Medical Aid Plan - Affordable Medical Aid for South Africans

Affordable Medical Aid

The South African medical aid industry continues to strive to provide its members with affordable healthcare cover. 

And they will continue to do so in 2019 despite the growing pressures exerted by spiralling medical costs and the advent of National Health Insurance. 

Consumers have a wide range of medical aid service providers from which to choose. Here we take a look at some of the most affordable products available on the market. All monthly premiums quoted are based on a family of four. 

Affordable Fedhealth

myFED is an entry-level medical aid option that has been pinned at a comfortable monthly contribution of R2 580. Benefits include: 

·        Unlimited private hospitalisation at network hospitals 

·        Unlimited GP consultations at myFED contracted GPs 

·        Unlimited prescribed medication 

·        Basic dental and optometry cover  

·        Cover for 26 chronic medications on the Chronic Disease List (CDL) from the Scheme’s designated service providers  

·        Cover of 100% for non-contracted healthcare professionals  

·        An innovative wellness and preventative screening benefit  

·        Limited female contraceptives 

·        Flu vaccinations for the family free of charge 

·        Cover for children up to 27 years who are financially dependent 

In 2019, myFED benefits have been extended to include: 

·        One annual prostate-specific antigen for males between 45 and 69 years 

·        Free access to Fedhealth’sPaed-IQ advice line for all paediatric advice 

Affordable Genesis

Genesis Medical Schemeis proud of the fact that for the last six years it has had the lowest average increase in premiums. It had an increase of only 5.8% in 2018 and, in 2019, its Private Choice medical aid is offered at a monthly cost of R3 080 for a family of four. 

The Genesis Medical Scheme is rated as one of the top five successful medical schemes in the country. This has been established when comparing its benefits versus the cost of membership. Other factors taken into consideration were its financial stability, size of membership, the average age of beneficiaries and the provision of service levels. 

Genesis has been in operation since 1995, and points out that expensive cover doesn’t buy you a better bed in a hospital! 

The Genesis Private Choice hospital medical aid includes many benefits, including the luxury of being able to choose any service provider. 

Ø In-hospital cover  

·        Hospital andrelated costs 

·        Basic dentistry 

·        Emergency medical evacuation 

·        Major Illnesses 

Hospital and related accounts such as theatre costs, x-rays, pathology, physiotherapy, blood transfusion and medication, is covered at 100% of Medical Aid Rates. This only applies to general ward or intensive and high care wards of a private or provincial hospital, day clinic or the recovery room charges of an unattached operating theatre. 

Ø Basic dentistry benefits include: 

·        Three dental oral examinations 

·        Six fillings 

·        Unlimited extractions 

·        Six x-rays for conservative dentistry 

·        Two root canal treatments 

·        Crowns, dentures or bridges limited to R3 500 

·        Surgical removal of impacted wisdom teeth 

Ø Emergency medical evacuation 

·        Access to the ER24 Emergency Contact Centre  

·        Emergency pre-hospital treatment, evacuation and transport, including inter-hospital transfers, within the borders of South Africa 

·        24/7 medical helpline service for medically-related enquiries 

Ø Major illnesses 

·        Prescribed minimum benefits in private or state hospitals 

Exclusions 

·        MRI and CT scans 

·        Diagnostic scopes 

·        A medical savings plan 

·        Medication  

·        Consultations 

These benefits, however, are available at a higher monthly premium.  

Affordable Momentum Health

As Momentum so succinctly says, no matter how wealthy you may be, you cannot enjoy a good quality of life without good health. 

Momentum Health medical aid offers a variety of benefits such as: 

·        Free preventative screenings 

·        Savings on contributions  

·        Ability to pay claims efficiently 

Momentum Health will be increasing its annual premiums by an average of 10.7% in 2019. It will also introduce new products to improve and streamline its healthcare packages. 

For a monthly contribution of R1 204 for a family of four, the Ingwe Optionoffers: 

·        Affordable entry-level coverfor hospitalisation up toR1 260 000 per family annually 

·        The choice of private hospitals on the Ingwe network 

·        The option of using a State hospital for even lower monthly contributions 

·        Chronic treatment and day-to-day benefits 


Affordable Bonitas

BonEssential Select will cost R3473 monthly for a family of four in 2019. 

While there is no savings option with this plan, children’s rates apply to full-time students up to age 24 years. 

Benefits include: 

·        A scheme rate of 100% 

·        Co-payment for up to 22 procedures 

·        Cover for 27 chronic illnesses 

·        Diagnosis and treatment for 270 Prescribed Minimum Benefits 

·        Generous travel insurance 

Exclusions 

·        Most maternity expenses 

·        Mammograms and pap smears 

·        Contraceptives 

·        Terminal care 

·        MRI scans 

·        Mental health issues 

However, all of these exclusions are available at a higher monthly premium. 

Conclusion 

This is just a basic sample of the many medical aid schemes available to South Africans today. 

Consumers are always urged to research the myriad of products that can be found online before making a final choice.  

 

 

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Medical Aid QuoteNOTES:

Your medical aid quote will include options to suit your pocket. Please ensure that the cover you select is exactly what you need and that you understand exactly what insurance you are buying. Do not hesitate to ask questions about the medical aid or hospital cover you choose.