About Maternity Benefits, Hospital Plans and Childbirth Cover

The importance of pre-natal care cannot be stressed enough. Millions of women around the world are giving birth each year, and a significant number of these will have complications related to the birth.

In South Africa you dare not give birth in most state hospitals as maternal deaths in their health facilities are high. Giving birth in a public hospital can be scary, and the last thing you need in your life is to risk giving birth in an over-crowded, dirty hospital ward. However, this may well be your lot without a medical aid.

Without medical aid, childbirth in a private hospital in South Africa can start at approximately R15,000. If there are complications and your new-born requires hospitalisation, you can expect to pay in the region of R6,000 to R11,000 if your baby is in a neo-natal intensive care unit. Who has that kind of money to pay? 

With such high costs it is important to join a medical aid before you become pregnant, which will cover both natural birth or caesarean section. The Fedhealth Baby Programme for instance is excellent, offering exceptional advice and support. One or two of these are providing access to their 24 hour medical advice line, funding for Doula assistance during natural birth, regular educational emails and following up on the birth within a week of the due date.

Maternity Benefits, Hospital Plans, Childbirth Cover – Full Cover is the First Choice – if You Can

Maternity Benefits Hospital Plans Childbirth CoverWhether you are on a medical aid or not, it is important to start with prenatal care as soon as possible for the health of the mother and the baby. It is important to do research and to find out what the different medical schemes offer in terms of pregnancy and childbirth. Maternity benefits are essentially the same among all the schemes, and if you have full cover, then you will benefit from having  your antenatal consultations as well as the birth covered by your medical scheme.

Maternity Benefits, Hospital Plans, Childbirth Cover – Lots of Perks – If You Sign Up Well Before the Time

If you have a hospital plan, then perks such as antenatal consultations will have to be paid out of your own pocket. Your delivery costs will be covered because you will be giving birth in hospital.

Newborns are automatically covered on the parents medical aid at birth. You just need to inform the medical aid, usually within 90 days of the new baby, so that the monthly premiums can be amended.

Joining a Medical Aid when You’re Already Pregnant is too Late

Take note that most medical aids in South Africa don’t cover pregnancy and delivery costs if you join them when you are already pregnant.  A woman who is already pregnant at the time of joining a medical scheme has what is known as a pre-existing condition, and medical aids  in South Africa impose a 12 month waiting period for a pre-existing condition.

It is also important to bear in mind that a number of gynaecologists for instance charge higher rates than what your medical aid will pay.  These are rates above the NHRPL (National Health Reference Price List). To solve this problem you will have to look at gap cover if you don’t want to pay the surplus from your own pocket.

If you are pregnant and are adamant that you want to have your baby in a private hospital, you will have to save so that you can pay cash for the procedure, and then an upfront cash amount will be required. Check out the delivery packages that certain plans offer because for one single price, all costs related to childbirth will be covered, except for extraordinary care such as if your baby spends time in the neonatal ICU unit.

Pregnancy and Childbirth Require Excellent Care from the Outset

There should be no compromise when it comes to good care during pregnancy and childbirth and the solution is to join a good medical aid before you become pregnant so that you can benefit from excellent health care from word go.

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