How to Choose a Medical Scheme -
Some Factors to Consider
How to choose a medical scheme is a question a lot of people ask,
especially if you lack the knowledge of the medical industry. We will take a look at the type of schemes available
and the factors to consider when choosing a scheme.
What is a medical
A medical scheme is a non-profit organization that
helps you pay for your private sector medical costs. They require a monthly premium, all the premiums of all the
members are pooled together to have the funds available to pay for claims.
What kinds of medical schemes do we
Open schemes are schemes that provide medical aid
cover to anybody who wants to purchase it. By law they are not allowed to turn away any prospective member, either
based on the medical history or race of the applicant.
Some of the largest open medical aid schemes in South
• Discovery Health
• Momentum health
• Resolution Health
• Liberty Health
To get your medical aid plan quote by
Closed schemes provide medical cover for employees
of specific companies. People not employed by these companies are not allowed to join these schemes; though some of
them make allowance for families should the employee pass away.
• According to the medical schemes act, schemes
need a solvency ratio of 25%. Choose a scheme with a higher solvency rate, which will mean that there is enough
money available in the scheme to pay for your medical costs.
• Choose a scheme with a high amount of members. A
scheme with more members will have more income, meaning more money available to pay for your medical
• Look at the claims payout percentage of the
prospective schemes. Pick a scheme with a high claims payout percentage, this means the chance that your claims
will get paid is higher.
• All schemes have rules. Make sure you pick a
scheme whose rules you can comply and adhere to.
• Look past the glitter. Medical schemes are
expensive and the added glitter might cost you more than a scheme that does not have all the added
• The claims process. Some schemes require you to
pay the bills first and then claim it back from them. Rather consider a scheme with an easy claims
• Search the internet for customer reviews of the
schemes, you might just learn more than you expected and this will help you make an informed
• Choose a scheme with a wide range of medical aid
options, this way you are sure to receive the best cover available for your money. Read this useful article about
the cheapest medical aid in
How to choose a Medical
How to choose a medical
scheme? Pick a scheme with; a high solvency ratio, high member numbers, a wide range of medical aid
plans, a high claims payout percentage, rules you can follow and good customer reviews. © Medical Aid Plan.
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