industry, we maintain the stability and sustainability needed to ensure ourmembers’ peace
MEDIHELP MEMBER ZONE Medihelp Member Zone - Login. Sign in. Membership number. Please select your beneficiary code. Information Circle. Password.COVID-19 - MEDIHELP
COVID-19 update. The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. This number will continue to grow as the number of infectionsincreases.
CONTACT US | MEDIHELP MEDICAL AID Medihelp’s Member Zone. Medihelp’s Member Zone is an online self-service portal which gives you access to your Medihelp profile, claims and benefits in a secure environment, 24 hours a day, seven days a week. On the Member Zone, you can: Check if your claims have been paid, and submit claims; See a breakdown of services covered byyour plan
2021 - MEDIHELP
Day-to-day benefits Consultations network P consultations per student per year per student per year for specialist care (subect to referral by a Necesse network P and pre-authorisation) HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact usPMB AND CDL
PMB (prescribed minimum benefits) are a series of services that medical schemes must cover in terms of the Medical Schemes Act 131 of 1998, including: Medical emergencies (in terms of the legal definition); 270 listed diagnosis and treatment pairs (DTPs); and. The 26 diseases on the Chronic Diseases List (CDL). MEDIHELP REFERENCE PRICE LIST Medihelp reference price list. If you require treatment for a PMB condition, your benefits will be based on the Medihelp Reference Price (MHRP). Unavailable until further notice! Please select the following fields to view our reference prices. MATERNITY - MEDIHELP 086 0100 678 | www.medihelp.co.za Medihelp is an authorised financial services provider (FSP No 15738) A28746 MAR 2021 Maternity Having a baby is a wonderful and joyous experience, and Medihelp supports you with benefits and services that will add to your experience duringthis exciting time.
DAY-TO-DAY BENEFITS BENEFITS PRIME3 Added insured benefits Core benefits Women’s health • A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) • A Pap smear requested by a medicalCOVID-19 - MEDIHELP
COVID-19 update. The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. This number will continue to grow as the number of infectionsincreases.
COVID MEDICAL AID BENEFITS Medihelp benefits. Medihelp provides comprehensive in and out of hospital cover on all benefit options from core benefits for claims received with regard to tests for COVID-19 regardless of the result of the test, according to the clinical criteria for testing. A functionality is available on the Member Zone where members can uploadtheir
COMPARE MEDIHELP MEDICAL AID PLANS Compare our range of products to find out which Medihelp medical aid plan will best suit you and your family’s unique healthcare needs as well as your budget.MEDICAL AID FORMS
Medihelp forms. Log in to the Member Zone to access all Medihelp forms. You can also register dependants electronically once logged in to the Member Zone. Registration of newborn baby 2021. Registration of dependants 2021. Application for continued membership. Permission for third-party access. Necesse members. MEDICAL AID NETWORK PLAN A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) A Pap smear requested by a medical doctor per 3-year cycle (women over 21 years) Contraceptives: Oral/ injectable/ implantable contraceptives (women up to 50 years) –. R125 per beneficiary per month, up to R1 500 per year. Intra-uterine device every 60 months –. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact us FORMAL COMPLAINT PROCEDURE Section A and section B – please complete all the fields, either by writing information, selecting options from drop-down boxes or ticking check boxes. Section C – Please give us as much detail as possible about the nature of your complaint, and how the issue/incidentunfolded. Remember:
MEDIHELP REFERENCE PRICE LIST Medihelp reference price list. If you require treatment for a PMB condition, your benefits will be based on the Medihelp Reference Price (MHRP). Unavailable until further notice! Please select the following fields to view our reference prices.SPECIALIST NETWORKS
Why does Medihelp have specialist networks? Visiting specialists in the network of nominated specialists for PMB services and the contracted network of surgeons with whom tariffs for PMB and non-PMB services have been negotiated can help you to contain out-of-pocketexpenses.
