Medihelp

Medihelp MedPlus 2026

ComprehensiveTop-of-range — most comprehensive

MedPlus is a comprehensive plan from Medihelp. In 2026 it costs R15 486 a month for the main member, R15 486 for an adult dependant and R3 864 for a child.

Best for: Members with extensive healthcare requirements wanting Medihelp's richest cover, with no network restriction and no savings account to manage.

From Medihelp's official 2026 brochure

What MedPlus covers

Hospitals you can use
Open — any private hospital
In hospital
No overall annual limit. Any private hospital.
Day-to-day
No savings account. Insured day-to-day pool instead: R4 700/person (pooled per family) for GP/specialist/physio/clinical psychology; R8 600/person for acute medicine; R24 200/person for non-PMB chronic medicine; unlimited standard radiology and pathology.
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 plus specialised dentistry (crowns, implants, 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
R56 500 per beneficiary (max R76 900 per family) per year for hospitalisation and professional psychiatric services, incl. one educational psychologist consultation per beneficiary for autism diagnosis. R6 300 per beneficiary per year for out-of-hospital depression treatment. R170 per beneficiary per month for medicine.
PMBs (prescribed minimum benefits)
Full PMB cover (271 conditions) plus 26 CDL, unlimited. Cancer treatment R682 500 per family plus R250 000 exceptional medicine.
Emergencies
Netcare 911 emergency transport, unlimited in-country; R2 600 road / R17 700 air outside. Refractive surgery unlimited. MRI/CT imaging unlimited; PET scans R28 800 per case.
Gap cover
Least likely in the range to need gap cover — day-to-day pool and specialist/prosthesis limits are the highest Medihelp offers.

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 MedPlus with Summit and Platinum side by side

Is MedPlus right for you?

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