Medihelp · Medical scheme review

Medihelp Medical Scheme 2026 Review

Mid-tier open scheme with MedVital Elect from R2,412. Notable for free unlimited HelloDoctor virtual GP consultations on all plans. Solvency ratio of 20.99% at end-2024 is below the 25% statutory minimum — the scheme is under a CMS-imposed recovery plan.

Updated By Thandi Mokoena Fact-checked

Solvency disclosure: Medihelp's solvency ratio is 20.99% at end-2024, below the 25% statutory minimum required by the Medical Schemes Act. The CMS imposed a recovery plan. The scheme continues to operate and pay claims normally, but is a flag worth knowing — Discovery (above 30%) and Bonitas (R9bn reserves) carry materially less restructuring risk for new members.

Cheapest plan

MedVital Elect

From (main member)

R2,412

2026 increase

8.46% (lowest plan 6%)

Solvency

20.99% (below 25% min)

Virtual GP

HelloDoctor unlimited free

CMS status

Under recovery plan

2026 Medihelp plan range

PlanMain memberNotes
MedVital ElectR2,412Cheapest network plan
MedVitalR3,096Any-hospital MedVital
MedAdd ElectR3,186Network plan with extras
MedAddR4,038Any-hospital MedAdd
MedSaverR4,260Hospital + 25% MSA
MedPrime ElectR4,746Network premium plan
MedPrimeR5,790Any-hospital MedPrime
MedEliteR8,922Top tier

Source: Medihelp 2026 plans page; Moonstone 2026 contribution coverage.

Frequently asked questions

Is Medihelp safe given the solvency issue?+
Medihelp's solvency ratio fell to 20.99% at end-2024 — below the 25% statutory minimum set by the CMS. The CMS has imposed a recovery plan; the scheme remains operational and continues to pay claims, but it is required to rebuild its reserves. This is a flag worth knowing — solvent open schemes like Discovery (above 30%) carry less restructuring risk for members. Compcare (21.83%) is the other open scheme currently below the minimum.
How much does Medihelp cost in 2026?+
MedVital Elect is the cheapest plan at R2,412/month for the main member, with the range extending up to MedElite at R8,922. The 2026 weighted average increase is 8.46% with the lowest-increase plan held at 6%. The full Medihelp contribution range across all family configurations is R804–R15,486.
What is HelloDoctor and is it free on Medihelp?+
HelloDoctor is a virtual GP / telemedicine service offering doctor consultations via phone or app. Medihelp integrates HelloDoctor across all 2026 plans with free unlimited virtual GP consultations included. This is one of the more generous virtual GP integrations among SA schemes.
Should I move from Medihelp to a more solvent scheme?+
Not necessarily. Schemes recover from solvency dips; Medihelp continues to pay claims and operate normally. But if you are choosing a new scheme, the solvency disclosure is a factor to weigh against price. Discovery (above 30%), Bonitas (with R9bn reserves) and the others sit in stronger positions. Talk to a registered medical scheme broker if you are uncertain — the CMS publishes solvency data annually.

Important

This article is for general information only and is not financial advice. Figures and rules change frequently — always verify with the official source before acting.

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