Medical Insurance

Medical Insurance for daily health care needs

What is medical insurance?

Medical Insurance mainly offers benefits for daily health care needs such as GP visits, scripted medication, dentist visits and optometry with the option to add on hospital cover. The hospital cover offered by Medical Insurance companies is not extensive. It is usually limited to accidental and emergency cover only. They only cover certain procedures at a fixed rate per day spent in hospital.

The Medical Insurance companies are not obligated to cover any conditions in full no matter the severity thereof. They are only obliged to pay the set rand value as per the policy chosen. This usually results in many members experiencing major out-of-pocket expenses when hospitalised. Whilst Medical Insurance may offer South Africans financial relief in comparison to Medical Aid, the differences in benefits need to be analysed and given careful consideration before a decision is made.

Benefits of medical insurance:

Hospitalisation coverage

Health insurance provides a limited lump sum or daily rand amount for hospitalisation costs, but it is usually a rand amount of events per year for Accidental and Emergency cover only.

Surgery Coverage

This covers the cost of surgery, including the surgeon's fees, hospital fees, and anaesthesia for Accidental and Emergency procedures.

Prescription Medication Coverage

This covers the cost of your prescription medication based on a formulary list of medications.

Preventive Care Coverage

This covers the cost of preventive care, such as doctor visits, vaccinations, and screenings.

Day-to-Day:

These benefits are related to your general practitioner visits, basic dentistry and optical benefits at designated network providers

What other clients also insured

Unit Trust

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Education Planning

Education Planning is a way of securing funds for future school and University education costs, a vital way of reaching for your family’s potential.

Retention Plan

A Retention Plan is a way of incentivising and motivating current and future employees to remain within a company.