PMB AND CDL
PMB and CDL Making it easy Prescribed minimum benefits (PMB) shouldn’t be a hassle; simply follow the process of authorisationand remain within
MEDICAL AID
Medical aid cover for you. At Medihelp, you can be assured of best-in-class products combined with exceptional support services to help you make informed decisions about your healthcare cover. With more than a century’s experience in the medical aid industry, we maintain the stability and sustainability needed to ensure ourmembers’ peace
MEDIHELP MEMBER ZONE Medihelp Member Zone - Login. Sign in. Membership number. Please select your beneficiary code. Information Circle. Password. CONTACT US | MEDIHELP MEDICAL AIDMEDIHELP MEDICAL AIDMEDIHELP HOSPITAL MORATUWAMEDIHELP NECESSE 2020MEDIHELP OPTIONSMEDIHELP MEMBER ZONEMEDIHELP PITTSBURGH Medihelp’s Member Zone. Medihelp’s Member Zone is an online self-service portal which gives you access to your Medihelp profile, claims and benefits in a secure environment, 24 hours a day, seven days a week. On the Member Zone, you can: Check if your claims have been paid, and submit claims; See a breakdown of services covered byyour plan
MEDICAL AID NETWORK PLAN A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) A Pap smear requested by a medical doctor per 3-year cycle (women over 21 years) Contraceptives: Oral/ injectable/ implantable contraceptives (women up to 50 years) –. R125 per beneficiary per month, up to R1 500 per year. Intra-uterine device every 60 months –. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact usPMB AND CDL
PMB (prescribed minimum benefits) are a series of services that medical schemes must cover in terms of the Medical Schemes Act 131 of 1998, including: Medical emergencies (in terms of the legal definition); 270 listed diagnosis and treatment pairs (DTPs); and. The 26 diseases on the Chronic Diseases List (CDL). MEDIHELP REFERENCE PRICE LIST Medihelp reference price list. If you require treatment for a PMB condition, your benefits will be based on the Medihelp Reference Price (MHRP). Unavailable until further notice! Please select the following fields to view our reference prices. FORMAL COMPLAINT PROCEDURE Section A and section B – please complete all the fields, either by writing information, selecting options from drop-down boxes or ticking check boxes. Section C – Please give us as much detail as possible about the nature of your complaint, and how the issue/incidentunfolded. Remember:
BENEFIT OPTIONS 2020 2 Back to contents 10 options No limit 26 years 2 only 270 PMB Product simplicity and value 10 benefit options to choose from Unlimited cover for trauma and emerenciesgSPECIALIST NETWORKS
Why does Medihelp have specialist networks? Visiting specialists in the network of nominated specialists for PMB services and the contracted network of surgeons with whom tariffs for PMB and non-PMB services have been negotiated can help you to contain out-of-pocketexpenses.
MEDICAL AID
Medical aid cover for you. At Medihelp, you can be assured of best-in-class products combined with exceptional support services to help you make informed decisions about your healthcare cover. With more than a century’s experience in the medical aid industry, we maintain the stability and sustainability needed to ensure ourmembers’ peace
MEDIHELP MEMBER ZONE Medihelp Member Zone - Login. Sign in. Membership number. Please select your beneficiary code. Information Circle. Password. CONTACT US | MEDIHELP MEDICAL AIDMEDIHELP MEDICAL AIDMEDIHELP HOSPITAL MORATUWAMEDIHELP NECESSE 2020MEDIHELP OPTIONSMEDIHELP MEMBER ZONEMEDIHELP PITTSBURGH Medihelp’s Member Zone. Medihelp’s Member Zone is an online self-service portal which gives you access to your Medihelp profile, claims and benefits in a secure environment, 24 hours a day, seven days a week. On the Member Zone, you can: Check if your claims have been paid, and submit claims; See a breakdown of services covered byyour plan
MEDICAL AID NETWORK PLAN A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) A Pap smear requested by a medical doctor per 3-year cycle (women over 21 years) Contraceptives: Oral/ injectable/ implantable contraceptives (women up to 50 years) –. R125 per beneficiary per month, up to R1 500 per year. Intra-uterine device every 60 months –. HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact usPMB AND CDL
PMB (prescribed minimum benefits) are a series of services that medical schemes must cover in terms of the Medical Schemes Act 131 of 1998, including: Medical emergencies (in terms of the legal definition); 270 listed diagnosis and treatment pairs (DTPs); and. The 26 diseases on the Chronic Diseases List (CDL). MEDIHELP REFERENCE PRICE LIST Medihelp reference price list. If you require treatment for a PMB condition, your benefits will be based on the Medihelp Reference Price (MHRP). Unavailable until further notice! Please select the following fields to view our reference prices. FORMAL COMPLAINT PROCEDURE Section A and section B – please complete all the fields, either by writing information, selecting options from drop-down boxes or ticking check boxes. Section C – Please give us as much detail as possible about the nature of your complaint, and how the issue/incidentunfolded. Remember:
BENEFIT OPTIONS 2020 2 Back to contents 10 options No limit 26 years 2 only 270 PMB Product simplicity and value 10 benefit options to choose from Unlimited cover for trauma and emerenciesgSPECIALIST NETWORKS
Why does Medihelp have specialist networks? Visiting specialists in the network of nominated specialists for PMB services and the contracted network of surgeons with whom tariffs for PMB and non-PMB services have been negotiated can help you to contain out-of-pocketexpenses.
