Medshield - MediBonus Medical Aid Plan

Medshield - MediBonus

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.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% (Medshield's Rate)

Provider

Network of Medshield hospitals

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology limit: R470 000. Sub-limits apply.

Organ Transplants: Unlimited. Scheme protocols apply.

Dialysis: Network must be used or 40% co-payment

Internal Prosthesis: R45 200 (20% co-payment for non-PMB's and sub-limits may apply)

Chronic

26 PMBs plus additional 44 conditions

R14 000 per beneficiary to a maximum of R28 000 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB

DAY-TO-DAY

Member: R10 900

Member+1: R15 280

Member+2: R16 950

Member+3: R18 700

Member+4: R20 200

Pooled Day to Day Benefit

DAY-TO- DAY LIMITS: some benefits are separate

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

12 consultations, 2 x 2D scans, 1 amniocentesis per pregnancy R500 for antenatal classes, 4 post natal visits

Contributions

Contributions

Member: R5 805

Adult: R4 080

Per Child: R1 209

 

 

 

 

 

 

 

 


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