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 |
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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 |
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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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