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Medical aid pays according to specific tariffs for different treatments and procedures.
Hospital insurance is not medical aid but pays you cash for each day in hospital.
Medical insurance covers part of your medical bills per event with unlimited GP consults.
How Does Medical Aid Work?
Private health care in South Africa is expensive and most South Africans cannot afford. Medical aid helps consumers pay for private healthcare by funding the cost through a collective pool. The premiums of all members are pooled together and the bills for legitimate medical expenses are paid out by the scheme.
Do I Need Medical Aid?
Private health care in South Africa is expensive and most South Africans cannot afford. Medical aid helps consumers pay for private healthcare by funding the cost through a collective pool. The premiums of all members are pooled together and the bills for legitimate medical expenses are paid out by the scheme.
Medical Aid Active, Suspended or Terminated: What does it mean?
The status of your medical aid cover is an important factor to consider when you need to access healthcare services. If you have not been up to date with payments then it is important to speak to your medical scheme…
Medical Aid Short Paid or Not Paid By Employer
Having a company medical aid is a benefit that not all workers are fortunate to have. It is not mandatory but may employers see it as an incentive to employees above and beyond the monthly salary and year end bonus.…
Hospital Admission Authorisation On Medical Aid
Unless it is an emergency situation, you cannot simply walk into a private hospital and request admission even if you are on a medical aid. Many medical aid members are under the misconception that having cover means guaranteed and immediate…