PMB chronic medicine – Medihelp Reference Price (MHRP)
For PMB medicine, we base our benefits on the Medihelp Reference Price (MHRP). The MHRP is the maximum price, indicated per unit which can be dispensed, which Medihelp pays for specific medicines for the treatment of the 26 conditions on the Chronic Diseases List (CDL). So, if you use a medicine item which costs the same or less than the MHRP, you won’t have to make a co-payment. If you use a medicine which costs more, however, you will be liable to pay the difference.
The Prime Network options and the Necesse benefit option apply formularies for chronic medicine. Should you deviate from these formularies, your medicine will not be covered or you will have to make a co-payment on the cost of the medicine.