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Medihelp uses a 3-tier hospital network system. Check if your hospital is covered by your specific plan tier before admission.
Medihelp Medical Scheme uses a unique 3-tier hospital network system for its 2026 plans. Each tier determines which hospitals you can use for planned admissions without incurring co-payments.
Tier 1 — MedMove / MedVital Elect: The most restrictive tier with the fewest hospitals, designed for budget-conscious members. These plans offer the lowest premiums but require you to use specific hospitals.
Tier 2 — MedAdd Elect / MedReach: A mid-tier network with broader hospital access. These plans balance affordability with hospital choice, offering more options than Tier 1.
Tier 3 — MedPrime Elect: The broadest restricted network with the most hospital choices among the tiered plans. Ideal for members who want wider access while still benefiting from network pricing.
Open Access plans like MedElect+, MedPlus, MedPrime+, and higher have no hospital network restrictions — you can go to any private hospital.
All Medihelp plans cover genuine medical emergencies at any hospital under Prescribed Minimum Benefits (PMBs). Always confirm network status before planned admissions.
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