Hippo Partners - Medshield

Medshield

Medshield offers a choice of 7 different plan options and covers approximately 158 000 lives.

Premiums for a single member range from R1332 to R5247 and MediPlus is the most popular option.

Options:

Premium Plus

Premium Plus is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of procedures. Day to day claims are paid from savings. Thereafter, a self payment gap applies and then certain claims are paid from the above threshold benefit. Preventative care benefits are also available.

MediBonus

MediBonus is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of procedures. Day to day claims are paid from a defined benefit pool with additional benefits available for basic & specialised dentistry as well as optometry. Preventative care benefits are also available.

MediPlus

MediPlus is suitable for young families and individuals. It offers unlimited hospital cover at a network of hospitals, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of procedures. Day to day claims are paid from a defined benefit pool with additional benefits available for basic & specialised dentistry as well as optometry. Preventative care benefits are also available.

MediSaver

MediSaver is suitable for young healthy families and individuals. It offers unlimited hospital cover at a network of hospitals, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of hospital procedures. Day to day claims are paid from savings. Preventative care benefits are also available.

MediCore

MediCore is a hospital plan which is best suited to young and healthy individuals. It offers unlimited hospital cover at a network of hospitals, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of hospital procedures. This hospital plan also provides some preventative care and maternity benefits.

MediValue

MediValue is suitable for young healthy families and individuals. It offers unlimited hospital cover at a network of hospitals, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of hospital procedures. No benefit for back or neck surgery. Day to day claims are paid from defined day to day limits with a separate benefit for optometry and basic dentistry.

MediPhila

MediPhilia is best suited to young and healthy individuals. Hospital cover is limited to R500 000 per individual up to R1 000 000 per family at a network of hospitals with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of hospital procedures and a comprehensive list of in-hospital exclusions apply. All day to day cover is subject to a network of service providers and treatments are subject to provider network protocols.



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