Medihelp

Medihelp MedElite 2026

Hospital + savingsAll-inclusive family cover

MedElite is a hospital + savings plan from Medihelp. In 2026 it costs R8 922 a month for the main member, R8 352 for an adult dependant and R2 418 for a child.

Best for: Higher healthcare users wanting extensive family cover with a comprehensive savings account plus a generous day-to-day pool once it's depleted.

From Medihelp's official 2026 brochure

What MedElite covers

Hospitals you can use
Open — any private hospital
In hospital
No overall annual limit. Any private hospital, plus day procedure facilities for certain day procedures.
Day-to-day
10% of contribution to a savings account: R10 728/year main member, R10 008 dependant, R2 880 child. Full year's allocation available as a credit facility from January; unused funds roll over. Once depleted: insured day-to-day pool of R15 200 (member) / R17 700 (+1) / R20 200 (+2) / R22 700 (+3) per year, with category sub-limits for GP/specialist/physio (R3 850–R7 550), medicine (R5 000–R8 850) and non-PMB chronic medicine (R5 950–R12 800).
Chronic medication
271 PMB conditions and 26 CDL conditions covered in full, unlimited.
Maternity
10 antenatal/postnatal consultations + 2 dietician/lactation consultations + 2 2D ultrasound scans + newborn hearing screening.
Dental
Conservative dentistry (check-ups, fillings, X-rays, oral hygiene) plus specialised dentistry (crowns, bridges, orthodontic treatment), DRC network.
Optical
Opticlear network, per person per 24-month cycle: eye test + R1 190 frame/lens enhancement, or R1 925 contact lenses.
Mental health
R46 400 per beneficiary (max R64 300 per family) per year for hospitalisation and professional psychiatric services, incl. one educational psychologist consultation per beneficiary for autism diagnosis. R5 250 per beneficiary per year for out-of-hospital depression treatment. R145 per beneficiary per month for medicine.
PMBs (prescribed minimum benefits)
Full PMB cover (271 conditions) plus 26 CDL, unlimited.
Emergencies
Netcare 911 emergency transport, unlimited in-country; R2 600 road / R17 700 air outside.
Gap cover
Recommended for extensive specialist, prosthesis or chronic medicine needs beyond the day-to-day sub-limits.

Summarised from Medihelp's official 2026 brochure. Always confirm the details with the scheme or an accredited broker before you join.

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Compare MedElite with Gold and Incentive (Any Hospital, Any Chronic) side by side

Is MedElite right for you?

Tell us your budget and the cover you need. With your consent, a Verified Partner (an accredited, independent broker) contacts you directly to talk it through. It's free, with no obligation.

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