Medshield - Premium Plus Medical Aid Plan

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)


Network of Medshield hospitals

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology limit: Unlimited. Sub-limits apply.

Organ Transplants: Unlimited

Dialysis: Unlimited Network must be used or 40% co-payment

Internal Prosthesis: R73 450 per family per annum with a 25% upfront copayment for non-PMB. Sub-limit for Hips and knees is R37 300 per beneficiary and subject to prosthesis and devices internal limit.


26 PMB's plus additional 54 conditions R1 7325 per beneficiary to a maximum of R34 650 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB


Member: R18 816

Adult: R17 244

Child: R3 600

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R21 100

Adult: R19 450

Child: R3 960

Self-Payment Gap Before Threshold

May apply

Above Threshold Limits

Member: R5 730

Adult: R4 135

Child: R2 865

Maternity Care

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



Member: R7 842

Adult: R7 185

Per child: R1 500









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Finding it difficult to make sense of all this? Not to worry, you can:

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