Medihelp: MedElite
Comprehensive
2026 Plan
From R 8 922/monthGet a free callback
Heads up: This is general information, not financial advice. Pricing is sourced from the official Medihelp 2026 brochure but may change — always confirm directly with Medihelp before joining.
Monthly Contributions
Main memberR 8 922
Adult dependantR 8 352
Child dependantR 2 418
Max 2 children billed. Child rates apply up to age 26.
Hospital Cover
Limit: Unlimited
Network: Comprehensive network
Network name: Medihelp National Hospital Network
Chronic Cover
54 conditions covered (27 PMB + 27 additional)
Pharmacy: Medihelp Pharmacy Network
Non-formulary co-pay: 25%
Maternity
10 antenatal consultations
2 ultrasound scans
Two antenatal & postnatal consultations + dietician/lactation specialist visits.
Plan highlights
- Comprehensive cover with R10,728 annual savings
- 54 chronic conditions covered
- Network hospitals — comprehensive benefits
- Comprehensive dental via network
- 10 maternity consultations + extensive paediatrics
Who is MedElite for?
- Families wanting full cover with the fewest out-of-pocket surprises
- Members with chronic conditions who see specialists regularly
- Higher earners wanting comprehensive benefits and any-hospital access
This is general guidance. Use our free calculator to see whether this plan matches your specific needs and budget.
What's covered
- Unlimited hospital cover at comprehensive network
- 54 chronic conditions (27 PMB + 27 additional)
- 10 antenatal consultations
- 2 pregnancy ultrasound scans
- All Prescribed Minimum Benefits (PMB) — required by South African law
What to watch out for
- Planned admissions at hospitals outside the network — co-payments apply
- Non-formulary chronic medication is subject to a 25% co-payment
- Cosmetic procedures, alternative therapies and certain elective treatments
- Out-of-hospital costs above your annual day-to-day limit (where applicable)
Compare with similar Medihelp plans
MedPrime
Hybrid
From R 5 790/month
27 chronic conditions
Any private hospital
MedPrime Elect
Hybrid
From R 4 746/month
27 chronic conditions
Comprehensive network
MedSaver
Savings
From R 4 260/month
27 chronic conditions
Any private hospital
Frequently asked questions
Source: Medihelp MedElite 2026 Summary — accessed 2026-04-28.
All benefits and limits are per calendar year, unless otherwise stated.
All benefits are approved by the Council for Medical Schemes.
PMB = Prescribed Minimum Benefits. Medihelp covers 271 PMB conditions.
Pricing and benefits sourced from the official 2026 Medihelp brochures. Final premiums confirmed by Medihelp at application.