Medihelp: MedPrime Elect
Hybrid
2026 Plan
From R 4 746/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 4 746
Adult dependantR 4 002
Child dependantR 1 380
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
27 conditions covered (27 PMB + 0 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
- Network hospitals at lower premium than MedPrime
- R5,688 annual savings + block benefit
- Crowns, orthodontics & comprehensive dental
- Specialised radiology unlimited
Who is MedPrime Elect for?
- Members who want flexibility — use savings for any healthcare expense
- People with predictable but not heavy day-to-day usage
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
- 27 chronic conditions (27 PMB + 0 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
- Chronic conditions outside the 27 statutory PMB list
- 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
Frequently asked questions
Source: Medihelp MedPrime Elect 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.