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Medshield

MediCurve

About this plan

๐Ÿฅ‡ Best suited for young, healthy members seeking affordable network hospital and essential day-to-day cover.
Principal Member
From
R1,821
per month
Adult Dependant
From
R1,821
per month
Child Dependant
From
R483
per month

What's covered

Hospital cover
Savings account
Day-to-day
Chronic cover
Dental
Optical
Maternity
Mental health

Waiting periods

General
3 months
Pre-existing conditions
12 months

MediCurve

Medshield-Medical-Scheme-MediCurve-medicalaid

Medshield MediCurve Medical Aid Plan (๐Ÿ‡ฟ๐Ÿ‡ฆ 2026)

MediCurve   Overall, the Medshield MediCurve Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and major medical benefits to up to 3 Family Members. The Medshield MediCurve Medical Aid Plan starts from R1,821 ZAR.  
๐Ÿ‘ค Main Member ContributionR1 821
๐Ÿ‘ฅ Adult Dependent ContributionR1 821
๐Ÿผ Child Dependent ContributionR483
๐Ÿ” Gap CoverNone
โ˜‘๏ธ Hospital CoverUnlimited
โžก๏ธ Oncology CoverUnlimited, subject to PMBs
๐Ÿ’ถ rescribed Minimum Benefitsโœ… Yes
๐Ÿ“‰ Screening and Preventionโœ… Yes
๐Ÿ“Œ Medical Savings AccountNone
๐Ÿ“ Maternity Benefitsโœ… Yes
  Medshield MediCurve Medical Aid Plan

Medshield MediCurve Plan - 14 Key Point Quick Overview

  1. โœ… Medshield MediCurve Plan Overview
  2. โœ… Medshield MediCurve Plan Contributions
  3. โœ… Medshield MediCurve Plan Benefits and Cover Comprehensive Breakdown
  4. โœ… Medshield MOM Program and Benefits
  5. โœ… MediCurve Out-of-Hospital Benefits
  6. โœ… MediCurve SmartCare Services and Benefits
  7. โœ… MediCurve Wellness Benefits
  8. โœ… MediCurve Ambulance and Emergency Services
  9. โœ… MediCurve Prescribed Minimum Benefits
  10. โœ… MediCurve COVID-19 Benefits and Access to Care
  11. โœ… MediCurve Plan Exclusions and Waiting Periods
  12. โœ… Medshield MediCurve Plan vs. Similar Plans from Other Medical Schemes
  13. โœ… Our Verdict on The MediCurve Plan
  14. โœ… MediCurve Plan Frequently Asked Questions

Medshield MediCurve Plan Overview

Overview on MedShield MediCurve The Medshield MediCurve medical aid plan is one of 10, starting from R1,821, and includes family practitioners, wellness, dentistry, emergency services, major medical benefits in-hospital, and more.   A Gap Cover is not available on the Medshield MediCurve Plan. However, Medshield offers 24/7 medical emergency assistance. According to the Trust Index, Medshield has a trust rating of 2.4 from hellopeter.   MedShield has the following medical aid plans to offer:   Medshield MediCurve Plan Overview

Medshield MediCurve Plan Contributions

๐Ÿ‘ค Main Member๐Ÿ‘ฅ +1 Adult Dependent๐Ÿผ +1 Child Dependent
R1 821R1 821R483
 

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Medshield MediCurve Plan Contributions

MediCurve Plan Benefits and Cover Comprehensive Breakdown

MediCurve Hospital-At-Home

  • โœ… Medshield offers a Hospital-at-Home service delivered by Quro Medical.
  • โœ… The Hospital-at-Home service offers an alternative to hospitals as the center of patient care and management.
  • โœ… Hospital-at-Home provides active treatment at home instead of a general hospital ward for a specified period without compromising the quality of care.
  • โœ… Patients more vulnerable to hospital-acquired infections and developing new health complications may benefit from care at home.
  • โœ… Patients who usually need admission to a general hospital ward are eligible for Hospital-at-Home.
  • โœ… Quro Medical works with each patient and their treating doctor to develop a personalized treatment plan that can be delivered at home.
  • โœ… Treatment plans are amended accordingly if a patientโ€™s medical needs change during treatment.
  • โœ… The clinical team at Quro Medical arranges routine home visits customized to the individualโ€™s specific needs that may occur daily or more frequently to provide the necessary treatment and care.
  • โœ… Other channels allow patients to access advice and support outside of home visits.

