Medshield Medisaver is for Cost-Conscious South Africans

Medshield is one of the leading medical aid providers in South Africa with a long, proud history. And Medshield Medisaver is a flagship plan from Medshield.

Significantly, the Medisaver plan offers you top hospital cover with significant in-hospital benefits as well as a personal savings plan for day-to-day expenses.

Monthly contribution

Medshield Medisaver premiums are R 2 343 for the primary member, R 1 959 for an adult dependant and R 558 per child.

Major Medical Benefits of Medshield Medisaver

In hospital

Overall annual limit – Unlimited

Hospitalisation: Unlimited

Subject to the use of Medshield Hospital Network partners and pre-authorisation.

Medshield Medisaver Prices and Benefits

Clinical protocols will be followed.

Surgical procedures: Unlimited

Only if included in an authorised event.

Take home medication: That forms part of  hospital benefit provided it is invoiced on the hospital account alternatively purchased on the day of discharge.

Subject to a limit of R600 per admission.

Hospital Alternatives:

R 50 000 limit per family for:

Hospice

Physical Rehabilitation

Home nursing

Sub-Acute facilities

Only applicable immediately after an event. Must be pre-authorised and part of the Medshield Hospital Network.

Appliances, Surgical, medical and general:

  • R 7 500 per family per year
  • Subject to pre-approval
  • Nebulizers, Glucometers , Peak Flow Meters, and Blood Pressure Monitors (motivation required)
  • Hearing Aids
  • Wheelchairs
  • Stoma Therapy related products
  • CPAP Apparatus. Pre-authorisation needed. Service only from Preferred Provider.
  • Clinical Protocols apply. Subject to appliance limit.
  • Oxygen therapy equipment – Unlimited
  • Home ventilators – Unlimited
  • Blood, blood equivalents/products – Unlimited
  • Pre-authorisation needed. Clinical Protocols apply
  • Consultations with medical practitioners – Unlimited
  • Provided included in authorised in-hospital event
  • Refractive surgery: R 7000 per family per year. Pre-authorisation needed. Clinical Protocols apply
  • Services must be from Medshield Hospital Network.

 

Included:

Phakic Lens Insertion

Lasik

Radial Keratotomy

Pathology and medical technology: Unlimited. Provided included in authorised in-hospital event

Clinical Protocols apply

Physiotherapy Unlimited. Provided included in authorised in-hospital event

General radiology: Unlimited. Provided included in authorised in-hospital event

Specialised radiology: R14 840 per family per year

Non PMBs will attract 10% co-payment

Specialised Radiology Limit applies. Pre-authorisation needed

Mental health: R35 000 per family per year. Pre-authorisation needed

Max 3 days when referred by a GP

Services must be from Medshield Hospital Network

Rehabilitation for Substance Abuse – 1 per member per year

HIV & AIDS: According to Managed Healthcare Protocols. Pre-authorisation needed

  • Included:
  • Anti-retroviral and related medicines
  • HIV/AIDS related Pathology and Consultations
  • HIV Counselling and Testing (HCT)

Infertility treatments and testing:

Pre-authorisation needed

Clinical Protocols apply

 

Maternity Benefits – R500 per family

  • 12 Ante-Natal consultations per pregnancy.
  • Scans and tests if pregnancy related
  • Limited to: 2 x 2D Scans per pregnancy and 1 x Amniocentesis per pregnancy.
  • Confinement and post-natal consultations
  • Pre-authorisation needed
  • Services must be from Medshield Hospital Network

 

Included

Confinement in hospital – Unlimited

Delivery by a General Practitioner or Medical Specialist – Unlimited

Confinement in a registered birthing unit or out of hospital – Unlimited

4 Post-Natal consultations per pregnancy.

Medshield Private Rates (up to 200%)


Oncology benefits

Oncology limit – R300 000 per family per year

Active Treatment: Including Brachytherapy, Stoma Therapy, Incontinence Therapy  Oncology Limit applies. Subject to ICON Standard Protocols

Oncology Medicine R200 000 per family per year. Subject to ICON Standard Protocols

Radiology and Pathology: Oncology related Radiology and Pathology

Subject to Oncology Limit. Provided included in authorised in-hospital event

Chronic medicine Benefits

Services must be from Medshield Hospital Network

Medication supplied monthly

PMBs only and approved by Medshield Restrictive Formulary.

 

To get a hospital plan quote just complete and then send the form on this page

 

All info was correct at time of publishing