COVID-19 - MEDIHELP
COVID-19 update. The COVID-19 pandemic is caused by a coronavirus similar to the one which causes severe acute respiratory syndrome (SARS). It is estimated that at least one-fifth of the world’s population is currently under quarantine or lockdown due to COVID-19. This number will continue to grow as the number of infectionsincreases.
FIND A NETWORK PROVIDER IN YOUR AREA Information on network providers is updated continuously as providers are added to or removed from the network. You are welcome to phone us on 086 0100 678 if you are unable to locate a specific provider. Members can avoid co-payments by making use of the network providers for their benefit options as specified in their benefit guides and the HOSPITAL PLAN SAVINGS 2021 Contents Overview Contributions Added insured benefits Core benefits Hospital networks Day-to-day benefits Contact usMEDICAL AID FORMS
Medihelp forms. Log in to the Member Zone to access all Medihelp forms. You can also register dependants electronically once logged in to the Member Zone. Registration of newborn baby 2021. Registration of dependants 2021. Application for continued membership. Permission for third-party access. Necesse members. COMPREHENSIVE MEDICAL AID COVER A mammogram requested by a medical doctor per 2-year cycle (women 40-75 years) A Pap smear requested by a medical doctor per 3-year cycle (women over 21 years) Contraceptives: Oral/ injectable/ implantable contraceptives (women up to 50 years) –. R150 per beneficiary per month, up to R1 800 per year. Intra-uterine device every 60 months –. BENEFIT OPTIONS 2020 2 Back to contents 10 options No limit 26 years 2 only 270 PMB Product simplicity and value 10 benefit options to choose from Unlimited cover for trauma and emerenciesgSPECIALIST NETWORKS
Why does Medihelp have specialist networks? Visiting specialists in the network of nominated specialists for PMB services and the contracted network of surgeons with whom tariffs for PMB and non-PMB services have been negotiated can help you to contain out-of-pocketexpenses.
MATERNITY - MEDIHELP 086 0100 678 | www.medihelp.co.za Medihelp is an authorised financial services provider (FSP No 15738) A28746 MAR 2021 Maternity Having a baby is a wonderful and joyous experience, and Medihelp supports you with benefits and services that will add to your experience duringthis exciting time.
PMB AND CDL
PMB and CDL Making it easy Prescribed minimum benefits (PMB) shouldn’t be a hassle; simply follow the process of authorisationand remain within
PRIME HOSPITAL NETWORK Prime hospital network Members of the Prime Network benefit options must be admitted to one of the network hospitals or day clinics when they need to undergo planned procedures.* 086 0100 678
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PLANS
We all have different healthcare needs. Medihelp offers a range of quality plans to choose fromView Plans
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NETWORK PROVIDERS
Click here to search for either network or non-network providers.Read more
STUDENT PLAN
Medihelp’s network plan for students provides quality cover for medical expenses incurred in and out of hospital through a vast network of providers. From R636 PER MONTH.Read More
HOSPITAL PLAN
Choose a hospital plan with a popular 22% discounted network alternative that provides for hospitalisation and other minorexpenses.
From R1 722 PER MONTH.Read More
SAVINGS PLANS
Our savings plans give you control over your day-to-day medical expenses and offer excellent private hospital cover and added insuredbenefits.
From R2 286 PER MONTH.Read More
COMPREHENSIVE PLANS
These medical aid plans offer unlimited cover for medical emergencies, private hospitalisation and comprehensive cover for day-to-day medicalexpenses.
