Medshield MediValue:
dentistry, optometry and wellness (2024)

This page: Costs | Dentistry | Optometry | Wellness and Preventative | Other Medshield MediValue We also show benefits for: In-hospital | Out of Hospital | Medicine | Maternity | Cancer | Mental Health | Prosthetics Find all the open medical aid plans here. Compare any two plans side by side, instantly. Monthly Costs: MediValue 2024 prices Main member: Adult member: Child member: Total Cost pm: R2,736 R2,388 R771 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= R6,650 Main+1= R8,350 Main+2= R8,950 Main+3= R10,400 Main+4+= R11,500 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 . Dentistry benefits (2022): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medshield: MediValue Assume scheme pays all these costs, unless otherwise stated Standard Dentistry: R2,300 per family, then from day-to-day benefit Specialised Dentistry: R6,630 per family Wisdom Teeth and Apicectomy: R4,000 co-payment if done in-hospital. Part of above limit In-Hospital Dentistry: Under 6yrs: from Standard Denstistry benefit 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): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medshield: MediValue Assume scheme pays all these costs, unless otherwise stated Optometry: 1 pair per person, from day-to-day benefit, every 2 years. Readers: R180 per person 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): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Medshield: MediValue 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: (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) MediValue 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 .

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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