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: R240 000. Subject to ICON protocols

Organ Transplants: R140 000

Dialysis: R175 000

Internal Prosthesis: R34 500 (20% co-payment for non-PMB's and sub-limits may apply)  

Chronic

26 PMB conditions + additional 14

R6 325 per beneficiary to a maximum of R12 650 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB

DAY-TO-DAY

Member: R7 950

Member+1: R11 100

Member+2: R12 450

Member+3: R14 000

Member+4: R15 350

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 453

Adult: R2 466

Per Child: R777

 

Mediplus Compact option:

Member: R3 189

Adult: R2 277

Per Child: R717

 

 

 

 

 

 

 


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