From R3 138 PER MONTH.Read More
MEDICAL AID COVER FOR YOU At Medihelp, you can be assured of best-in-class products combined with exceptional support services to help you make informed decisions about your healthcare cover. With more than a century’s experience in the medical aid industry, we maintain the stability and sustainability needed to ensure our members’ peace of mind – whether you are an individual, student, family or business.CONTACT US
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ekuPhakameni KwaZulu-Natal - Elandslaagte KwaZulu-Natal - Empangeni KwaZulu-Natal - Eshowe KwaZulu-Natal - Estcourt KwaZulu-Natal - Franklin KwaZulu-Natal - Glencoe KwaZulu-Natal - Greytown KwaZulu-Natal - Hattingspruit KwaZulu-Natal - Hibberdene KwaZulu-Natal - Hillcrest KwaZulu-Natal - Hilton KwaZulu-Natal - Himeville KwaZulu-Natal - Hluhluwe KwaZulu-Natal - Howick KwaZulu-Natal - Ifafa Beach KwaZulu-Natal - Illovo Beach KwaZulu-Natal - Impendle KwaZulu-Natal - Inanda KwaZulu-Natal - Ingwavuma KwaZulu-Natal - Isipingo KwaZulu-Natal - Ixopo KwaZulu-Natal - Karridene KwaZulu-Natal - Kingsburgh KwaZulu-Natal - Kloof KwaZulu-Natal - Kokstad KwaZulu-Natal - KwaDukuza KwaZulu-Natal - KwaMashu KwaZulu-Natal - La Lucia KwaZulu-Natal - La Mercy KwaZulu-Natal - Ladysmith KwaZulu-Natal - Louwsburg KwaZulu-Natal - Magabeni KwaZulu-Natal - Mahlabatini KwaZulu-Natal - Margate KwaZulu-Natal - Melmoth KwaZulu-Natal - Merrivale KwaZulu-Natal - Mkuze KwaZulu-Natal - Mooirivier KwaZulu-Natal - Mount Edgecombe KwaZulu-Natal - Mtubatuba KwaZulu-Natal - Mtunzini KwaZulu-Natal - New Germany KwaZulu-Natal - New Hanover KwaZulu-Natal - Newcastle KwaZulu-Natal - Nongoma KwaZulu-Natal - Nottingham Road KwaZulu-Natal - Other KwaZulu-Natal - Palm Beach KwaZulu-Natal - Park Rynie KwaZulu-Natal - Paulpietersburg KwaZulu-Natal - Pennington KwaZulu-Natal - Pietermaritzburg KwaZulu-Natal - Pinetown KwaZulu-Natal - Pomeroy KwaZulu-Natal - Pongola KwaZulu-Natal - Port Edward KwaZulu-Natal - Port Shepstone KwaZulu-Natal - Queensburgh KwaZulu-Natal - Ramsgate KwaZulu-Natal - Richards Bay KwaZulu-Natal - Salt Rock KwaZulu-Natal - Scottburgh KwaZulu-Natal - Sezela KwaZulu-Natal - Shelly Beach KwaZulu-Natal - Southbroom KwaZulu-Natal - St Lucia KwaZulu-Natal - St Michael's-on-sea KwaZulu-Natal - Stanger KwaZulu-Natal - Tongaat KwaZulu-Natal - Tugela Ferry KwaZulu-Natal - Ubombo KwaZulu-Natal - Ulundi KwaZulu-Natal - Umbogintwini KwaZulu-Natal - umbubulu KwaZulu-Natal - Umdloti KwaZulu-Natal - Umgababa KwaZulu-Natal - Umhlanga Rocks KwaZulu-Natal - 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FLU SEASON IS COMING – SHOULD YOU GET THE JAB? Medical experts expect the 2021 flu season to be as virulent as in previous years, and should this coincide with the predicted third wave of COVID-19 infection it could potentially put strain on our healthcare system resources.Read more
HEALTHPRINT
HealthPrint is a free online health and wellness initiative by Medihelp that is available to all members of Medihelp. Members who join HealthPrint get access to their unique health record, added value through individualised programmes as well as free entry to Medihelp-sponsored events. Any runners and walkers in Gauteng North and cyclists nationwide can also join Medihelp MultiSport, throughHealthPrint.
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