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: R580 570. Sub-limits apply. Organ Transplants Unlimited. Scheme protocols apply. Dialysis: Unlimited ,Network must be used or 35 % co-payment Internal Prosthesis: R56 000 per family per annum with a 20% upfront copayment for non-PMB. Sub-limit for Hips & Knees is R37 300 per beneficiary and subject to prosthesis and devices internal limit. |
| Chronic |
26 PMBs plus additional 44 conditions R17 325per beneficiary to a maximum of R34 650 per family |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
DAY-TO-DAY Member: R13 500 Member+1: R18 900 Member+2: R21 000 Member+3: R23 100 Member+4: R25 000 |
|---|---|
| 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 |
8 Consultations for Ante-Natal Classes & Postnatal Midwife, 1 Amniocentesis, 12 Ante-Natal consultations, 2 x 2D Scans, Midwife paid up to 200% of Scheme Tariff / Rate. |
Contributions
| Contributions |
Member: R7 587 Adult: R5 328 Per Child: R1 578
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