Medshield - Premium Plus
Medshield Premium Plus offers extensive out of hospital savings and covers members at a network of excellent private hospitals at 200% of the scheme's rate. A separate maternity benefit is provided and there's a chronic benefit for 26 PMB conditions and 54 additional conditions.
In Hospital Benefits
| Overall Annual Limit |
Unlimited at 200% (Medshield's Rate) |
|---|---|
| Provider |
Network of Medshield hospitals |
| GP's & Specialists |
GP's & Specialists: Unlimited Radiology & Pathology: Unlimited Oncology limit: Unlimited. Sub-limits apply. Organ Transplants: Unlimited Dialysis: Network must be used or 40% co-payment Internal Prosthesis: R 59 500 (25% co-payment for non PMB's and sub-limits may apply) |
| Chronic |
26 PMB's plus additional 44 conditions R14 000 per beneficiary to a maximum of R28 000 per family |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
SAVINGS: Member: R14 268 Adult: R13 080 Child: R2 724 |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Member: R17 500 Adult: R16 100 Child: R3 300 |
| Self-Payment Gap Before Threshold |
May apply |
| Above Threshold Limits |
Member: R4 800 Adult: R3 500 Child: R2 400 |
| Maternity Care |
12 consultations, 2 x 2D scans, 1 amniocentesis per pregnancy |
Contributions
| Contributions |
Member: R5 943 Adult: R5 448 Per child: R1 137
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