MediCurve Major Medical Benefits In-Hospital

๐ŸŸฅ Overall Annual LimitThere is no overall annual limit on hospitalization.
๐ŸŸง HospitalizationSubject to pre-approval. Specialist services are covered by treating/attending doctors. PMBs Unlimited cover. Non-PMBs 25% co-payment when using a non-MediCurve Network Hospital.
๐ŸŸจ Medicine upon dischargeLimited to R500 per admission. Per the Maximum Generic Pricing of Medicine Price List and Medshield Formulary.
๐ŸŸฉ Hospitalization Alternatives Physical Rehabilitation Sub-Acute Facilities Nursing Services Hospice Terminal CareClinical Protocols will apply. Limited to R35,500 per family per year. Subject to PMB and PMB level of care. 30% co-payment for using a non-MediCurve Network Hospital. Terminal care is limited to R31 350 per family per year and is subject to the overall limit on hospitalization alternatives.
๐ŸŸฆ Blood, Blood Equivalents, and Blood ProductsUnlimited cover.
๐ŸŸช Medical Practitioner Consultations and Visits during Hospital AdmissionUnlimited cover. Subject to Pathology Formulary List.
๐ŸŸฅ Organ, Tissue, and Haemopoietic Stem Cell (Bone Marrow) TransplantsUnlimited cover. Subject to PMB and PMB level of care. 25% co-payment for using a non-MediCurve Network Hospital. Limited to harvests in South Africa. Solid organ transplant donor work-up fees. No international donor search benefits. Bone marrow transplantation is confined to allogenic and autologous grafts from the South African Bone Marrow Registry.
๐ŸŸง Pathology and Medical TechnologyUnlimited cover.
๐ŸŸจ PhysiotherapyLimited to R3,300 per beneficiary yearly and no benefit after that unless pre-authorized.
๐ŸŸฉ Internal Prostheses and DevicesSubject to pre-authorization by the relevant Managed Healthcare Program. Unlimited with PMB and PMB treatment. Members must use Rand One as the DSP. Non-MediCurve Network Hospital attracts a co-payment of 25%.
๐ŸŸฆ External ProsthesesUnlimited but subject to PMB and PMB level of care.
๐ŸŸช Basic RadiologyUnlimited cover.
๐ŸŸฅ Specialized RadiologyLimited to R6,450 per family per year both in and out of the hospital. Clinical Protocols apply
๐ŸŸง CT Scans, MUGA Scans, MRI Scans, Radio Isotope StudiesSubject to the Specialized Radiology Limit
๐ŸŸจ CT Colonography (Virtual colonoscopy)There is no co-payment.
๐ŸŸฉ Interventional Radiology Replacing Surgical ProceduresUnlimited cover.
๐ŸŸฆ Chronic Renal Dialysis Material Medication Related Radiology and PathologyUnlimited if PMB and PMB level of care are met. A non-DSP will incur a 35% upfront co-payment. Use of a DSP with Rand one for PMB admittance.
๐ŸŸช Non-Surgical Procedures and TestsUnlimited cover. Medshield Specialist Network might apply.
๐ŸŸฅ Mental HealthSubject to pre-authorization by the relevant Managed Healthcare Program. The Medshield Specialist Network may be utilized. Limited to a maximum of three days if admitted by a family physician. Unlimited if PMB and PMB level of care are met. A non-DSP will incur a 30% upfront co-payment. Use of a DSP with Rand one for PMB admittance.
๐ŸŸง Rehabilitation for Substance AbuseSubject to PMB and PMB level of care.
๐ŸŸจ Consultations and Visits, Procedures, Assessments, Therapy, Treatment, or CounsellingSubject to PMB and PMB level of care.
๐ŸŸฉ HIV and AidsAccording to the Managed Healthcare Protocols. Pre-authorization and Managed Healthcare Program registration are required.
๐ŸŸฆ Anti-retroviral and related medicinesVoluntary out-of-formulary or PMB medication from a non-DSP supplier requires a 30% upfront co-payment. Courier DSP โ€“ Rand one.
๐ŸŸช HIV/AIDS-related Pathology and ConsultationsVoluntary out-of-formulary or PMB medication from a non-DSP supplier requires a 30% upfront co-payment. Courier DSP โ€“ Rand one.
๐ŸŸฅ National HIV Counselling and Testing (HCT)Voluntary out-of-formulary or PMB medication from a non-DSP supplier requires a 30% upfront co-payment. Courier DSP โ€“ Rand one.
๐ŸŸง Infertility Interventions and InvestigationsClinical Protocols apply. Limited to interventions and investigations only. Pre-authorization and Managed Healthcare Program registration are required.
 

