May
9

A Planned Procedure: What Medical Aids Cover

Medical aid members can save themselves significant amounts of time, money and effort this way. They should ask their medical aids the right questions, especially ahead of a planned procedure. Understand what your medical aid can do for you before going into hospital…

Apr
3

Who qualifies as a dependent on a medical aid scheme?

Having a medical aid is a necessity, especially if you have a family who depends on you to be healthy and able-bodied. However, many of us have a family member who we would like to add to our medical aid. These include spouses,…

Apr
2

Discovery Medical Aid Medication Cover Explained

Discovery Medical Aid covers certain medication for certain conditions depending on the plan you are on. Acute Prescribed Medicine Discovery offers cover for prescribed acute medicine from the day-to-day benefits of each plan. So this refers to medication that is for a specific…

Apr
1

Avoiding a Late Joiner Penalty for Medical Aid

Most medical aids charge a penalty for joining late. The Medical Schemes Act of 1998 requires medical aids to be open to all. However, medical aids may, by law, impose a late joiner penalty. This protects schemes from members holding off on joining…

Apr
1

What is Medscheme?

Medscheme offers medical aid administration and health risk management solutions to its clients. Significantly that  includes both medical aids and large corporates. Significantly, Medscheme is the largest provider of health risk management services in South Africa. Also it is the second largest medical…

Mar
30

Will Discovery Pay for a Colonoscopy?

What is a colonoscopy? Colonoscopies are generally used to screen patients for colon cancer but may also be administered for other reasons. Using a long, flexible tube with a camera and light source at its tip, a doctor can look at the inner…

Mar
30

Do Medical Aids Cover Scopes and Scans?

Scopes and scans can be extremely expensive procedures and it is important for medical aid members to understand any payment limitations. Scopes and scane include well known diagnostic procedures such as: A CT (computed tomography) scan MRI (magnetic resonance imaging) Colonoscopies and endoscopies…

Mar
30

Restrictions on Medical Aids in South Africa

The medical aid industry in South Africa is strictly regulated and includes restrictions, thanks to the Medical Schemes Act. This protects members and also helps to ensure the various schemes are financially sustainable. South Africa is very progressive in this regard and many…

Mar
30

What is a Medical Aid PMB?

PMB is the abbreviation for Prescribed Minimum Benefits. This is a set of conditions, defined within the Medical Schemes Act, says that all medical aids have to cover. Therefore, regardless of a member’s option or plan, medical aids must provide diagnosis, treatment and…

Mar
29

The Role of the Registrar of Medical Schemes

The Registrar of Medical Schemes is appointed by the Minister of Health and acts as Chief Executive of the Council for Medical Schemes (CMS). Therefore, all medical aid members in South Africa should inform themselves about the Council, what is does and how…

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