Medshield MediPhila:
dentistry, optometry and wellness (2024)

Monthly Costs:

MediPhila 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R1,851	R1851	R477 Pay for all children
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	R3,800 per family
Children Rates:	Under 21yrs, or students under 28 yrs Pay for all children
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
.

Dentistry benefits (2024):

Medshield: MediPhila
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:	R1,700 per family, from overall R6,900 dentistry limit
Specialised Dentistry:	.
In-Hospital Dentistry:	Wisdom Teeth and Apicectomy: R6,900 per family with R4,000 co-payment if in hospital, R1,800 co-payment if done in Day Clinic, no co-payment if done in rooms Maxillo-Facial: PMBs only	PMBs are always covered by the scheme, and cannot have sublimits or co-payments imposed. These include fracture of face bones, orbit and/or jaw. You can see a full list of maxillo facial PMB benefits here.
Orthodontics:	No benefit
Note:	PMBs: Prescribed Minimum Benfits. To read more about PMBs click here 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
.

Optometry benefits (2024):

Medshield: MediPhila
Assume scheme pays all these costs, unless otherwise stated
Optometry:	R940 per person, every 2 years Eye test: Paid by scheme Glasses / contacts: Paid from limit Reading glasses:R200 per person, paid by scheme
Note:	This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.
♦️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
.

Wellness/Preventative benefits (2024):

Medshield: MediPhila
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	Covered
Pneumonia vaccines:	No benefit
Biometric Screening:	Covered
Child Immunisation:	No benefit
Pap Smear:	Covered
Mammogram:	No benefit
PAS Test:	Covered
HIV Test:	Covered
Other:	TB test: 1 per person
♦️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
.

Other benefits for 2024:

MediPhila
International Insurance:	.
Other:	.
♦️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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Medshield MediPhila:
dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2024):

Optometry benefits (2024):

Wellness/Preventative benefits (2024):

Other benefits for 2024:

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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Medshield MediPhila: dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2024):

Optometry benefits (2024):

Wellness/Preventative benefits (2024):

Other benefits for 2024:

Also see these:

Medshield MediPhila:
dentistry, optometry and wellness (2024)