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

Any hospital in South Africa

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology limit: R450 000. Sub-limits apply.
Organ Transplants: Unlimited. Scheme protocols apply.
Dialysis: Network must be used or 40% co-payment
Internal Prosthesis: R43 100 (20% co-payment for non PMB's and sub-limits may apply)

Chronic

26 PMB's + additional 44
R13 300 per beneficiary to a maximum of R26 600 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB

DAY-TO-DAY:
Member: R10 400
Member + 1: R14 550
Member + 2: R16 150
Member + 3: R17 800
Member + 4: R19 250

Pooled Day to Day Benefit

Day to Day limits is the pooled benefit.
There are additional benefits that 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 247
Adult: R3687
Per Child: R1086

 

 

 

 

 

 

 

 


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