Medical Aid

Understanding the different medical scheme options

Medical schemes have various benefit plans available to members. Members have to choose between hospital plans, hospital plans with a savings component (New Generation Options), traditional plans, comprehensive plans and network plans.

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Medical Aid - The Basics

What are the basic principles of medical aid – how does it work?

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Hospital Plan vs Comprehensive Cover

Your medical scheme membership fees have gone up again. Is it worth it?

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Benefits, exclusions and limitations

Benefits can become complicated. For your own good, here’s what you should know.

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Important considerations when choosing a medical scheme

Before choosing a medical scheme, and an option within that medical scheme, you need to consider the following points...

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How and why people join medical schemes

Most South Africans join a medical scheme through their employment. Another reason why individuals join medical schemes is because they are seeking a perceived higher quality of care in the private sector, particularly for hospitalisation.

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Make the most of your medical scheme cover

Often you hear the complaint; "I'm paying way too much for medical cover". Often you hear people exclaim that they will never buy into the exploit medical scheme cover has become, as there is simply no value for money to be had.

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PMBs and Chronic Diseases

Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected.

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Understanding Medical Aid Tariff

What does '100%, 150%, 200%, 300% and 400% of scheme tariff' mean?

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What to consider when planning a family

Few parents at the outset plan their pregnancy with their medical scheme cover in mind – but that is exactly what should be done.

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NHI concerns are about effects on wider economy

Scepticism of the National Health Insurance (NHI) scheme is not a reaction against change, but shows concern about its impact on the wider economy, consultancy Frost & Sullivan said today.

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SA's NHI has major ramifications for Private Healthcare

The proposal for a National Health Insurance (NHI) was without doubt the most significant development in South Africa's healthcare sector in 2010.

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Frequently Asked Questions

Looking for answers specific to the Medical Aid Industry, visit our Frequently Asked Questions to find those answers.

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Medical Aid Dictionary

Easy-to-understand explanations of medical scheme terms, jargon and abbreviations

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