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MediCurve Dentistry Benefits

๐Ÿ…ฐ๏ธ Basic DentistryAccording to the Dental Managed Healthcare Programme, Protocols, and the Medshield Dental Network. Beneficiaries pay R150 upfront for one dental exam every six months.
๐Ÿ…ฑ๏ธ Impacted Teeth, Wisdom Teeth, and ApicectomySubject to the overall annual limit. Day Clinic wisdom teeth extraction requires an R1,800 upfront co-payment. In-hospital pre-authorization requires R4,000 upfront co-payment. However, in Practitionersโ€™ offices, conscious sedation does not require co-payment. Only hospitalization, general anesthetics, or conscious sedation for bone impactions. Practitioners only cover out-of-hospital apicectomy of permanent teeth. Pre-authorisation is required for all services. Failure to obtain an authorisation prior to treatment will attract a 20% penalty. . Dental Managed Healthcare Programs, Protocols, and Medshield Dental Network. General anesthesia and conscious sedation pre-authorization, in- and out-of-hospital. Apicectomy, impacted tooth removal, and wisdom tooth removal under local anesthesia do not require authorization.
๐Ÿ“Œ Maxillo-Facial SurgeryAll services are subject to pre-authorization by the relevant Managed Healthcare Program. Under the Hospitalization Limit, R6,450 per household per year. In-hospital pre-authorization requires R4,000 upfront co-payment. Non-elective surgery only. Subject to Dental Managed Healthcare Programs and Protocols. MediCurve Hospital Network services are required. Use of the Medshield Specialist Network might apply.
 

MediCurve Oncology Benefits

๐Ÿ”ด Oncology LimitUnlimited cover. Subject to PMB and PMB level of care.
๐ŸŸ  Active Treatment (Includes Stoma Therapy, Incontinence Therapy, and Brachytherapy)Subject to the Oncology Limit. ICON Standard Protocols apply.
๐ŸŸก Oncology MedicineSubject to the Oncology Limit. ICON Standard Protocols apply.
๐ŸŸข Radiology and PathologySubject to the Oncology Limit.
๐Ÿ”ต PET and PET-CTLimited to 1 Scan per family per annum. Subject to the Oncology Limit.
๐ŸŸฃ Integrated Continuous Cancer CareSix visits per family per annum. Subject to the Oncology Limit
๐Ÿ”ด Specialized Drugs for Oncology, Non-Oncology, and Biological DrugsSubject to the Oncology Limit.
๐ŸŸ  Vitreoretinal BenefitSubject to PMB and PMB level of care.
๐ŸŸก Breast ReconstructionR105,000 per family yearly. Breast Reconstruction is exempt from prosthesis co-payments and limits. The applicable Managed Healthcare Program must pre-authorize DSP or Network Provider services. Medshield Specialist Network may apply. Post-mastectomy protocols apply.
 

MediCurve Chronic Medicine Benefits

  • โœ… Using a MediCurve Chronic Network Pharmacy from Rand one
  • โœ… Exclusive to PMB exclusively.
  • โœ… Medicines will be approved according to the Medshield Formulary, with coverage from Rand One.
  • โœ… 20% upfront co-payment for the use of out-of-formulary medicine or for using a non-DSP.
  • โœ… Supply of Medication (One month in advance)
  • โœ… Exclusive to PMB exclusively.
  • โœ… Medicines will be approved according to the Medshield Formulary, with coverage from Rand One.
  • โœ… Use of a non-MediCurve Chronic Network Pharmacy will incur an upfront co-payment of 35%.

MediCurve Chronic Disease List

  1. Addisonโ€™s disease
  2. Asthma
  3. Bi-Polar Mood Disorder
  4. Bronchiectasis
  5. Cardiac failure
  6. Cardiomyopathy
  7. Chronic renal disease
  8. Chronic obstructive pulmonary disease
  9. Coronary artery disease
  10. Crohnโ€™s disease
There is more Chronic conditions that are not listed on our list.

