Designed for customers who require comprehensive hospital cover. This plan offers unlimited in-hospital benefits at a network of hospitals, along with appealing maternity benefits, basic dentistry and cover for specialists, GPs and surgical procedures.
Established in 1968, the Medshield medical aid scheme has (as of 2014) over 76,459 principal members and a total beneficiary base of 161,456 people. It's currently the fourth largest medial aid scheme in the country.
Medshield has a global credit rating of AA- and an impressive solvency ratio of over 55.93%, which is well above the regulated benchmark. It's a financially solid medical aid with proven ability to pay members' claims quickly and in full.
Who should use this provider?
Medshield’s range of medical aid options caters for all age and income groups. Whether you’re an active, single person with no financial constraints, a member of a growing family for which cost-effective medical aid is the primary concern, or an elderly retiree who suffers from a chronic condition, this medical scheme has a product suited to your healthcare needs.
Medshield Medical Aid Special Benefits
- All members have free access to Medshield's "Aid for AIDS" programme and an oncology programme helps manage treatment plans for cancer patients.
- A chronic medication management programme authorises payment for high-quality, cost-effective medications for specified chronic conditions.
- A disease management programme supports the management of chronic diseases, including diabetes, coronary heart disease and asthma.
- Members and their dependants have access to free emergency services.
Medshield Medical Aid Plans
The perfect product for middle income families with high day-to-day medical costs. This plan includes unlimited hospital cover at network hospitals, maternity consultations, dentistry and limited GP and optometry cover.
Medshield MediValue provides generous limited annual hospital cover, essential day-to-day benefits, attractive maternity benefits and cover for 26 PMB chronic conditions. This plan is ideal for single, healthy individuals.
Medshield Premium Plus offers extensive out of hospital savings and covers members at a network of excellent private hospitals at 200% of the scheme's rate. A separate maternity benefit is provided and there's a chronic benefit for 26 PMB conditions and 54 additional conditions.
Medshield MediSaver is a cost-effective, network-based, comprehensive plan designed for young families and individuals. The plan offers unlimited in-hospital benefits at network facilities. Medicines are paid at 100% of the lower cost of the product, and consultations and treatment in-hospital are paid at 100% of the negotiated tariff.
Co-payments apply to all non-PMB services and products. Maternity benefits out of hospital are paid from risk, and members have use of a savings account to settle day-to-day healthcare costs.
Medshield Mediphilia is designed for low-income earners and comprises in-hospital and day-to-day benefits covered at network providers only. The plan provides unlimited hospital cover for Prescribed Minimum Benefits (PMBs) and generous limits, per beneficiary, for non-PMB treatment in hospital.
Day-to-day benefits are paid from the out of hospital limit. These cover GP and specialists visits, acute medicines, casualty and emergency services, basic dentistry, optometry, radiology and pathology, up to prescribed limits.