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Here are some medical plans from as little as R 455 per month (single member) you should investigate:


WHICH ARE THE BEST STUDENT PLANS - Premiums from R 450 pm?

cheap student plan
2 schemes offer a plan at subsidised rates for full-time students.

Here you can see exactly what benefits you have with each plan.

These plans offer you private hospitalisation at any hospital you choose (one uses listed hospitals) and mostly unlimited day-to-day benefits through a network of private providers.

Home Affairs accepts these plans for International study VISA requirements!

International students pay for 12-months - OR depending upon the term required by your visa - and you need to deposit fees for that period.

I will immediately process your application and within a day or 2, provide you with your certificate.
This you submit to Home Affairs as proof of joining a recognised medical aid.

Local students pay by monthly debit order.

These are really the best student medical aids to seriously consider joining!

ARE THERE PREMIUMS BASED ON WHAT YOU EARN - Premiums from R 455 pm?

cheap income related premium
We do not all earn high salaries and that that should not deny you access to a medical aid. So, medical aids offer private healthcare plans, with premiums dependant upon what you earn.

These plans require you to use providers linked to the medical aid.
In that way, the scheme can control the costs providers charge and give the member the savings.

By accepting to use listed providers and hospitals, you get good in-hospital cover mostly unlimited day-to-day benefits!

These are the 2 most popular schemes to consider:

DISCOVERY HEALTH KEYCARE - the biggest, most popular plan in SA!

3 plans with unlimited in-hospital cover and day-to-day benefits, using extensive listed hospitals and GPs.

Unlimited hospital in the KeyCare Private Hospital Network. Casualty. Full cover in-hospital for KeyCare specialists. Chronic medicine. Comprehensive pre- and postnatal healthcare. Unlimited networks benefits for GP, blood tests, X-rays, basic dentistry, eye care, prescribed medicine and referred specialist visits. Preventative healthcare benefits.

Premiums from R 949 pm


MOMENTUM INGWE PLAN - affordable entry-level cover at listed providers.

No overall annual limit in hospital cover.
You can choose to use Any hospital, the Ingwe Network of private hospitals (lower premium), or State hospitals (even lower premium).

Network providers for Chronic treatment and day-to-day benefits, such as GP visits or prescribed medicine. A range of preventative care benefits. Baby immunizations, Flu vaccines, Pap smear, Cholesterol test, Antenatal visits, Emergency evacuation etc.

Premiums from R 455 pm


LOW PREMIUM NETWORK PROVIDER PLANS.

cheap network plan
Medical aids negotiate low fees with certain providers and then pass those savings onto members through lower premiums.
All you have to do is agree to use these hospital and day to day providers to get lower premiums.

LISTED PROVIDERS

Unlimited hospital cover for PMB conditions (and generous limits, per beneficiary, for non-PMB treatment) with specified benefit limits for out-of-hospital services - all at network providers.

Specified day-to-day benefits are paid from day-to-day limit. These cover GP and specialists visits, acute medicines, casualty and emergency services, basic dentistry, optometry, radiology and pathology.

Generous benefits offered during pregnancy, at birth and after birth.

Premiums from R 1,416 pm


LISTED HOSPITALS with co-payment for day-to-day costs

Unlimited listed private hospital with guaranteed full cover for linked, in hospital specialists. Chronic medicine. Pre- and postnatal healthcare services for maternity and early childhood.

Day-to-day cover for GP, medicine, eye and dental check-up and sports-related injuries – with fixed co-payments and/or limits.

You only pay for out of hospital treatments when you need them!

Premiums from R 1,400 pm

WHY NOT CONSIDER AN IN-HOSPITAL BENEFIT ONLY PLAN?

hospital plan
The greatest medical financial risk we face is Private Hospitalisation.

So, it is vital you have at least a medical scheme, hospital benefit plan!

If you then self-pay your own day-to-day costs directly or from your own savings plan, you can control your medical cover cost!

You are ONLY "insuring" against those extremely high and unforeseen hospital costs and not paying high premiums for a comprehensive medical aid.

An excellent way to control your healthcare costs!

Your savings are yours to spend as you want. You earn interest on any balance. You control the usage. A medical plan savings does not do this!

1. NETWORK of HOSPITALS ONLY - from R 1,681 pm

Unlimited network private hospital with guaranteed full cover for linked, in hospital specialists. Defined list of procedures in a day surgery. Chronic medicine. Pre- and postnatal healthcare services for maternity and early childhood.


2. NETWORK of HOSPITAL and preferred chronic providers - from R 2,423

No overall annual limit for hospitalisation. Guaranteed full cover for linked, in hospital specialists. Chronic medicines. Screening tests, a maternity programme, certain check-ups and more!

Use listed providers for chronic medicines and get discounted premiums!


3. BEST ANY HOSPITAL and DENTAL benefits - from R 1,850 pm

Only one plan covers hospital and essential dentistry in one plan! Private hospitalisation and related accounts. Certain treatments done in GP surgery. Longer-term treatments like Cancer, Stroke, Organ transplant. Emergency evacuation. Chronic medication. Essential dental costs.


4. And the BEST OF ALL ... ANY HOSPITAL WITH A SAFETY NET OF DAY-TO-DAY SAVINGS SHOULD YOU NEED THEM!

This plan is basically an unlimited in-hospital plan where you can use any providers.
BUT, it has a safety net of funds available, should you have excessive day-to-day costs!

It is the only plan to offer this benefit and I urge you to seriously consider it.
Premiums from R 1,871 pm.


For other ideas, please see: 11 Ways to Reduce Your Medical Aid Premium.


top upPrivate provider fees are not regulated and many can charge up to 500% of the medical scheme rates!

Some plans pay claims at 200% or 300% of medical aid rates, offering you a lower claim shortfall, but these are more expensive.

Increasingly, plans also have procedure co-payments, which you have to fund.

You are strongly advised to consider a GAP or TOP UP insurance plan to address these threats.

This separate insurance plan will cover most in-hospital claim shortfalls and scheme co-payments.

By adding a Top Up plan you can improve your medical aid benefits, so-much-so, that you can even consider joining a lower cost/benefit plan - with a lower premium - and still have an excellent, no risk medical aid for virtually the same premium as the higher medical aid!

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You must consult the schemes/company product brochures and rules for comprehensive benefit descriptions.

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peter pyburn brokerpeter pyburn

Last update: May 6, 2021

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