Medshield Medical Aid Comparison - 2016 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): R23,000  
     
  Oncology                     PMB  
     
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% of Cost  
  27 PMB Chronic Disease Conditions  
  subject to scheme formulary  
   Only from Optipharm  
     
     
     
     
       
     
  ANNUAL DAY TO DAY BENEFIT (including savings)  
  100% Scheme Rate  
   Limits per Annum  
  Member R 4 500  
  Member + 1 R 4 900  
  Member + 2 R 5 510  
  Member + 3 R 6 410  
  Member + 4+ R 7 100  
       
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
       
  does not apply  
     
     
  MONTHLY CONTRIBUTIONS  
  Member R 1,392  
  Spouse/Adult dependant R 1,209  
  Per Child (Max 3) R 378  
     
MEDSHIELD
MEDISAVER
  IN HOSPITAL BENEFIT  
  100% Sceme 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     R35,000  
   (per family)  
  Hospice Care                R50,000  
   (per person)  
  Oncology                      R300,000  
       
       
       
       
       
  CHRONIC MEDICATION BENEFIT  
  100% of Cost  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
     
   Only from Optimpharm  
     
     
       
       
     
  ANNUAL DAY TO DAY BENEFIT (including savings)  
   100% Scheme rate    
  Limits per annum  
       
   Member R5,616  
   Member + Spouse R10,295  
   Member+Spouse+Child 1 R11,627  
   Member+Spouse+Child 2 R12,959  
   Member+Spouse+Child 3 R14,291  
   Member+Child 1 R6, 948  
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
       
       
  does not apply  
     
  MONTHLY CONTRIBUTIONS  
  Member R 2,343  
  Spouse/Adult dependant R 1,959  
  Per Child (Max 3) R558  
     
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     R26,000  
   (per family)  
   Hospice Care R47,000  
   (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: R5,035  
  Family                                R10,070  
     
               
   
 
 
  100% Scheme Rate  
   Limits per Annum  
   Member R6,310  
   Member + 1 R8,800  
   Member + 2 R9,910  
   Member + 3 R11,130  
   Member + 4+ R12,190  
       
       
       
       
       
       
     
       
       
  does not apply   
     
     
   Member R2,325  
   Spouse/Adult dependant R1,632  
   Per Child (Max 3)                   R510  
     
.

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.