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Medihelp Medical Scheme

75Score

★★★☆☆3.8

Customer satisfaction · 200K members

Long-standing industry reputation(2025)

Medihelp is the oldest open medical scheme in South Africa, founded in 1905 with over 120 years of continuous operation. It serves approximately 200,000+ members with a focus on actuarial soundness, affordability, and bilingual (English and Afrikaans) service.

Overall Score

75/100

Founded

1905

Headquarters

Pretoria

Type

private

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Key Metrics

Years Operating

120+

Contribution Increase2026

8.46%

Bilingual Service

English & Afrikaans

Co Policy Change2026

Only highest co-payment per admission applies

Editorial Ratings

Long-standing industry reputation(2025)

Rating: Ranked among top open schemes (max: #1)

75Ask

Coverage Highlights

✓120+ year track record of continuous operation
✓Bilingual service in English and Afrikaans
✓Moderate 8.46% average contribution increase for 2026
✓Reduced co-payment policy from 2026 (only highest applies per admission)

Pros

✓120+ year track record of stability
✓8.46% average contribution increase for 2026 (moderate)
✓Reduced co-payment policy from 2026
✓Strong actuarial oversight

Cons

✗Smaller membership base than top 3 open schemes
✗Less brand visibility and marketing than Discovery or Bonitas
✗Fewer digital innovations

Frequently Asked Questions

How old is Medihelp Medical Scheme?

Medihelp was founded in 1905 as C.S.M.B.A., making it the oldest open medical scheme in South Africa with over 120 years of continuous operation.

Does Medihelp offer Afrikaans-language service?

Yes. Medihelp has strong Afrikaans community roots and provides fully bilingual service in both English and Afrikaans.

What changed with Medihelp co-payments in 2026?

From 2026, Medihelp applies only the highest procedure-specific co-payment per admission, rather than stacking multiple co-payments. This reduces out-of-pocket costs for members.

Quick Summary

InsurerMedihelp Medical Scheme

Country🇿🇦 South Africa

Overall Score75/100

Satisfaction3.8/5

Members200K

Typeprivate

Founded1905

Other Insurers in South Africa

Bonitas Medical Scheme

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90.7

/ 100

Momentum Medical Scheme

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/ 100

Discovery Health Medical Scheme

private

/ 100

Bestmed Medical Scheme

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/ 100

GEMS (Government Employees Medical Scheme)

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