Medshield - MediSaver Medical Aid Plan

Medshield - MediSaver

Medshield MediSaver is a cost-effective, network-based, comprehensive plan designed for young families and individuals. The plan offers unlimited in-hospital benefits at network facilities. Medicines are paid at 100% of the lower cost of the product, and consultations and treatment in-hospital are paid at 100% of the negotiated tariff. Co-payments apply to all non-PMB services and products. Maternity benefits out of hospital are paid from risk, and members have use of a savings account to settle day-to-day healthcare costs.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Medshield's Rate)

Provider

Network of Medshield hospitals

GP's & Specialists

Co-payments apply:
GP's & Specialists: OAL
Radiology & Pathology: Unlimited
Oncology limit: R300 000
Organ Transplants: R 250 000
Dialysis: R250 000
Internal Prosthesis: R39 700

Chronic

26 PMB's at DSPs

Out of Hospital Benefits

Saving / Day to Day / OHEB

SAVINGS:
Member: R5 724
Adult: R4 800
Child: R1 404

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

12 consultations, 2 x 2D scans, 1 amniocentesis per pregnancy R500 for antenatal classes, 4 post natal consultations

Contributions

Contributions

Member: R3 180
Adult: R2 664
Per child: R777

 

 

 

 

 

 

 

 


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