About Medshield

Medshield offers a choice of 10 different plan options and covers approximately 165 000 lives. Premiums for a single member range from R1 485 to R6 747 and MediValue is the most popular option.

The Compact options have compulsory use of networks and care co-ordination, nominating a Family Practitioner and the Family Practitioner-to-Specialist referral process, resulting in cheaper contributions.

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Medshield Medical Aid Plans - Contributions

MedShield offers several plans tailored to meet varying healthcare requirements, with contributions adjusted for dependents. The cards below highlight the ranges for main members, adult dependants, and children.

PremiumPlus

Contributions (Main)R1 500 – R7 842
Principal MemberR7 842
Adult DependantR7 185
Child DependantR1 500

MediBonus

Contributions (Main)R1 578 – R7 587
Principal MemberR7 587
Adult DependantR5 328
Child DependantR1 578

MediSaver

Contributions (Main)R1 101 – R4 524
Principal MemberR4 524
Adult DependantR3 747
Child DependantR1 101

MediPlus

Contributions (Main)R927 – R4 539
Principal MemberR4 125 – R4 539
Adult DependantR2 943 – R3 240
Child DependantR927 – R1 017

MediCore

Contributions (Main)R801 – R3 474
Principal MemberR3 474
Adult DependantR2 940
Child DependantR801

MediValue

Contributions (Main)R522 – R2 478
Principal MemberR2 037 – R2 478
Adult DependantR1 986 – R2 166
Child DependantR522 – R696

MediSwift

Contributions (Main)R522 – R2 037
Principal MemberR2 037
Adult DependantR1 986
Child DependantR522

MediPhila

Contributions (Main)R477 – R1 851
Principal MemberR1 851
Adult DependantR1 851
Child DependantR477

MediCurve

Contributions (Main)R1 584
Principal MemberR1 584
Adult DependantR1 584
Child DependantR1 584

*These contributions are estimates and can change based on specific circumstances. Please verify details with MedShield for accuracy.

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Premium Plus

Premium Plus is suited for families and individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of procedures and a short list of in-hospital exclusions applies. Day to day claims are paid from savings. Thereafter, a self payment gap applies and then certain claims are paid from the above threshold benefit. Preventative care and maternity benefits are also available.

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MediBonus

MediBonus is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of procedures and a short list of in-hospital exclusions applies. Day to day claims are paid from a defined benefit pool with additional benefits available for basic & specialised dentistry, specialised radiology as well as optometry. Maternity and preventative care benefits are also available.

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MediPlus Prime & Compact

MediPlus is suitable for young families and individuals. It offers unlimited hospital cover at a network of hospitals, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of procedures and a short list of in-hospital exclusions applies. Day to day claims are paid from a defined benefit pool with additional benefits available for basic & specialised dentistry, specialised radiology, specialist visits as well as optometry. Maternity and preventative care benefits are also available.

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MediSaver

MediSaver is suitable for young healthy families and individuals. It offers unlimited hospital cover at a network of hospitals, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of hospital procedures and a short list of in-hospital exclusions apply. Day to day claims are paid from savings. Specialised radiology, maternity and preventative care benefits are also available.

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MediCore

MediCore is a hospital plan which is best suited to young and healthy individuals. It offers unlimited hospital cover at a network of hospitals, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of hospital procedures and a short list of in-hospital exclusions applies. Joint replacements are only covered in the case of acute injury (Prescribed Minimum Benefits only). This hospital plan also provides some GP visits, preventative care and maternity benefits.

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MediPhila

MediPhilia is best suited to young and healthy individuals. Hospital cover is limited to R1 000 000 per family at a network of hospitals with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of hospital procedures and a comprehensive list of in-hospital exclusions apply. All day to day cover is subject to a network of service providers and treatments are subject to provider network protocols.

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MediValue Prime & Compact

MediValue is suitable for young healthy families and individuals. It offers unlimited hospital cover at a network of hospitals, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of hospital procedures and a short list of in-hospital exclusions applies. Joint replacements are only covered in the case of acute injury (Prescribed Minimum Benefits only). Day to day claims are paid from defined day to day limits with a separate benefit for optometry, basic dentistry, specialised radiology and specialist visits.

Medshield is an Authorised Financial Service Provider (FSP No 51381).

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