This is essential reading! Inside is a helpful introduction to PMBs, and what they mean for you as a medical aid member. Includes links to all PMB conditions and treatments. This will save you money.
Medical aid and PMBs? DSPs? PPNs? We decipher the medical aid jargon into plain(er) English :-).
Some – but not all! – people who join a medical aid and are 35+ yrs old will pay a Late Joiner Penalty. We explain whether this penalty applies to you, and how much extra it would cost you.
A quick explanation of how medical aids pay for claims, including the scheme rate, scheme rate, day-to-day claims, and claims for in-hospital services.
All plans have different ways they cover ER visits. However, all plans have to cover ER visits that are a medical emergency, since medical emergencies are by default considered PMBs.