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)


Network of Medshield hospitals

GP's & Specialists

Co-payments apply:

GP's & Specialists: OAL

Radiology & Pathology: Unlimited

Oncology limit: R389 100 subject to ICON protocols

Organ Transplants: R 309 100

Dialysis: R309 100 per family per year and subject to PreAuthorisation and the use of a DSP. If DSP is not used a 40% co-payment will be applicable.

Internal Prosthesis: R51 500 per family per annum with a 25% upfront copayment for non-PMB. Sub-limit for Hips & Knees is R37 300 per beneficiary and subject to prosthesis and devices internal limit.


26 PMBs+1 at DSPs

Out of Hospital Benefits

Saving / Day to Day / OHEB


Member: R8 148

Adult: R6 744

Child: R1 980

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

8 Consultations for Ante-Natal Classes & Postnatal Midwife, 1 Amniocentesis, 12 Ante-Natal consultations, 2 x 2D Scans, Midwife paid up to 200% of Scheme Tariff / Rate.



Member: R4 524

Adult: R3 747

Per child: R1 101









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