How do I make a medical aid plan change (2024)?
A quick guide to how you can change your medical aid plan, including the resignation procedure, and things to look out for, such as imposed waiting periods from your new scheme
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Medical Aid waiting periods: what you need to know (2024)
Waiting periods can prevent you from getting the cover that you need – but they are not always applied. Find out rules here.
Late Joiner Penalty and medical aid: what you need to know (2024)
Some – but not all! – people who join a medical aid and are 35+ yrs old will pay a Late Joiner Penalty.
Pregnant with no medical aid? (2024)
What kind of cover can you expect if you join a medical aid while pregnant? What about cover for your baby?
10 real ways to save money on your medical aid in 2024!
There are real things you can do to save money and optimize your plan. Example: some plans don’t charge for all your kids.
Is there a “no waiting period” medical aid (2024) ?
There are 4 specific circumstances in which a new member can avoid a waiting period – but it’s not usually in the member’s control.
How PMBs work:
List of PMB conditions: Brain and Nervous System
PMB list Below is a list of the PMB condition treatment pairs for Brain and Nervous System. Your medical aid has to pay for the
How are medical aids supposed to pay for PMB conditions?
How do medical aids pay claims for PMB conditions? Can they require you to use State facilities? Must they pay for diagnosis tests?
List of the 27 CDL (PMB) Chronic conditions
Chronic PMB conditions PMB (Prescribed Minimum Benefits) conditions, including chronic PMB conditions, are conditions that all medical aids need to pay for, regardless of what
List of PMB conditions: Musculoskeletal System
A list of the PMB conditions that need to be covered for diagnosis, treatment and management, in full, by your medical aid.
List of PMB conditions and their prescribed treatment
A full list of links to all 270 PMB conditions, as well as the 25 CDL conditions.
PMBs: everything you need to know
A helpful introduction to PMBs, and what they mean for you as a medical aid member. Includes links to all PMB conditions and treatments.