The best medical aid for families in SA

The best medical aid for families in SA

Finding the best medical aid for families is something that requires a lot of research and comparison. But if you feel like you’re in over your head, we’re here to lend you a helping hand. Take a look at our roundup of the best health care insurance options for you and your family.

 

Best medical aid for families – which ones are the cheapest?

When you take a look at the premiums payable, FedHealth comes in as the medical aid that offers the best value for families. When you consider overall health and longevity at a solvency level, membership growth, and net healthcare results, Discovery is the best medical aid for families in SA.

Now, more than ever, families are looking at the price but also considering what they’re forfeiting for a lower premium.

 

Even though we have a wide variety of service providers, here are the five options for best medical aid for families:

  • Discovery
  • FedHealth
  • Medshield
  • Momentum
  • Bonitas

 

How to choose the best medical aid for families

When considering a new medical scheme, it is essential to look at a few factors before making the switch. These include:

Administration

Does your medical aid administrator have a good track record for processing claims? If you’re not sure what the norm is, visit the Council for Medical Schemes website for the details.

 

Coverage

Cover varies from one scheme to the next and changes on an annual basis. Depending on the benefit option, most schemes pay between 100% and 300% of their Medical Scheme Rate (MSR). The Medical Scheme Rate is determined in line with the National Health Reference Price List. If your medical service provider charges more than the MSR, it is a good idea to consider gap cover. Gap covers are ideal for covering shortfalls.

 

Exclusions

You need to know what you’re NOT covered for, which is why it is important to inquire about this. Some medical aids do not cover specific medical conditions, so be sure to read the fine print before signing the dotted line.

 

 

Co-payments

Most medical aids have co-payments that have to be paid in private by members. These can apply to elective procedures like joint replacements. The payments differ from one scheme to the other and also depend on whether it is an in-our-out-of-hospital procedure.

 

Preferred Provider Network

Medical schemes use Provider Networks to keep health costs down to a minimum. Typical provider networks cover pharmacies, GPs, specialists and hospitals, among others.

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By Jess Green

Jess is a happy father and avid supporter of kiddles, writing occasionally and keeping the website afloat. His favourite kids activity is hiking and teaching kids about nature.

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