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