Medihelp
Medihelp MedPrime 2026
Hospital + savingsFamily comprehensive — open hospital
MedPrime is a hospital + savings plan from Medihelp. In 2026 it costs R5 790 a month for the main member, R4 896 for an adult dependant and R1 692 for a child.
Best for: Families wanting comprehensive cover with broader provider flexibility and any private hospital access — Medihelp's "family cover hero" plan.
From Medihelp's official 2026 brochure
What MedPrime covers
- Hospitals you can use
- Open — any private hospital
- In hospital
- No overall annual limit. Any private hospital, plus day procedure network for certain day procedures.
- Day-to-day
- 10% of contribution to a savings account: R6 984/year main member, R5 904 dependant, R2 016 child. Full year's allocation available as a credit facility from January; unused funds roll over. Once depleted: R7 550/year member, R13 900/year family insured pooled benefit for GP, specialists, clinical psychology, physiotherapy, supplementary health services, acute medicine, non-PMB chronic medicine, 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 (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 + R955 frame/lens enhancement, or R1 375 contact lenses.
- Mental health
- R38 200 per beneficiary (max R51 500 per family) per year for hospitalisation and professional psychiatric services, incl. one educational psychologist consultation per beneficiary for autism diagnosis. R4 200 per beneficiary per year for out-of-hospital depression treatment. R130 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 once savings are depleted, for extensive specialist or prosthesis needs.
Summarised from Medihelp's official 2026 brochure. Always confirm the details with the scheme or an accredited broker before you join.
Similar plans to compare
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Compare MedPrime with Incentive (Any Hospital, Any Chronic) and Standard Select side by side
Is MedPrime right for you?
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