Member Guide

Where to obtain your medication The plans listed below have designated service providers (DSPs) for chronic medication. Avoid a 30% co-payment by using these DSPs. ESSENTIAL CUSTOM OPTIONS You must use a network pharmacy or allocated GP HOSPICARE OPTION Scheme pharmacy network HOSPICARE NETWORK OPTION Medipost CLASSIC OPTION Scheme pharmacy network CLASSIC NETWORK OPTION Medipost…

Prescribed Minimum Benefit Conditions In terms of the Medical Schemes Act 131 of 1998 and its Regulations, all medical schemes have to cover the costs related to the diagnosis, treatment and care of: An emergency medical condition A defined list of 270 diagnoses A defined list of 25 chronic conditions TO ACCESS PRESCRIBED MINIMUM BENEFITS,…

Belly Babies A new, revolutionary maternity benefit! BellyBabies provide expert antenatal knowledge and support to expecting parents throughout their pregnancy. BellyBabies is endorsed by MHC. Members can access these benefits independently and have them paid via the HealthSaver product. Once members sign up they have access to: Online Antenatal Classes Postnatal Classes Video Consult For…

Welcome to Baby Bumps A comprehensive programme designed with the needs of expectant parents, and their support network, in mind. We aim to give you support, education and advice through all stages of your pregnancy, the confinement and post-natal (after birth) period. Welcoming a little one to the family is one of the happiest times…

Complement your Cover with HealthSaver You can use additional complementary products to seamlessly enhance your medical aid. Save for additional medical expenses with HealthSaver. HealthSaver lets you save for additional day-to-day medical expenses, such as co payments, exclusions and more. Note: All Moto Health Care members qualify for this product which is regulated outside the…

INTRODUCING ER MADE EASY Introducing ER made EASY via Health Maximiser for Classic, Classic Network and Optimum members, ER made EASY is an initiative that offers all beneficiaries, regardless of their age, free emergency medical cover when you need it the most. Each beneficiary will have direct access to a hospital’s Emergency Room (ER) for…

Preventative Care Via Health Maximiser™ We believe in giving you more! Preventative screening is important to ensure that medical conditions are detected early. Members on the Classic, Classic Network and Optimum Options have access to: Baby immunisations as per Department of Health protocols Bone density scans Cholesterol tests Mammograms Prostate antigen blood tests Tetanus injections…

ENHANCING BENEFITS, WITHOUT COMPROMISING AFFORDABILITY You get comprehensive cover inclusive of many value adding products such as the MHC mobile app, preventative care benefits, a maternity programme tailored for all expectant parents, patient care programmes and wellness days, to name a few. MHC Mobile App Health Maximiser Multiply HealthSaver ER made Easy Baby Bumps Belly…

MOTO HEALTH CARE MOTO HEALTH CARE (MHC) – Join a medical aid created exclusively for the people in the motor industry. Taking care of our own at every stage of their health journey Extensive day to day benefits that include GP and specialist visits, dentistry and radiology, unlimited private and state hospital cover +7 days take…

FRAUD, WASTE AND ABUSE Anonymous, 24-hour, toll free fraud line: 080 000 436 Email tip-offs to: mhcmf@tip-offs.com Some of the fraudulent and wasteful activities by medical scheme members involve the following: Collusion between members and healthcare providers in order to get illegal financial gain from a medical aid scheme. Cash back claims when members are…