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Pregnancy is considered a medical condition, and as such is subject to waiting periods when...

We know the medical aid industry is complicated, and the information presented on this site...

PMBs are 270 conditions that schemes have to cover without requiring co-payments or savings from you, even if the treatment is provided out-of-hospital. This applies to every plan.

A brief introduction to how medical aids work, the different types of plans, and their obligation to cover out-of-hospital expenses for certain conditions, regardless of plan type.

The Late Joiner Penalty is paid by medical aid members who are 35yr+ and who have not always had medical aid. Find out how the LJP is calculated, and whether it applies to you or not.

Medical Aids are complicated and there is often misunderstanding and disagreement between the scheme administrator...

Determining when you can change your medical plan depends on whether you want to stay with the same scheme or not.

Waiting periods are imposed by the medical aid scheme on new members, based on their medical history. The waiting periods can also be applied to Prescribed Minimum Benefits (PMBs).

No, unless you have participated in fraudulent activities with that scheme. A medical scheme is not...

DSP A Designated Service Provider (DSP) is a healthcare provider (doctor, pharmacist, hospital, etc) that is...