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The high cost of healthcare in South Africa makes having insurance incredibly important. Access to high-quality healthcare in South Africa is expensive and often requires you to pay upfront. Having good medical insurance allows you and your family to get the medical care needed when you need it.
Health insurance comes in many different shapes and forms. Below are some of the types of medical insurance that you are able to sign up for.
Medical insurance generally covers the cost of hospitalisation, daily medical expenses, or both. It covers limited day-to-day medical costs with a set amount being paid to the policyholder, regardless of the medical care provided.
Closed or restricted medical aid schemes are only available to people working within a particular industry (and their families). These are usually administered on behalf of companies for their staff and their families.
An open medical aid scheme is the most common type of medical aid and can be joined by any member of the public. You pay monthly premiums in return for financial cover for both medical treatment and expenses.
Hospital plans will cover expenses during planned or emergency hospital visits. They don’t cover day-to-day expenses such as dentist visits or medication.
This short-term insurance provides extra protection for people who already have medical aid. It covers the difference between what the medical scheme will cover and the higher rates charged by private healthcare providers.
This covers you in case you become disabled or contract a dread disease or critical illness. It ensures you are able to retain your standard of living throughout your lifetime by offering a replacement of your income as well as cover for the additional expected medical costs.
Insurance can sometimes be a scary topic to bring up, with the many big words, and confusing terms. Here are answers to some of the pressing questions that people have when looking at health insurance options.
Health Insurance policies usually only allow access to hospitals and doctors within a specific network (DSPs). These designated service providers will largely depend on your chosen Medical Insurance provider and plan.
In most cases, your Medical Insurance provider will pay a set amount for every day you are in the hospital regardless of the hospital you are in. Private doctors and hospitals do tend to charge higher rates so it’s a good idea to look at all the available options before choosing what healthcare professional to go to.
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