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6 Hospitalisation: - Cover at the hospital of members choice - 25% co-payment for the use of non Medshield Hospital Network no longer applicable No co-payment (Cancer Medication): - Biological Drug - Tyrosine Kinase Inhibitors

7 Dentistry: - Enhanced Dentistry limit increased to R per family per incl: - Orthodontic treatment - Wisdom Teeth and Apicectomy - Implants Pharmacy Advised Therapy: - 7% increase to R170 per script Optical benefits: - Readers limited to R130 per beneficiary

8 Specialised Radiology: - Increased to R per family Travel Vaccination: - Increased to R900 per family

9 Wellness Benefits: Access to Health Risk Assessments through: - Medshield Family Practitioner Network - Medshield Pharmacy Network - Medshield Corporate Wellness offering Oral Contraceptives Medicine increased to R110 per script

10 Hospitalisation: - Cover at the hospital of members choice - 25% co-payment for the use of non Medshield Hospital Network no longer applicable Day to Day Limit: 28% Benefit Increase - M - R M+1 - R M+2 - R M+3 - R M+4 - R Including Family Practitioner Consultation out of hospital

11 Dentistry : - NEW Enhanced Dentistry Procedures limit of R per family per annum, including benefits for Implants (previously payable from the day-to-day limits - Advanced Dentistry R5 000, subject to the Enhanced Dentistry Procedure and no longer paid from the day-to day limit - NEW Orthodontic treatment limit of R per family

12 Pharmacy Advised Therapy: - R640 for a single member and R1 100 for a family - Limited to R170 per script Optical: - R2 500 per beneficiary every 2 years - Allowing more beneficiaries access to the use of optical benefits - Readers limited to R130 per beneficiary

13 Wellness Benefits: - Access to Health Risk Assessments through: - Medshield Family Practitioner Network - Medshield Pharmacy Network - Medshield Corporate Wellness offering Oral Contraceptives Medicine increased to R110 per script

14 Specialised Radiology: - Benefit increased to R per family Travel Vaccination: - Limited to R900 per family

15 Day to Day Limit: - 29% Benefit increase - M - R M+1 - R M+2 - R M+3 - R M+4 - R Including Family Practitioner Consultation out of hospital Medical Specialist Consultation: - One Specialist visit payable from the Risk benefit thereafter from day-to-day limit

16 Dentistry: - NEW ENHANCED Dentistry limit of R per family per annum, including benefits for Implants (previously payable from day-to-day limit) - Advanced Dentistry Limit of R5 000 per family - Oral Surgery limit of R payable from Maxillo-Facial Surgery and not from day-to-day limit - NEW Orthodontic treatment limit of R per family Physical Rehabilitation: - Limit increased to R per family

17 Pharmacy Advised Therapy: - R470 for a single member and R870 for a family - Limited to R170 per script Chronic Medication: - Benefit increased to R9 500 per family and R4 750 per beneficiary Oncology Benefits: - Co-payment for Specialised drugs and Biological reduced from 20% to 15%

18 Optical: - R1 650 per beneficiary every 2 years - Allowing more beneficiaries access to the use of Optical benefits - Readers limited to R130 per beneficiary Specialised Radiology: - Benefit increased to R9 000 per family

19 Wellness Benefits: - Access to Health Risk Assessments through: - Medshield Family Practitioner Network - Medshield Pharmacy Network - Medshield Corporate Wellness offering Oral Contraceptives Medicine increased to R110 per script

20 Personal Savings Account: - Allocated six months in advance rather than quarterly Dentistry: - Enhanced Dental limit of R per family - Wisdom Teeth, Apicectomy and Implants - In-hospital Dentistry Oral Surgery limit of R (payable from Maxillo Facial Surgery)

21 Wellness Benefits: Access to Health Risk Assessments through: - Medshield Family Practitioner Network - Medshield Pharmacy Network - Medshield Corporate Wellness offering Oral Contraceptives Medicine increased to R110 per script

22 Wisdom teeth and Apicectomy: - R per family per annum - Payable from the Enhanced Dentistry limit Oncology Medicine: - Unlimited PMB and PMB level of care

23 Wellness Benefits: Access to Health Risk Assessments through: - Medshield Family Practitioner Network - Medshield Pharmacy Network - Medshield Corporate Wellness offering Oral Contraceptives Medicine increased to R110 per script

24 Day to Day limit: 29% Benefit increase - M - R M+1 - R M+2 - R M+3 - R M+4 - R6 700 Now includes Family Practitioner Consultation out of hospital

25 Dentistry: - Increased Basic Dentistry to R1 200 per family - Enhanced Dentistry limit of R5 000 per family - Wisdom Teeth and Apicectomy paid from the Enhanced Dentistry limit and not from day-today limit - Oral Surgery limit of R5 750 payable from the Maxillo Facial limit and not longer from the day-to-day limit Pharmacy Advised Therapy: - PAT increased to R170 per script - R2 30 per single member R400 per family

26 Optical: - R1 450 per beneficiary every two years - Allowing more beneficiaries access to the use of Optical benefits - Readers limited to R130 per beneficiary Specialised Radiology: - Benefits increased to R4 900 per family Wellness Benefits: Access to Health Risk Assessments through: - Medshield Family Practitioner Network - Medshield Pharmacy Network - Medshield Corporate Wellness offering Oral Contraceptives Medicine increased to R110 per script

27 In-Hospital Cover: - All PMB In-Hospital services Unlimited - All In-Hospital Non-PMB R per beneficiary up to a maximum of R

28 Day to Day limit: Day-to-day limit increased to R2 200 per family Consultations and visits out of hospital: Increased number of visits: M - 8 visits M+1-9 visits M+2-11 visits +2 Emergency visits (out of network)

29 Basic Dentistry: - Basic Dentistry (out of hospital) benefit increased to R1 000 per family Acute Medicine: - Benefits increased by 40% - R1 000 per family (subject to the day-to-day limit)

30 Pharmacy Advice Therapy: - R250 per single member and R350 per family. - Limited to R50 per script Optical : - R600 per beneficiary every 2 years - Readers limited to R130 per beneficiary - Oral Contraceptive Medication: - Introduced R70 per script per month

31 Wellness Benefits: One Health Risk Assessment per beneficiary per annum Services obtained from : - MediPhila Family Practitioner Network - MediPhila Pharmacy Network - Medshield Corporate Wellness Offering

32 Steadily reducing in size Current membership slightly above No longer appears viable or attractive to members Alternative default option Premium Plus

33 9.5% Average contribution increase

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