Medshield - MediPlus Medical Aid Plan

Medshield - MediPlus

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.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Medshield's Rate)

Provider

Network of Medshield hospitals

GP's & Specialists

GP's & Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology limit: R230 000 Subject to ICON protocols
Organ Transplants: R140 000
Dialysis: R175 000
Internal Prosthesis: R32 860

Chronic

26 PMB conditions + additional 14
R6 025 per beneficiary to a maximum of R12 050 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB

DAY-TO-DAY:
Member: R7 550
Member + 1: R10 530
Member + 2: R11 850
Member + 3: R13 320
Member + 4: R14 590

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: R3240
Adult: R2 313
Per Child: R726

 

 

 

 

 

 

 

 


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