The Council of Medical Schemes is considering dissolving 29 medical schemes that have fewer than 6,000 members to better cross-subsidise risk. The Medical Schemes Act mandates that a scheme must have 6,000 or more members to be registered as a scheme (but it does not mandate that the scheme has to maintain this level of membership). There are 31 schemes that could thus be dissolved or amalgamated, three of...
Pregnancy is considered a medical condition, and as such is subject to waiting periods when you join/change medical aid schemes. Waiting Periods If you have not had medical aid for more than 90 days and are pregnant, a scheme can impose a 12 month waiting period on your pregnancy, meaning that it will not cover any costs related to the pregnancy for 12 months from the time of your application. (The...
Affordable Medical Aid
The Medical Aid Bible team has been listening to some of our wonderful site users, and we have heard horror stories about how some of you are being overcharged for the Late Joiner Penalty. This enticed us to investigate how each scheme handles the penalty. We found some big irregularities.
We investigated all the open medical schemes, and discovered some discrepancies in how some schemes are representing the late joiner penalties (LJP). Bestmed was one of those schemes.
We investigated all the open medical schemes, and discovered some discrepancies in how some schemes are representing the late joiner penalties (LJP). Commed was one of those schemes.
We investigated all the open medical schemes, and discovered some discrepancies in how some schemes are representing the late joiner penalties (LJP). Genesis was one of those schemes.
We have found that some schemes and brokers misrepresent or miscalculate how the late joiner penalty is applied. We have laid three complaints with the Council of Medical Schemes. If you are paying a late joiner penalty, you can use the information on this page to determine if you are paying the correct penalty.
Should medical schemes fund experimental treatments if they are a member's only option for survival?