Medshield Medical Aid Comparison - 2013 Plans
Medshield is a well established medical aid registered in 1968 and following its merger with Oxygen, covering in excess of 191 000 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, 2 of which are featured on this website
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IN HOSPITAL BENEFIT |
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200% Sceme Rate |
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No Overall Annual Limit |
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Co-payments apply for certain |
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procedures |
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Take home medicine limited to |
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R300 per admission |
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Annual Sub-limits per family: |
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Psychiatric treatment R30,000 |
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(subject to PMB) |
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Hospice Care R45,000 |
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Oncology PMB |
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Internal Prosthesis R27,000 |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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Subject to scheme formulary |
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Only from Medshield pharmacy |
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network |
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ANNUAL DAY TO DAY BENEFIT (including savings) |
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Does not apply |
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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 1,386 |
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Spouse/Adult dependant |
R 1,167 |
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1st Child only |
R 648 |
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IN HOSPITAL BENEFIT |
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200% Scheme Rate |
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No Overall Annual Limit |
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Co-payments apply for certain |
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procedures |
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Take home medicine limited to |
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R300 per admission |
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Annual Sub-limits per family: |
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Psychiatric treatment R35,000 |
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(subject to PMB) |
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Hospice Care R70,000 |
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Oncology R450,000 |
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Internal Prosthesis R38,000 |
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CHRONIC MEDICATION BENEFIT |
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100% Medicine Price |
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27 PMB Chronic Disease Conditions |
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subject to scheme formulary |
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Additional Disease list |
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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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ANNUAL DAY TO DAY BENEFIT (including savings) |
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100% Scheme Rate |
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Member |
R 5 600 |
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Member + 1 |
R 7 900 |
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Member + 2 |
R 8 750 |
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Member + 3 |
R 9 600 |
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Member + 4+ |
R 10 400 |
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GP Benefit |
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Member |
13 visits |
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Member + 1 |
15 visits |
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Member + 2 |
17 visits |
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Member + 3 |
19 visits |
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Member + 4 |
21 visits |
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Member + 5+ |
23 visits |
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Optical benefits |
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Paid from the annual day to day |
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benefit |
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Single |
R2,200 |
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Per family |
R3,350 |
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1 eye test pp per annum |
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1 pair of spectacles pp per |
annum |
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Reader sub-limit |
R120 |
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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 2,787 |
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Spouse/Adult dependant |
R 1,881 |
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Per Child |
R 540 |
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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 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.
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