Medshield Premium Plus:
dentistry, optometry and wellness (2025)

What's on this page:

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

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Monthly Costs (2025)

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

MediBonus 2025 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R8,784
  • R8,046
  • R1,680
  • Only pay for 3 children (excl students)
Savings:
  • R21,084
  • R19,308
  • R4,032
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R2,766
  • R2,742
  • R418
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • 7,000
  • 5,000
  • 3,500
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:
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.

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Dentistry benefits (2022):

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

Medshield: MediBonus
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings:
  • R21,084
  • R19,308
  • R4,032
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R2,766
  • R2,742
  • R418
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • 7,000
  • 5,000
  • 3,500
Standard Dentistry:
  • Unlimited
Specialised Dentistry:
  • R18,370 per family
  • Wisdom Teeth and Apicectomy: R2,000 co-payment f in hospital, no co-payment if done in rooms. 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:
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.

Optometry benefits (2022):

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

Medshield: MediBonus
Assume scheme pays all these costs, unless otherwise stated
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings:
  • R21,084
  • R19,308
  • R4,032
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R2,766
  • R2,742
  • R418
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • 7,000
  • 5,000
  • 3,500
Optometry:
  • 1 pair per person, from day-to-day benefit, every 2 years. Sublimits apply.
  • Readers: R180 per person
  • Refractive surgery: R18,730 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:
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.

Wellness/Preventative benefits (2022):

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

Medshield: MediBonus
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: R1,700 per family
  • Bone density: 1 per person, 50yrs+, every 3 yrs
  • TB test: 1 per person
View all the 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 2022:

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

MediBonus
International Insurance: .
Other: .
View all the 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.

    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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