There are a number of widely believed myths about medical schemes in South Africa. This article will give you the truth behind the myths.
Many of us are healthy and rarely get sick. This applies to individuals as well as families. What a pleasure to have good health but do not take it for granted. Even the healthiest people can suddenly be struck down with a serious illness or have a major injury or accident. Do not think it can’t happen to you or your family.
Sadly, government hospitals in South Africa suffer from a lack of funds, a lack of staff and a lack of equipment. Many of them try very hard but struggle to give good basic health care. If you can afford it, medical aid is not a luxury, it is essential.
There are a number of good reasons to join a medical aid and the sooner the better.
Caring for the health and comfort of those in their golden years is not always easy.
Pensioners find themselves face to face with some tough issues when it comes to medical aid. In many cases, the elderly have limited financial resources at their disposal at retirement and due to their age, they need medical care for any chronic or other conditions they may have as they get older.
Changes to the National Health Insurance (NHI) are going to happen. The final details are not yet cast in stone but a dramatic shift is imminent. By 2022, the NHI should be in full effect.
Some of the points are still being debated but the changes will have a dramatic effect on most South Africans.
It is extremely important that medical aid members understand co-payments in order to avoid costly surprises. Medical aid plans have to have limits in place to control their business, calculate monthly contributions and avoid abuse.Continue reading
Medical aid jargon can be pretty confusing to say the least…
In today's world, many of the most commonly used terms have been reduced to acronyms and other jargon. There is industry-specific jargon which can be confusing for the average citizen to fully understand, particularly when it comes to medical aid.
Having an understanding of the terminology will help you to better understand what each of them means. Let’s take a look at some of the more common ones.
Medical aid companies receive many complaints. Often this stems from a lack of understanding of how the plan works.
Many people do not read the fine print until there is a dispute. The best bet is to study or have an independent broker explain the details of the plan to you.
That being said, there are defiantly some medical aid companies that offer better service than others.
The most recent statistics released by the Council for Medical Schemes (CMS) shows that of the 82 registered medical aid schemes in South Africa, Discovery is by far the largest in terms of members. The figures, released late 2017, show Discovery to have just over 2.7 million members. That is close on a million more than the second largest, the Government Employees Medical Scheme, GEMS. Discovery has in excess of 50% of the market share. Not bad for such a competitive industry.
At first glance, the rules as to who qualifies as a dependant on a medical aid scheme might appear a little confusing. It is actually pretty straight forward and while pricing and certain conditions might differ from one provider to another, the basic rules are quite clear and apply to all South African medical aid schemes. The rules are dictated by the Medical Schemes Act and in short, state that no person dependant on a member may be refused admission to the plan.