Medical Schemes Act

The Medical Schemes Act cites its purpose as To consolidate the laws relating to registered medical schemes; to provide for the establishment of the Council for Medical Schemes as a juristic person; to provide for the appointment of the Registrar of Medical Schemes; to make provision for the registration...

How does your medical aid cover a mammogram?

October is breast cancer awareness month, and therefore it's a good time as any to investigate how your medical aid covers a mammogram. Below we list all the plans for which schemes pay for mammograms.

Medical Aid contributions increases for 2017

From the look of things thus far, 2017 will see a hefty increase in premium contributions across all medical aid schemes. Certainly, the schemes that have already reported their increase at the time of this post (Oct 4) have all increased their premiums by more than the CPI index

Medical Aid 101

How to use this site

We know the medical aid industry is complicated, and the information presented on this site can be overwhelming. Hopefully this page will be a...

All about PMBs, and how schemes have to pay for them

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.

How medical aids work

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.