Medshield - MediSwift Medical Aid Plan

Medshield - MediSwift

Ideal for active, healthy individuals, an affordable Medshield hospital plan with unlimited in-hospital cover at network hospitals and in-hospital procedures paid at 100% of the Medshield tariff. The plan includes an additional physiotherapy and biokinetics benefit.

In Hospital Benefits

Overall Annual Limit

Unlimited PMB treatment subject to sub-limits of R1000 000 per family for non-PMB

Provider

Network of Medshield Compact hospital Network (Limited)

GP's & Specialists

Unlimited admission's for PMB'S,1000 000 for non-pmb's

GP's & Specialists: Unlimited for PMB'S,1000 000 per family for non-PMB's

Radiology & Pathology: Unlimited- sub-limits apply

Oncology limit: PMB Treatment

Organ Transplants: PMB Treatment

Dialysis: PMB Treatment

Internal Prosthesis: R37 665 per family per annum and subject to Hospitalisation Limit. 25% upfront co-payment for nonPMB. Sub-limit for Hips & Knees is R37 300 per beneficiary and subject to prosthesis and devices internal limit.

Chronic

26 PMBs+1 at DSPs

Out of Hospital Benefits

Saving / Day to Day / OHEB

DAY-TO-DAY LIMITS: 2 visits only as this is a Hospital plan

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

4 Consultations for Ante-Natal Classes & Postnatal Midwife, 1 Amniocentesis, 6 AnteNatal consultations, 2 x 2D Scans, Midwife paid up to 100% of Scheme Tariff / Rate.

Contributions

Contributions

Member: R2 037

Adult: R1 986

Per Child: R522

 

 

 

 

 

 

 

 


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