MediCurve Maternity Benefits

  • โœ… There will be benefits during pregnancy, after birth, and following delivery. However, pre-authorization with the applicable Managed Healthcare Program is required before hospital admission.
  • โœ… Unless otherwise specified, benefits are allocated for each pregnancy subject to the Total Yearly Limit.
  • โœ… A complimentary baby bag from Medshield can be obtained during the third trimester.
 
๐Ÿ‘ถ Antenatal Consultations6 Consultations per pregnancy. It might be subject to the use of the Medshield Specialist Network.
๐Ÿผ Antenatal Classes and Postnatal Midwife Consults4 Visits per event.
๐Ÿ’— ScansTwo 2D scans per pregnancy.
TestsOne Amniocentesis test per pregnancy.
โžก๏ธ Confinement and postnatal ConsultationsUse of a non-DSP requires an upfront co-payment of 30%. Members must use a DSP from Rand One. Subject to prior authorization by the applicable Managed Healthcare Program. MediCurve Network services must be purchased.
โ†ช๏ธ Confinement In-HospitalUnlimited / Clinical Protocols apply. 30% upfront co-payment for the use of a non-Compact Network facility. R10 000 upfront co-payment for Elective Caesarean.
โ˜‘๏ธ Delivery by a General Practitioner or Medical Specialist. โ˜‘๏ธConfinement in a registered birthing unit or Out-of-HospitalUnlimited / Clinical Protocols apply.
๐Ÿ…ฐ๏ธ Delivery by a registered Midwife or a PractitionerMedshield Private Rates up to 200% applies to a registered Midwife only.
๐Ÿ…ฑ๏ธ Hire of a water bath and oxygen cylinderUnlimited / Clinical Protocols apply.
 

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Medshield Partner for Life 2025

Medshield MOM Program and Benefits

To support women on their journey to motherhood, Medshield MOM has launched a dedicated website that provides information and resources for all stages of pregnancy, birth, and postpartum.   This website is an easily accessible hub of valuable health, fitness, nutrition, motherhood, babies, toddlers, and more content specifically tailored to the pre- and post-partum phases.   As a Medshield member, you can take advantage of the pregnancy-related benefits. The Medshield MOM website will ensure you are fully informed of your options.   ๐Ÿ’™ Some of the features and advantages include, but are not limited to, the following:  
  • โœ… A guide for your journey from start to finish.
  • โœ… Convenient, dependable, and easily accessible pregnancy resources.
  • โœ… A toddler benefit that includes information on child immunization, child nutrition, a nurse helpline available 24/7, and digital/online kid yoga.
  • โœ… Advice formulated by professionals.
  • โœ… Reminders through email to arrange doctorโ€™s appointments and request hospital pre-authorizations, etc.
  • โœ… Emails containing updates on your unborn childโ€™s growth and development.
  • โœ… Mothers can register and enter the specific week of their pregnancy journey. Then, they will begin getting content based on that time and continuing ahead.
  The Medshield MOM bags are made locally utilizing recyclable, eco-friendly materials. These distinctive bags are filled with wonderful Bennetts products for your child.   Medshield MOM Program and Benefits

