Tuesday, September 07, 2010
   
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About the Medical Aid sector in South Africa and what to look for

South Africa has over 40 medical schemes that are open to the public and around 120 private medical schemes totalling around 7 million beneficiaries. The total annual contribution to medical schemes is around R30-billion (according to the Council for Medical Schemes - 2006).

Take into account that South Africa has a population of more than 47 million people! Less than 15% of SA citizens belong to a medical scheme. So the question is, how do you choose a medical scheme or hospital plan, a specific option of the scheme, which benefits to include or exclude? In this ever-changing environment, one needs the services and advice of an independent intermediary.

Someone who doesn't only have the interests of a specific medical scheme at heart, but one who can guide you to ensure your needs is met. An organisation specialising in the healthcare industry should assist you with the following:

  • choosing the "most suitable" medical aid option in the market
  • investigating a number of medical schemes and options
  • providing pro-active advice on your present medical aid
  • assist you with claims and query resolution