Medshield Medical Aid Comparison - 2010 Plans
Medshield is a well established medical aid registered in 1968. It covers approximately 175 000 lives and has one of the highest Global Credit Ratings at AA-. They have a range of options, two of which are featured on this website.
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| MEDSHIELD |
MEDIBONUS OPTION
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IN HOSPITAL BENEFIT |
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100% of negotiated tarif |
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No Overall Annual Limit |
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No co-payments |
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Annual Sub-limits per family: |
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Oncology - R450,000 - MS tarif |
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Organ transplants - unlimited-MS tarif |
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Dialysis (Chronic) - unlimited-MS tarif |
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Specialised Medication - R 180,000 |
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from the oncology limit |
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Psychiatric treatment - R 35,000 per |
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family - MS tarif |
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Prosthesis (internal & external) - |
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R 38,000 per family - MS tarif |
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CHRONIC MEDICATION BENEFIT |
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100% cost |
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All chronic conditions |
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(below chronic limit) |
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Annual limit: |
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Single |
R 10,500 |
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Family |
R 21, 000 |
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Above limit: Prescribed Minimum |
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Benefits only according to algorithms |
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ANNUAL DAY TO DAY BENEFIT (including savings) |
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Member |
R 5 300 |
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Member + 1 |
R 7 500 |
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Member + 2 |
R 8 300 |
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Member + 3 |
R 9 100 |
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Member + 4 |
R 9 900 |
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Number of GP visits at MS tarif in |
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addition to the above |
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Member |
13 |
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Member + 1 |
15 |
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Member + 2 |
17 |
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Member + 3 |
19 |
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Member + 4 |
21 |
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Member + 5 |
23 |
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Basic Dentistry - unlimited |
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- MS tarif |
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Maternity benefits in addition to |
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above - all at MS tarif |
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GPs, specialists, midwife |
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- 12 x consultations |
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Radiology - 2 x 2D scans |
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Amniocentesis - 1 per pregnancy |
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Optical benefits -1 eye examination |
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per beneficiary per year |
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Spectacles/Contact lenses/Multifocals, |
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readers and frames |
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MS tarif |
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Member |
R 2,100 |
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Family |
R 3,200 |
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Sub limits for frames |
R 1, 200 |
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ANNUAL THRESHOLD BENEFIT |
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does not apply |
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MONTHLY CONTRIBUTIONS |
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Member |
R 2,004 |
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Spouse/Adult dependant |
R 1,321 |
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Per Child |
R 386 |
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| MEDSHIELD |
MEDIPLUS OPTION
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IN HOSPITAL BENEFIT |
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100% of negotiated tarif |
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No Overall Annual Limit |
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No co-payments |
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Annual Sub-limits per family: |
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Oncology - R230,000 p/family-MS tarif |
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Organ transplants - R 140,00 per |
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family - MS tarif |
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Dialysis (Chronic) - R 175,000 per |
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family - MS tarif |
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Specialised Medication - R 100,000 |
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from the oncology limit |
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Psychiatric treatment - R 26,000 per |
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family - MS tarif |
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Prosthesis (internal & external) - |
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R 29,000 per family - MS tarif |
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CHRONIC MEDICATION BENEFIT |
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100% cost |
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All chronic conditions covered |
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(below chronic limit) |
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Annual limit: |
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Single |
R 4,650 |
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Family |
R 9, 300 |
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Above limit: Prescribed Minimum |
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Benefits only according to algorithms |
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ANNUAL DAY TO DAY BENEFIT (including savings) |
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Member |
R 3 800 |
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Member + 1 |
R 5 300 |
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Member + 2 |
R 6 000 |
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Member + 3 |
R 6 700 |
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Member + 4 |
R 7 300 |
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Number of GP visits at MS tarif in |
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addition to the above |
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Member |
9 |
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Member + 1 |
11 |
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Member + 2 |
13 |
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Member + 3 |
15 |
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Member + 4 |
17 |
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Member + 5 |
19 |
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Basic Dentistry - unlimited |
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- MS tarif |
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Maternity benefits in addition to |
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above - all at MS tarif |
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GPs, specialists, midwife |
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- 12 x consultations |
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Radiology - 2 x 2D scans |
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Amniocentesis - 1 per pregnancy |
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Optical benefits -1 eye examination |
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per beneficiary per year |
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Spectacles/Contact lenses/Multifocals, |
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readers and frames |
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MS tarif |
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Member |
R 1,000 |
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Family |
R 1,850 |
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Sub limits for frames |
R 660 |
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ANNUAL THRESHOLD BENEFIT |
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does not apply |
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MONTHLY CONTRIBUTIONS |
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Member |
R 1,328 |
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Spouse/Adult dependant |
R 911 |
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Per Child |
R 286 |
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For more detailed information on any of the above Medshield plans, just click on the name of the relevant plan in the tables above. If you already know what you want, why not make use of our site to download the relevant Medical Aid Application form and then fax it back to us on 021 712 6626. Alternatively, if you would like us to confirm some of the finer details and/or pricing, just fill in our Medical Aid Quote Request form and we will get back to you promptly.
Finally, we invite you to contact us on +27 21 712-6686 at any point in your decision making process for further information on the Medshield Medical Aid.
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