Assume scheme pays all these costs, unless otherwise stated
Hospital stay:
300% scheme rate
Up to R2,600 per day for private ward
Usually covered for 2 nights for natural birth, and 3 nights for C-sections. All newborns receive immediate full medical aid cover at birth, even if parents are on a waiting period.
Consultations:
Consults: 12 consults with GP, Gynae or midwife
Nuchal translucency or Non-Invasive Prenatal Test if you meet the criteria
Devices: Up to R6,000 for registered devices (breast pumps, etc) with 25% co-payment
Antenatal classes: R2,300 per family
Certain blood tests
Five antenatal or postnatal classes or consultations with a registered nurse up until two years after you have given birth
After birth: one consult with midwife, GP or gynae; one nutritional assessment; two mental health consults, breastfeeding consultation
Savings on stem cell banking
Assisted Reproductive Therapy (ART): possible cover for one or two annual cycles of ART. If you are on the oncology program, you might have access to cryopreservation and egg and sperm storage for up to five years. R129,000 per person. and a minimum 25% co-payment.
Scans:
2 x ultrasound scans
Note:
If you are pregnant and don't have medical aid, your pregnancy will most likely be excluded for new cover, but your baby will be covered from birth. Read more about pregnancy cover if you don’t have medical aid.
