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Medical Aid 101

Pregnancy cover if you don’t have medical aid

One of the most common questions we get asked is from expectant mothers, who don't have medical aid and want to know if they...

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.

Will I have to pay a Late Joiner Penalty?

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.

How do I complain about a medical aid issue?

Medical Aids are complicated and there is often misunderstanding and disagreement between the scheme administrator and the member. You should know that when a...

When can I change my medical aid plan?

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