What is Medical Insurance?

Friday, November 17, 2023

Medical Insurance could be the solution you’re looking for. The cost of accessing private healthcare in South Africa can be prohibitively high. Medical Insurance gives South Africans an affordable, cost-effective way to access private healthcare services.

Medical Insurance.

Medical Insurance, also known as Health Insurance, is more affordable and cost-effective than the majority of medical coverage plans in South Africa. Medical Insurance has given South Africans in the lower-income bracket access to private healthcare facilities and services. Without Medical Insurance, many people wouldn’t be able to afford access to private healthcare facilities and private healthcare services.

One of the key advantages of having Medical Insurance is that policyholders can save money by seeing medical providers like doctors and dentists, and have these costs covered. It is, however, important for policyholders to check the terms and conditions of their policy, as limits do apply.

Medical Insurance generally provides hospital cover and day-to-day benefits. Hospital coverage is usually limited, focusing more on accident and emergency coverage. Hospital coverage is often provided through a network of licensed medical professionals and is usually purchased as a value added product.

Medical Insurance key points.

When a person has Medical Insurance, part of the expenses related to the diagnosis of illnesses and treatment of common illnesses like colds, flu, blood pressure related illnesses and Diabetes are usually covered. Cover for emergency illnesses are usually purchased as a value added product.

Depending on the type of benefits and Medical Insurance coverage, your medical providers will be paid directly by your insurer, provided you use a stipulated network provider. Some of the key points of Medical Insurance include:

  • Medical Insurance is often more affordable than other medical coverage.
  • Medical Insurance plans are governed by The Council for Medical Schemes.
  • Payments are made directly to the medical provider.
  • Medical Insurance pays out for treatment at private network doctors (GPs), or dentists, or optometrists that fall within the specific policy limits
  • Medical Insurance can include additional benefits, including accident and emergency cover, maternity lump sum benefits, counselling by health professionals, and death/funeral cover.

No one plans to get sick or injured. Most people, however, will need some form of medical care at some point in their lives. Medical Insurance can provide some form of relief when it comes to high medical costs. Get Medical Insurance Today.