Medihelp Claims

Medihelp claims are requests submitted by members for reimbursement or direct payment of medical services and treatments covered under their medical aid plan. This includes hospital visits, specialist consultations, chronic medication, and other healthcare expenses. Proper understanding of the claims process is crucial for maximizing your benefits.

How to Submit a Medihelp Claim

Submitting a claim with Medihelp is a straightforward process, but there are key steps to ensure it is done correctly:

  1. Gather Your Documents: Collect all necessary documents, including the invoice from the healthcare provider, proof of payment (if applicable), and your membership number.
  2. Complete the Claims Form: Download and fill out the Medihelp claims form from their website. Ensure that all information is accurate to avoid delays.
  3. Submit Your Claim: You can submit your completed claims form along with the required documents via:
    • Email: Send to claims@medihelp.co.za.
    • Fax: Use the fax number provided on the claims form.
    • Post: Mail to the address listed on the form.
  4. Keep Records: Always keep copies of the submitted documents for your records.

Claims Enquiries

If you have questions or concerns about your claims, Medihelp provides multiple avenues for support. For claims that have already been processed, you can:

  • Email: Direct your queries to enquiries@medihelp.co.za.
  • Call: Reach out to the Customer Care Centre at 086 0100 678. Their operating hours are:
    • Mondays to Thursdays: 07:00 – 17:00
    • Fridays: 08:00 – 16:00

Having your membership details and specific claim information handy will help expedite your enquiry.

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