Medshield MediSaver:
dentistry, optometry and wellness (2025)

Table of Contents:

This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Medshield MediSaver View all the Medshield plans, with costs and brief summary.

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Terminology:

  • PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
  • 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
  • All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2025)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medshield:MediSaver (2025 prices)
Main member: Adult member: Child member:
Total Cost pm:
  • R4,977
  • R4,122
  • R1,212
  • Only pay for 3 children (excl students)
Savings:
  • R8,964
  • R7,416
  • R2,184
Children Rates:
  • Under 21yrs, or students under 28 yrs
  • Only pay for 3 children (excl students)

Monthly Costs (2026)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medshield:MediSaver (2026 prices)
Main member: Adult member: Child member:
Total Cost pm:
  • R5,376
  • R4,452
  • R1,311
  • Only pay for 3 children (excl students)
Savings:
  • R9,672
  • R8,016
  • R2,364
Children Rates:
  • Under 21yrs, or students under 28 yrs
  • Only pay for 3 children (excl students)

Dentistry benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medshield: MediSaver
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child:
Savings:
  • R8,964
  • R7,416
  • R2,184
Other Day-to-Day Funds:
Standard Dentistry:
  • From day-to-day benefit
Specialised Dentistry:
  • R16,000 per family
  • Wisdom Teeth and Apicoectomy: R3,500 co-payment if done in-hospital and R800 co-payment if done in day clinic.
  • Implants: From above limit
  • Crowns, Bridges, Inlays, Mounted Study Models, Partial Metal Base Dentures and Periodontics: From day to day benefit
Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
In-Hospital Dentistry:
  • Under 6yrs: From Specialised Dentistry benefit
  • Wisdom Teeth and Apicoectomy: R3,500 co-payment if done in-hospital and R800 co-payment if done in day clinic. Part of Specialised Dentistry limit.
  • Maxillo-Facial and Oral surgery: R23,000 per family
Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Orthodontics:
  • From "Specialised Dentistry" benefit

Optometry benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medshield: MediSaver
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child:
Savings:
  • R8,964
  • R7,416
  • R2,184
Other Day-to-Day Funds:
Optometry:
Limit:From day to day benefit, every 24 months
Refractive SurgeryR20,000, 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.

Wellness/Preventative benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Medshield: MediSaver
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:
  • Covered
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:
  • Covered
HIV Test:
  • Covered
Other:
  • Adult vaccines: R500 per family
  • Bone density: 1 per person, 50yrs+, every 3 yrs
  • TB test: 1 per person
View other benefits for this plan:
In-hospital | 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.

Find all other open medical aid plans here.

Other benefits for 2025:

MediSaver
International Insurance: .
Other: .

    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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What does a “PMBs only” restriction mean?
In this case, the scheme will only pay for diagnosis, treatment and management of a claim for one of 270 pre-defined conditions (PMBs). Read more, and see full list of PMB conditions. 

What does “From Risk” mean?
The scheme will pay for this claim from its own funds, not from your savings or other day-to-day benefits. 

What is a DSP?
A Designated Service Provider. The scheme has a network of providers, and will often only pay claims in full if you use a DSP. If you choose another provider, you might have a co-payment, or even no cover. 

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