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Choosing a Medical Aid in South Africa


 

  

  

Find the Best Medical Aid

Find the Best Medical AidThere is quite a debate going on regarding the best medical aid; however what might be best for one, might not the best for another.

 

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There are a few factors you should consider when purchasing a medical aid:

  • Costs involved: Most medical aid schemes have different plans with different price ranges attached. To find an affordable medical aid that suits, you need to consider these pricing schedules and acquire a product that you can afford.
  • Different options: In South Africa you basically get 4 types of medical aid options: The comprehensive plan that covers all your medical needs. Hospital plans, that only covers in hospital medical needs. A network plan, where in you are required to use a specific network of medical service providers. Hospital insurance, where you get paid a certain amount per day for hospital stay, the rest comes out of your pocket.
  • The amount of cover you need: This depends on a few factors as well; including lifestyle, the size and age of your family and dependants and your current medical history. Families with small children should consider plans with addition benefits suited for the children as they sometimes tend to get injured more than adults.
  • Exclusions: Some medical aid plans have exclusions on certain pre-existing conditions; these conditions can last as long as a year.
  • Waiting periods: When joining a new medical aid, some have a waiting period of three months before you are able to claim.
  • The claims process: There are medical aids that require you to pay for certain procedures beforehand and claim it back from the fund.
  • Deposits: Certain medical aids acquire that you pay a certain percentage for a deposit for procedures and medication.
  • Medication: Be sure about the rules your medical aid have about certain medication, they sometimes pay for generic medication only, and have a list of medication they do not cover. If you need to take chronic medication, consider a plan that has a chronic medicine benefit.
  • Benefits: Should you have any existing medical conditions, ensure that the plan you purchase have enough benefits to cover the needs of those and possible new conditions. Some benefits you should really have a look at is; therapy, optometry, radiology, dentistry and oncology. We sometimes tend to focus on the bigger picture and miss the smaller details, which let us end up with expensive medical bills because the benefits plan of the scheme just did not cover the basics needed.
  • The rules: All the medical aids available, have set of rules you will have to abide by; be it claims, specific doctors you should visit, certain documentation needed, authorization for certain procedures etc. Make sure you find a fund with rules you are comfortable complying to.

There are a lot of factors to consider when you decide to find the best medical aid, suited to your needs. If however you should have doubts rather consult a medical broker than blindly stepping into a trap you cannot get out of. © Medical Aid Plan  

To get your medical aid plan quote by email Click Here