MediCurve Out-of-Hospital Benefits

๐Ÿ…ฐ๏ธ GENERAL PRACTITIONER (GP) CONSULTATIONS AND VISITS: OUT-OF-HOSPITAL GP consultations and visits can be accessed in-person, telephonically or virtually. Use of the relevant General Practitioner Network applies.Unlimited cover. MediCurve GP Network applicable from Rand one. M0 = 5 visits M+1 = 7 visits M2+ = 9 visits
๐Ÿ…ฑ๏ธEXTENDED GP VISITS FOR ALL EMERGENCY AND CHRONIC GP CONSULTATIONS (in-person only). Pre-authorisation and registration on the Chronic Management Programme is required. Use of the relevant General Practitioner Network applies and 1 nominated GP per beneficiary required. Service must be obtained from a nominated GP on the MediCurve General Practitioner Network. 2 visits per beneficiary per annum. The use of MediCurve GP Network applies.
๐ŸŸฅ NON-NOMINATED GENERAL PRACTITIONER CONSULTATION Two visits per household per year. an additional 40% upfront co-payment.
โžก๏ธMEDICAL SPECIALIST CONSULTATIONS AND VISITS The use of the Medshield Specialist Network applies. No GP referral will attract a 20% upfront co-payment and the use of a non-network Specialist will attract a 30% upfront co-payment. 1 visit per family subject to the Overall Annual Limit and a referral authorisation from the nominated Network GP. R250 upfront co-payment per visit.
โ˜‘๏ธCASUALTY/EMERGENCY VISITS Facility fee, Consultations and Medicine. If retrospective authorisation for emergency is obtained from the relevant Managed Healthcare Programme within 72 hours, benefit will be subject to Overall Annual Limit. Only bona fide emergencies will be authorised.2 Facility fee visits per family.
๐Ÿ’Š Acute MedicineM+0 = R700 M+1 = R1 400 M2+ = R1 800
๐Ÿ‘ฉโ€โš•๏ธ Pharmacy Advised Therapy (PAT)R550 per family. R250 per script. 1 script per beneficiary per day. The use of a non-Medshield Network Provider or DSP will attract a co-payment.
๐Ÿค“ OPTICAL BENEFITR1 900 per beneficiary every 24 months.
๐Ÿ‘๏ธ Optometric Refraction Eye Tests1 test per beneficiary per 24 month Optical Service Cycle. R100 upfront co-payment.
๐Ÿ‘๏ธโ€๐Ÿ—จ๏ธ Spectacles or Contact LensesSpectacles OR Contact Lenses. Subject to the Optical Limit. R100 upfront co-payment.
๐ŸŸจ Reading GlassesR220 per beneficiary per annum. Subject to the Optical Limit.
๐Ÿ“‰ Pathology and Medical TechnologySubject to PMB. Subject to the relevant Pathology Managed Healthcare Program and Protocols.
๐Ÿ“Š Specialized RadiologyR6 450 per family per annum, In- and Out-of-Hospital.
๐Ÿงช Non-Surgical Procedures and TestsNo Benefit
๐Ÿ“Œ Routine diagnostic Endoscopic Procedures performed in the Practitionerโ€™s roomsPre-authorisation required. Unlimited if procedure is done in the practitionersโ€™ rooms. The use of MediCurve GP Network applies.
๐Ÿ—ฃ๏ธMENTAL HEALTH MEDICINE Medicine Management of a specific non-CDL condition, in conjunction with Psychotherapy sessions. Subject to the relevant Managed Healthcare Programme. The Medicine Exclusion List and the Pharmacy Products Management Document are applicable. Levies and co payments to apply where relevant.R5 850 per beneficiary. Subject to the medicine formulary and Chronic DSP from Rand one. 20% upfront co-payment for the use of out-of-formulary medicine and/or for using a non-DSP.
๐Ÿ“ Intrauterine Devices and Alternatives1 per female beneficiary. Includes all IUD brands up to and including the price of the Mirena device. Mirena/Kyleena device: 1 per female beneficiary every 5 years. Implanon: 1 per female beneficiary every 3 years. Nova T/Copper device: 1 per female beneficiary every 2 years
 

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MediCurve Out-of-Hospital Benefits

MediCurve SmartCare Services and Benefits

SmartCare gives access to Videomed and telephone video consultations through a select group of healthcare professionals. SmartCare is a developing healthcare benefit aiming to provide members with convenient care access.   SmartCare services include the following:
  • โœ… Acute Consultations โ€“ Infections of the chest and upper respiratory tract, urinary tract, eyes, ears, etc.
  • โœ… Chronic Consultations โ€“ Medication and refills for hypertension, diabetes, excessive cholesterol, etc. Then, members are advised to utilize the Medshield Chronic Medication Courier Service DSP to have their chronic medication delivered directly to their home or place of business.
 
๐ŸŸฉ Pharmacy/clinic private nurse practitioner consultationsUnlimited cover.
๐ŸŸฆ Nurse-led Videomed family practitioner (FP) consultationsUnlimited cover.
๐ŸŸช WhatsApp doc advice lineUnlimited cover.
  MediCurve SmartCare Services and Benefits

MediCurve Wellness Benefits

Medshieldโ€™s Wellness Benefit program empowers members to proactively manage their health by undergoing preventative tests and procedures. The company strongly advises its members to schedule the necessary tests at least once per year.   MediCurve Wellness benefits   To access the Wellness Benefits, Medshield members must use pharmacies included in their benefit options Pharmacy Network.ย  Members must note that benefits are subject to the Overall Annual Limit.   Once that limit has been reached, the benefits will be subject to the Day-to-Day limit. However, consultations for certain services are excluded from these limits.  
โค๏ธ Birth Control (Contraceptive Medicine)Limited to a maximum of 13 prescriptions per year per female recipient between the ages of 14 and 55, with an R185 limit per prescription. Subject to Acute Medical Benefit Limit. Only relevant in the absence of intrauterine devices and alternatives.
๐Ÿ’› Flu VaccinesOne per beneficiary aged 18 or older is included in the Yearly limit. There is no benefit after that.
๐Ÿ’š Pap SmearOne per female beneficiary.
๐Ÿ’™ Health Risk Assessment on the SmartCare Network Cholesterol Blood Glucose Blood Pressure Body Mass Index (BMI)One per beneficiary 18>
๐Ÿ’œ National HIV Counselling Testing (HCT)One test per beneficiary.
  MediCurve Wellness Benefits

