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

Mediplus Prime option:

Network of Medshield Prime hospitals Network (Extended)

 

Mediplus Compact option:

Network of Medshield Compact hospital Network (Limited)

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology limit: R254 400 Subject to ICON protocols

Organ Transplants: R148 400

Dialysis: R185 500

Internal Prosthesis: R36 600 (20% co-payment for non PMB's and sub-limits may apply)

Chronic

26 PMB conditions + additional 14.

R6 725 per beneficiary to a maximum of R13 450 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB

DAY-TO-DAY

Member: R8 450

Member+1: R11 800

Member+2: R13 200

Member+3: R14 850

Member+4: R16 300

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

Mediplus Prime option:

Member: R3 657

Adult: R2 610

Per Child: R822

 

Mediplus Compact option:

Member: R3 324

Adult: R2 373

Per Child: R747

 

 

 

 

 

 

 


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

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

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