Medshield MediPlus:
dentistry, optometry and wellness (2024)

Monthly Costs:

MediPlus 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R4,539	R3,240	R1,017 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= R9,850 Main+1= R13,755 Main+2= R15,385 Main+3= R17,310 Main+4+= R19,000
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
.

You'll get the printable guide as well as a weekly newsletter 🙂

Dentistry benefits (2022):

Medshield: MediPlus
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:	Unlimited
Specialised Dentistry:	R13,150 per family Wisdom Teeth and Apicectomy: R3,500 co-payment if done in-hospital. Part of above limit
In-Hospital Dentistry:	Under 6yrs: Unlimited	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:	See "Specialised Dentistry"
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 (2022):

Medshield: MediPlus
Assume scheme pays all these costs, unless otherwise stated
Optometry:	1 pair per person, paid by scheme, every 2 years. Sublimits apply. Readers: R180 per person Refractive surgery: R9,840 per family per family
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 (2022):

Medshield: MediPlus
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	Up to R100
Pneumonia vaccines:	Covered , 60yrs+
Biometric Screening:	Covered
Child Immunisation:	Covered , up to 12 yrs
Pap Smear:	Covered
Mammogram:	Covered , 40yrs+ every 2 yrs
PAS Test:	No cover
HIV Test:	Covered
Other:	Adult vaccines: R420 per family Bone density: 1 per person, 50yrs+, every 3 yrs 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 2022:

MediPlus
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

All the medical aid jargon explained (2024)

Medical aid and PMBs? DSPs? PPNs? We decipher the medical aid jargon in plain English so that you are not as confused 🙂

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 MediPlus:
dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2022):

Optometry benefits (2022):

Wellness/Preventative benefits (2022):

Other 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)

Also see these:

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)

Sizwe Value Core:
dentistry, optometry and wellness (2024)

Sizwe Silver Hospital:
prosthetic benefits (2024)

Medshield MediPlus: dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2022):

Optometry benefits (2022):

Wellness/Preventative benefits (2022):

Other benefits for 2022:

Also see these:

Medshield MediPlus:
dentistry, optometry and wellness (2024)