MediCurve Ambulance and Emergency Services

A 24-hour Hotline will be available to members and their registered dependents. In addition, members can dial 086 100 6337 to reach the Ambulance and Emergency Services, provider.   Medshield Emergency Medical Services:
  • โœ…ย Subject to pre-approval by the supplier of Ambulance and Emergency Services.
  • โœ… Air Evacuation necessitates scheme approval.
  • โœ… Applying Clinical Procedures.
MediCurve Ambulance and Emergency Services

MediCurve Prescribed Minimum Benefits

Medshield members are entitled to coverage for Prescribed Minimum Benefits (PMBs), regardless of their chosen benefit option. Medshield assumes the cost of PMB treatments if they are provided by one of Medshieldโ€™s Designated Service Providers (DSPs) in compliance with the Scheme Rules.   The Medical Schemes Act 131 of 1998 mandates that all medical plans must cover the costs associated with the following:
  • โœ… Any potentially fatal medical emergency
  • โœ… A set of 26 Chronic Disease List (CDL) diseases that are well-defined
  • โœ… 271 DTP diagnoses.

How Medshield Covers PMBs under MediCurve

๐Ÿฅ In-Hospital Admissions for treating PMBsIf you are diagnosed with a PMB disease requiring hospitalization, you must comply with the Medshield hospital authorization process. It would help if you utilized a hospital that is a part of the Hospital Network for your selected insurance package, as all stay and treatment fees have negotiated prices. Specialist services obtained during hospitalization are reimbursed at the Scheme rate. If the Scheme rate does not cover the entire claim amount, you must apply to the Scheme and request that the Specialistโ€™s rate be paid at cost instead of the Scheme rate.
๐Ÿš‘ Out-of-Hospital treatment and managing PMBsMembers diagnosed with any of the 26 CDL conditions covered by Medshield and MediCurve must apply to Mediscor for approval. The member automatically receives a Care Plan (treatment plan) notification from the Scheme after the healthcare provider claims with the ICD-code as authorized. The Care Plan details and approves benefits like radiography, pathology, and doctorsโ€™ visits. The member and their treating provider must fill out a PMB Application form to seek clearance for further treatment after the Care Plan has been used. If approved, a revised Care Plan will include the additional treatment.
๐Ÿ…ฐ๏ธ MediCurve Option Payment for PMB conditionsRisk pays directly for the expenses of treatment outlined in Care Plans (OAL). Members requiring extra therapy must submit a PMB application form.
๐Ÿ…ฑ๏ธ 271 DTP ConditionsMembers with DTP must complete a PMB application form with their doctor. If they do not complete a PMB Application form, the Day-to-Day Savings will pay for treatment. The Care Plan (treatment plan) will list the covered treatments for the condition after clinical assessment and approval.
๐Ÿ“ COVID-19 as a PMBRespiratory DTP PMB includes Covid-19. After seeing a doctor, members might need a COVID-19 PCR or SARS-CoV-2 Antigen test. According to the Plan Regulations, this benefit requires a doctor or nurse referral and payment. MediCurve covers either a PCR or an antigen test, but not both.
 

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MediCurve COVID-19 Vaccination

  Limited to Scheme Vaccination Formulary. Excludes consultation costs.  
  • โœ… Subject to the Overall Annual Limit.
  • โœ… Protocols apply
MediCurve Medical Benefits

