Frequently Asked Questions

General Questions

Mediplus offers a diverse range of benefit options suitable for both individuals and corporate groups, catering to all stages of life. Our dedicated Sales Representatives are here to assist you in choosing the most suitable benefit option tailored to your specific needs.

Choosing the right plan hinges on various factors, including your health requirements, budget constraints, and personal preferences. When making your decision, take into account the scope of coverage, the network of healthcare providers, premium costs, and co-payments. Additionally, evaluate your expected healthcare expenses.

A co-payment represents a fixed amount you are responsible for paying for specific healthcare services, such as endoscopic procedures. Co-payments are typically due at the time of service and are in addition to the premiums you pay.

Absolutely, you have the flexibility to modify your benefit option at the beginning of the new financial or contract year or in specific qualifying life events.

Our most up-to-date list of network providers is readily accessible on our website at Provider Network  and via our mobile application. Opting for in-network providers often translates to reduced out-of-pocket expenses.

The majority of our benefit options encompass a wide array of healthcare services, doctor visits, hospital stays, prescription medications, preventive care, and select specialty services. The extent of coverage may vary between different options, so it’s essential to carefully review the benefits table for specifics.

Our Maputo-based call centre operates 24/7, ready to assist you at any time. They will promptly provide assistance, escalate as necessary, and connect you with our preferred emergency services provider if necessary.

To initiate a claim, you need to complete a member claim form and submit it to our offices in Maputo. Alternatively, you can electronically submit your claim via our mobile application.