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 |
| 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
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