MediCurve Plan Exclusions and Waiting Periods

MediCurve Exclusions

๐Ÿ’™ MediCurve does not cover the following:  
  • โœ… Alternative Healthcare Practitioners
  • โœ…ย Herbalists
  • โœ… Therapeutic Massage Therapy (Masseurs)
  • โœ…ย Aromatherapy
  • โœ…ย Ayurvedics
  • โœ… Iridology
  • โœ… Reflexology
  • โœ… Selected Appliances, External Accessories, and Orthotics
  • โœ… Blood, Blood Equivalents, and Blood Products
  • โœ… Hemopure (bovine blood), unless there is an acute shortage of human blood and blood products for acutely anemic patients
  • โœ… Dentistry Exclusions as determined by the Schemes Dental Management Program
  • โœ… Preventative Care
  • โœ… Oral hygiene instruction
  • โœ… Oral hygiene evaluation
  • โœ… Fillings/Restorations Fillings to restore teeth damaged due to toothbrush abrasion, attrition, erosion, and fluorosis
  • โœ… Resin bonding for restorations is charged as a separate procedure from the restoration.
Note: A full list will be provided.

MediCurve Waiting Periods

Often, there is a waiting period for pre-existing conditions. This is to prevent new members from abusing medical insurance for a short period to finance pricey procedures and then canceling their membership shortly after.   According to the Medical Schemes Act No. 131 of 1998, the following waiting periods may apply:  
  • โœ… A 3 (three) month general waiting time for all benefits.
  • โœ… A maximum 12 (twelve) month exclusion for a previous ailment.
A late joiner contribution penalty.MediCurve Plan Exclusions and Waiting Periods

MediCurve Plan vs. Similar Plans from Other Medical Schemes

๐Ÿ”Ž Medical Aid Plan๐Ÿฅ‡ Medshield MediCurve๐Ÿฅˆ Bestmed Beat 1๐Ÿฅ‰ Medihelp MedVital Elect
๐Ÿ‘ค Main Member ContributionR1,821R2,523R2,412
๐Ÿ‘ฅ Adult Dependent ContributionR1,821R1,959R1,752
๐Ÿผ Child Dependent ContributionR483R1,061R1,014
๐Ÿ“Š Annual LimitUnlimited Hospital CoverSeveral limits and sub-limitsUnlimited Hospital Cover
๐Ÿ’™ Hospital CoverGenerous hospital cover in the MediCurve Hospital NetworkSubject to scheme rulesUnlimited
  Medshield MediCurve Plan vs. Similar Plans from Other Medical Schemes

Our Verdict on The MediCurve Plan

Our Verdict on MediCurve from MedShield   ๐Ÿ’™ Overall, Medshieldโ€™s MediCurve plan is a comprehensive medical aid offering that gives members access to a range of benefits, including in- hospital and out-of-hospital care.   ๐Ÿ’™ The plan features an extensive network of healthcare providers, ensuring members have access to quality healthcare services across South Africa.ย  Furthermore, even as an entry-level plan, MediCurve offers comprehensive cover for maternity, chronic conditions, oncology, dentistry, optometry, internal and external prostheses, and more.   ๐Ÿ’™ However, there is limited out-of-hospital coverage, and many co-payments apply, especially when members do not use a provider or facility within the MediCurve network, which could limit the treatment options.   You might also like the Best Medical Aids for Babies in South Africa

MediCurve Plan Frequently Asked Questions

What is MediCurve?

MediCurve is a comprehensive medical aid plan offered by Medshield that covers both in-hospital and out-of-hospital medical expenses.  

What are the benefits of MediCurve?

MediCurve provides members access to a range of benefits, including chronic medication coverage, hospital coverage, and flexible savings accounts.  

How much does the MediCurve plan cost?

MediCurve costs R1,821 for the main member and per adult and child dependent. Members should note that co-payments are paid out-of-pocket.  

Does MediCurve cover chronic medication?

Yes, MediCurve covers the chronic medication, subject to certain conditions and limits.  

Does MediCurve provide hospital cover?

Yes, MediCurve includes hospital cover, and members can access a network of healthcare providers across South Africa.  

Can I choose my healthcare provider with MediCurve?

Yes, MediCurve members have access to a network of healthcare providers across South Africa, and they can choose their preferred provider.  

Does MediCurve offer a savings account?

No, MediCurve does not offer a savings account. Instead, the plan covers treatments, medications, services, and procedures from an overall limit and daily benefit.  

How do I enroll in MediCurve?

To enroll in MediCurve, visit the Medshield website or contact their customer service team for assistance. You can complete the application form, provide the supporting documents, and await approval.  

Can I change my benefit option under the MediCurve plan?

Yes, members can change their benefit option under the MediCurve plan during the annual open enrollment period. However, changes outside this period may be subject to certain conditions and limitations.
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