Partners and providers

 

DRC

Dental Risk Company (DRC) specialises in offering effective dental managed care solutions and provides Medihelp’s dental benefits in partnership with more than 2 200 dentists across South Africa. Members may visit any dentist of their choice, but benefits are managed by DRC and granted in accordance with DRC protocols.

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Medihelp Preferred Pharmacy Network

Medihelp’s Preferred Pharmacy Network consists of more than 1 900 pharmacies who offer Medihelp members the most cost-effective professional fee structure for prescribed medicine. This means that members who visit network pharmacies will not have to pay any excess amounts for higher professional fees which non-network pharmacies charge to dispense medicine items.

Network providers
LifeSense, Dis-Chem Direct and Medipost

From 2019, LifeSense will be the managed healthcare partner for HIV/Aids-related services and post-exposure prophylaxis.

Dis-Chem Direct and Medipost are the designated service providers (DSP) for HIV/Aids medicine.

Specialist networks

Three specialist networks (for Medihelp’s non-network range, the Prime network range and Necesse network option) effectively manage any PMB specialist care that our members may require, while reducing their out-of-pocket expenses. For members of our network options, specific networks also ensure streamlined care between the specialist and the network hospital, especially with regard to PMB services.

Network providers
Netcare 911

Netcare 911 is our preferred partner in providing emergency medical transport.

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ICON

ICON is the Independent Clinical Oncology Network to which more than 80% of the country’s oncologists belong. They provide the highest quality cancer care through a countrywide footprint of high-tech chemotherapy and radiotherapy facilities. ICON is Medihelp’s designated service provider for oncology treatment.

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DBC

Medihelp’s back treatment programme is offered in cooperation with Document-Based Care (DBC). Each programme is developed by an interdisciplinary medical team according to the individual’s clinical profile.

Preventive care

Clicks and Dis-Chem are Medihelp’s designated service providers for preventive care health assessment tests.

MobileMeds and Medipost

Members must obtain their PMB chronic medicine from a designated service provider (DSP) to avoid deductibles. MobileMeds is the designated service provider for the ordering of authorised monthly chronic medicine on the Prime network options. Delivery is handled by Medipost and medicine must be collected at the DSP.

Dis-Chem Oncology and Medipost

Members must obtain their PMB chronic medicine from a designated service provider (DSP) to avoid deductibles. Dis-Chem Oncology and Medipost are the designated service providers for oncology PMB medicine on the Prime network options.
Phone Medihelp at 086 0100 678 for more information.

Oncology medicine
Dis-Chem Oncology is the DSP for oncology PMB medicine.

PPN

The Preferred Provider Negotiators (PPN) provide Medihelp’s optical benefits in partnership with more than 2 000 optometrists across South Africa. Medihelp members may visit any optometrist and benefits are paid according to PPN tariffs.

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ICPs

Improved Clinical Pathway Services (ICPS) provides non-PMB hip and knee replacement for qualifying patients on the Elite benefit option.

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