Medshield Medical Aid Comparison - 2018 Plans

Medshield is a well established medical aid registered in 1968 and following its merger with Oxygen, covering in excess of 250 000 lives. It has a Global Credit rating of AA – and has reserves well in excess of the mandated 25% . Medshield has a range of options,3 of which are featured on this website

 
Medshield Plans: Medivalue
MediSaver
  MediPlus
 
MEDSHIELD
MEDIVALUE
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Network Hospitals to be used  
  Co-payments apply for certain  
  procedures (e.g 40% for the use of a  
  non-DSP)  
  Take home medicine limited to  
  R400 per admission   
  Annual Sub-limits per family:  
     
  Psychiatric treatment          PMB  
   (per family)  
  Hospice Care (per person):   R28,000  
     
  Oncology                          Unlimited  
     
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% of Cost  
  27 PMB Chronic Disease Conditions  
  subject to scheme formulary  
   Only from Medshield Pharmacy  
   Network  
     
     
     
       
     
  ANNUAL DAY TO DAY BENEFIT (including savings)  
  100% Scheme Rate  
   Limits per Annum  
  Member R 5 100  
  Member + 1 R 5 555  
  Member + 2 R 6 255  
  Member + 3 R 7 270  
  Member + 4+ R 8 055  
       
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
       
  does not apply  
     
     
  MONTHLY CONTRIBUTIONS  
  Member R 1,680  
  Spouse/Adult dependant R 1,464  
  Per Child (Max 3) R 459  
     
MEDSHIELD
MEDISAVER
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  Network Hospitals to be used  
  Co-payments apply for certain  
  procedures (e.g R1,500 for  
  Colonoscopy)  
  Take home medicine limited to  
  R600 per admission  
  Annual Sub-limits per family:  
     
  Psychiatric treatment          R37,100  
   (per family)  
  Hospice Care                     R60,000  
   (per person)  
  Oncology                          R300,000  
       
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% of Cost  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
   Only from Medshield Pharmacy  
  Network  
     
     
       
       
     
  ANNUAL DAY TO DAY BENEFIT (including savings)  
   100% Scheme rate    
  Limits per annum  
       
   Member R6 840  
   Member + Spouse R12 564  
   Member+Spouse+Child 1 R14 220  
   Member+Spouse+Child 2 R15 876  
   Member+Spouse+Child 3 R17 532  
   Member+Child 1 R8 496  
   Member+Child 2 R10 152  
   Member+Child 3 R11 808  
       
       
  ANNUAL THRESHOLD BENEFIT  
       
       
  does not apply  
     
  MONTHLY CONTRIBUTIONS  
  Member R 2,850  
  Spouse/Adult dependant R 2,382  
  Per Child (Max 3) R684  
     
MEDSHIELD 
  MEDIPLUS
  IN HOSPITAL BENEFIT   
  100% Scheme Rate  
  No Overall Annual Limit  
  Network Hospitals to be used  
  Co-payments apply for certain  
  procedures (e.g 40% for the use of a   
   non-DSP )  
   Take home medicine limited to  
    R500 per admission  
   Annual Sub-limits per family:  
     
   Psychiatric treatment           R27,560  
   (per family)  
   Hospice Care R57,000  
   (per person)    
   Oncology R230,000  
       
       
       
       
       
     
  100% of Cost  
  27 PMB Chronic Disease Conditions  
  subject to scheme formulary  
   Only from Medshield Pharmacy Netw  
     
   Additional Diseas List Annual Limit  
  Single: R5,710  
  Family                                R11,420  
     
               
   
 
 
  100% Scheme Rate  
   Limits per Annum  
   Member R7,155  
   Member + 1 R9,985  
   Member + 2 R11,235  
   Member + 3 R12,625  
   Member + 4+ R13,830  
       
       
       
       
       
       
     
       
       
  does not apply   
     
     
   Member R2,817  
   Spouse/Adult dependant R2,004  
   Per Child (Max 3)                     R618  
     
.

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 0866 200 320. 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 21 712-8866 at any point in your decision making process for further information on the Medshield Medical Aid.