Not getting the results you expect from your medical aid? Here is what you can do.
Given the complexities of medical aid plans, the vast number of members many of them have and the multitude of medications and health issues, problems do occur. Sometimes it is a lack of understanding on the part of the member and at times, the medical aid company is wrong.
MedShield has been in operation since 1968 and their current membership is 191 000. They have received an AA-Global credit rate for 11 consecutive years. They have won numerous consumer awards and accolades for their speedy and accurate claims process.Continue reading
Resolutions Health strives to provide South Africans with quality healthcare at affordable prices.
There are 7 plans that Resolution offers, Foundation, Hospital, Progressive Flex, Progressive Flex Plus, Millenium Select, Millennium and Supreme.
Genesis Medical Aid has been around since 1995. Genesis is rated in the top five medical schemes. The best value for money rating was given to the Private Choice option for the last 3 consecutive years. The options are simple and you have a choice of four options, the Private Choice, Private, Private Plus, Comprehensive option. This is the ideal choice for entry-level buyers and the middle to high-income bracket. They are said to have low monthly contributions on child dependents making it the ideal choice for big families. Any unused Medical Savings is carried over to the next year.
Oxygen medical scheme and Medshield Scheme merged in October 2010. They are now the fourth largest medical aid scheme in the country. They have a beneficiary base of 110000 principal members. They also have an AA- credit rating. The benefits of Oxygen is the one-day turnaround of all claims. There is access to a 24-hour medical guidance over the telephone. They offer the Medshield options.
Liberty Medical Scheme (LMS) was a medical scheme service provider with more than 118 000 beneficiaries. In 2016 the company merged with the Bonitas Medical Fund and will continue under Bonitas’ name.
Medihelp offers medical aid plans for different life stages and different budgets. They have 200 000 members in just 20 years. All plans cover major medical services, screening tests and day-to-day doctor visits.
Medihelp has a Healthprint Programme available to all members at no extra cost. This qualifies them for discounts on products and services in both healthcare and retail stores. Expectant mothers can enroll for the Mum and Me programme. There is an online list of vaccines that baby will require. Active people can join the Multisport club. There are discounts at approved gyms and sports tournaments. It is currently only in the Gauteng North region. Membership includes a free starter pack and free entry to Medihelp sponsored events. There is a discount on all cycling and gear.
Momentum is currently the fourth largest provider of medical aids plans in South Africa. They have a member base of 90 000.
Momentum Multiply is a wellness programme
Adventure Boot Camp is targeted at the adult female and is four-week courses that offer health and fitness activities. This way they can earn points. There are sports programmes targeted at males. For children, there are fitness challenges staged at different intervals. If you cannot make any of these there is free online access to fitness routines provided by FitTrack. To top all that if exercise is not for you, they provide you with a free pedometer that can earn you points.
GEMS stands for Government Employees Medical Scheme. The medical aid is simple. You are covered for all the basic medical requirements provided that you use the dedicated general practitioner or hospital in that plans authorised list. There are no frills and fancies on this medical aid. Important to remember is that everything has to pre-approved to avoid penalties. There is a Wellness programme but it has to be approved by your department. Gems medical aid has five options
Plan ahead for a worry-free pregnancy.
The important thing to do, if you are planning to fall pregnant, is making sure you are on a medical aid first. Most will not provide cover if you fall pregnant before joining the scheme. This could result in you facing a large medical bill for treatment during pregnancy and the delivery or using public healthcare to reduce the costs.
Most medical aids in South Africa will provide expenses for checkups and treatment during your pregnancy, hospitalisation and delivery and some antenatal benefits. That is, provided you were on the plan before falling pregnant. Joining a plan after falling pregnant could mean you are subject to exclusions or a waiting period.