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Waiting Periods for Maternity and Pre-Existing Conditions

It is important to understand how waiting periods work, particularly for maternity and chronic diseases. All medical schemes apply waiting periods for new members. This means that the medical aid member cannot claim for a specified period of time. However, there are...

Health Insurance Pays Cash To You Not Your Doctor

You may have heard about health insurance, previously known as hospital insurance. At face value these products appear to be similar to medical aid except for a significant price difference. However, health insurance or hospital insurance is not medical aid and vice...

Late Joiner Penalty Fee for Medical Aid

A late joiner penalty is a fee that a medical aid in South Africa levies for new members who join the scheme after 35 years of age. While South African medical schemes have an open policy for members younger than 35 years, the situation changes as you get older. By...

Scans and Scopes May Not Be Covered By Hospital Plan

Doctors have always tried to help patients with their medical costs particularly when it came to inadequate cover in the form of lower plan medical aids. One such instance is when it came to expensive diagnostic procedures like a CT scan (computed tomography), MRI...

Medical Aid Paid Member and Not Doctor

There are several reasons why a medical aid may pay the member directly and not the doctor. If the member is paid by the scheme, it is their duty as a patient to ensure that the doctor is settled in full. It is important to remember that when you have medical aid, the...