Medical aid is not a simple purchase!
You need to investigate a number of facts before you decide on a scheme, so take a look at this guide on HOW TO CHOOSE YOUR MEDICAL AID. It will help you.Unless you are extremely fortunate and can pay medical expenses yourself, you need to consider medical cover. You need to make sure that any emergency treatment, hospitalisation and high out of hospital costs can be paid for. After all, medical care is something we will all need at some time.
The type of plan for you, best depends upon what you can afford to pay.
Medical aid is like car insurance - you need insurance for major medical costs - PRIVATE HOSPITALISATION, not necessarily the minor costs - like day-to-day costs.
And there is really only one medical aid that offers this...GO THERE!
It is equally as important to know what you are NOT covered for!
Why not phone your local hospital accounts or your GP and ask their opinion on a medical aid you are considering!
Major Medical ExpensesYour greatest financial threat lies with hospitalisation.
Unexpected trauma or elective surgery can cost a fortune. You don't know when it may happen or how much it will cost- Do you want private or medical aid rate cover in hospital? Medical aid rate cover costs less, but will only pay around 70% of your private hospital costs.
- Will you accept an overall limit on hospital cover? Again, it costs less, but remember that if your family are hospitalised together, you could be in serious financial trouble!
- Would you be happy being treated only by a network of the scheme's hospitals?
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Day-to-day costsMost "New Generation" medical aids have a savings account, from which out of hospital expenses are paid. The scheme will "credit" you your total monthly savings up front in your account. Whatever is left at the end of the year, rolls over to the next year.Some schemes offer threshold benefits, where if your savings are used up and your claims have accumulated to a defined amount - the scheme will pay further claims for that year. Other schemes pay limited claims from a pool of all member funds.
You can still buy a "traditional medical aid" - where everything is covered - from a few companies. |
Chronic medicinesBy law, schemes have to pay medication for 25 conditions (Prescribed Minimum Benefits).
However, they can still control the type of medicine and only pay medicines that fall within their lists (formulary).
Medicines for other conditions may be covered by the scheme or paid from your savings.You can elect to only have hospital cover with the minimum chronic medication. Then you are responsible for your out of hospital costs.
This type of plan is recommended where you may not be able to afford a full medical aid. |
Compare your existing scheme to these ones!
Or get a quote on these schemes!
FEDHEALTH - WITHOUT DOUBT, THE FINEST PRIVATE HOSPITAL BENEFITS!
DISCOVERY HEALTH - good gym subsidy benefits!
OXYGEN - PAY FOR ONE CHILD ONLY - rest are FREE!
MEDSHIELD - Excellent benefits for a superb price!MOMENTUM HEALTH
Medical Aid
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