Medshield - MediCore Medical Aid Plan

Medshield - MediCore

Medshield MediCore (previously a plan offered by Oxygen, which merged with the Medshield Scheme) is a pure hospital plan, making it an ideal choice for young, healthy individuals. Cover is unlimited at network hospitals, and specified procedures are paid at 200% of the scheme rate. The plan includes generous maternity benefits. There's unlimited cover for cancer as a Prescribed Minimum Benefit (PMB), and a chronic medicine benefit applies for 26 chronic conditions. Beneficiaries have access to the Netcare ambulance service and wellness screenings.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% of Medshield's rate for certain procedures & 100% for others

Provider

Network of Medshield hospitals

GP's & Specialists

Co-payments apply

GP's & Specialists: Unlimited

Radiology & Pathology: limits may apply

Oncology limit: Limited to PMBs

Organ Transplants & Dialysis: Limited to PMBs only

Internal Prosthesis: R34 000 (25% co-pay for non-PMB's and sublimits may apply)

Chronic

26 PMB's at DSPs

Out of Hospital Benefits

Saving / Day to Day / OHEB

Not applicable

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

6 consultations, 2 x 2D scans, 4 post natal consultations.

Contributions

Contributions

Member:R2 763

Adult:R2 337

Per Child:R639

 

 

 

 

 

 

 

 


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Finding it difficult to make sense of all this? Not to worry, you can:

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