![]() I am seriously not impressed with Medihelp. I just feel that with our life style in this day and age, if a child needs the medication, then surely all medical aids should cover this even if a levy has to be paid by the member. I made an apointment to see a cardiologist and Medihelp approved. This would end on 30 September 2022.I had serious heart problems. When we joined Medihelp there was a one year hold on coverage for certain pre existing conditions. If I had the money to pay I would not be complaining. Thank you Medihelp for letting me get the desperately needed treatment in hospital. This means that I will have to fork out over R600.00 per month for Concerta which I seriously do not have just lying around. The lady who assisted me told me that she would email me an application form which has to be completed by the acting paediatrician and this form must then be sent back to Medihelp for authorisation which will take 5 working days - no problem there, but when I explained why my son needed the Concerta, for ADHD, the lady informed me that ADD/ADHD does not fall within Medihelp's PNP's list of diseases covered by chronic medication. I requested about going about getting Concerta approved for chronic by Medihelp. Subject to referral by a Necesse network GP, clinical protocols and pre-authorisation, including 1 follow-up visit. My son was diagnosed with ADHD and prescribed Concerta by a Paediatrician yesterday and today I contacted Medihelp's chronic medication department. Dimension Elite which is the top of the range medical aid plan offering unlimited benefits for most in-hospital services.I have been a member with medihelp for quite some time now and never had a complaint, until today.Necesse which is the starter budget plan with access to only network doctors and hospitals.MediHelp offers 6 medical aid plans, catering for different budgets and healthcare needs. MediHelp proudly boasts the ability to handle some 3.6 million claims and pay out within 5.4 days on average, an impressive feat even by today’s high tech standards. ![]() ![]() The medical aid industry in South Africa is changing but Medihelp is one of the schemes that seem set to survive any major legislative changes or competition as it has a tried and tested reputation for reliability and quick payouts. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators. This means that MediHelp has sufficient reserves to keep paying for member’s medical bills at a time where many smaller schemes are shutting down. However, it has not changed the fact that MediHelp is still such a formidable player in the South African medical aid industry with a solvency rate well about the minimum set by the Council of Medical Schemes. With the birth of GEMS, the government employee medical scheme, many open medical aids lost members and MediHelp was no exception. MediHelp is known for being one of the best paying medical aids for claims and has an AA-rating based on its payout ability. Currently MediHelp has over 200,000 members in South Africa and while it is not as large a member base as Discovery Health, it is still one of the largest open medical aids in the country. It was registered as a medical aid in 1969 but has over a 100 years experience in healthcare funding ensuring that South Africans have the best cover in the market. MediHelp is one of the trusted names in the medical aid industry.
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