Medshield MediBonus:
cancer, maternity and mental health (2024)

This page has information on: Costs, Maternity, Oncology, Mental Health for Medshield MediBonus

We also have information on: In-hospital, Out of hospital, Medicine, Dentistry, Optometry, Other/Extra Benefits, Wellness and Preventative and Prosthetics

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Monthly Costs:

MediBonus 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R7,587	R5,328	R1,578 Only pay for 3 children (excl students)
Savings (per year):	No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account	Main= R13,500 Main+1= R18,900 Main+2= R21,000 Main+3= R23,100 Main+4+= R25,000
Children Rates:	Under 21yrs, or students under 28 yrs Only pay for 3 children (excl students)
Note:	Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list. All treatments and procedures are subject to authorisation and protocols All benefits are listed as an indication only. Please verify with your broker and scheme
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Medshield plans, with costs and brief summary
.

Cancer/ Oncology benefits for 2022:

Medshield: MediBonus
Assume scheme pays all these costs, unless otherwise stated
Overall coverage (in and out of hospital):	R524,100 per family Specialised drugs: R211,870 per family, from above limit Macular Degeneration: R40,000 per family Breast reconstruction: R89,200 per family	Treatment required for PMB conditions is always paid by scheme, with no co-payment, if you follow the protocols. Most cancers are PMBs! More info here Most schemes require use of specific providers (DSPs) for oncology treatment.
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Medshield plans, with costs and brief summary
.

Maternity benefits for 2022:

Medshield: MediBonus
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:	In-hospital:Covered Out of hospital: Covered	Usually covered for 2 nights* for natural birth, and 3 nights for C-sections. All newborns receive immediate full medical aid cover at birth, even if parents are on a waiting period.*
Consultations:	12 x antenatal consults Antenatal classes: R530 Out of hospital births: 4 x midwife postnatal consults
Scans:	2 x 2D scans
Note:	If you are pregnant and don't have medical aid, your pregnancy will most likely be excluded for new cover, but your baby will be covered from birth. Read more about pregnancy cover if you don’t have medical aid.
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Medshield plans, with costs and brief summary
.

Mental Health benefits for 2022:

Medshield: MediBonus
Assume scheme pays all these costs, unless otherwise stated
In-hospital:	R43,400 per family, shared with out-of-hospital benefit
Out-of-hospital:	R43,400 per family, shared with in-hospital benefit
Trauma:	Mental Health PMB conditions are covered for in and out of hospital treatment. For a full list see here. Example of PMB condition: Acute stress disorder accompanied by recent significant trauma, including physical or sexual abuse. Treatment includes hospital admission for psychotherapy / counselling up to 3 days, or up to 12 outpatient psychotherapy / counselling contacts
Note:	PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness. DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit. Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Medshield plans, with costs and brief summary
.

Important!

Unless specified, assume that all benefits are paid are paid at 100% scheme rate
No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
"Unlimited" benefits are still subject to authorisation, protocols and sublimits
Assume that all benefits need to be pre-authorised

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All the medical aid jargon explained (2024)

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How do I make a medical aid plan change (2024)?

A quick guide to how you can change your medical aid plan, including the resignation procedure, and things to look out for, such as imposed waiting periods from your new scheme

Medical Aid waiting periods: what you need to know (2024)

Waiting periods can prevent you from getting the cover that you need – but they are not always applied. Find out rules here.

Medshield MediBonus:
cancer, maternity and mental health (2024)

Monthly Costs:

Cancer/ Oncology benefits for 2022:

Maternity benefits for 2022:

Mental Health benefits for 2022:

All the medical aid jargon explained (2024)

How do I make a medical aid plan change (2024)?

Medical Aid waiting periods: what you need to know (2024)

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Sizwe Value Core:
cancer, maternity and mental health (2024)

Sizwe Value Core:
prosthetic benefits (2024)

Sizwe Value Core:
in-and-out of hospital benefits (2024)

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Sizwe Silver Hospital:
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Medshield MediBonus: cancer, maternity and mental health (2024)

Monthly Costs:

Cancer/ Oncology benefits for 2022:

Maternity benefits for 2022:

Mental Health benefits for 2022:

Also see these:

Medshield MediBonus:
cancer, maternity and mental health (2024)