CAN YOU USE YOUR HEALTH INSURANCE IN EMERGENCIES?

HEALTH INSURANCE IN EMERGENCIES

Medical emergencies can happen at any time. Without insurance cover, you may find yourself in need of medical attention that will leave you out of pocket.

However, even if you do have medical insurance, certain insurers may not cover your emergency bills, depending on the contract you have with them.

So, what constitutes an emergency?

There are no actual ‘definitions or parameters’ to what constitutes a medical emergency, as this is usually determined on the spot by medical professionals such as the ambulance personnel or the medical doctor who responds to the event.

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Is Health Insurance More Affordable Than Medical Aid?

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Health insurance and medical aid seem quite similar, but there are distinct differences which set them apart. These differences are also responsible for the disparity of the price points at which they are being offered to customers.

Even the cheapest medical aid is usually a bit pricier than a medical aid insurance premium.

SO, WHY IS MEDICAL INSURANCE CHEAPER THAN MEDICAL AID?

Medical aid, which is regulated by the Medical Schemes Act, is essentially Cover based on tariff codes and procedures. It often has a shortfall due to the difference between the National Recommended Price List and the South African Medical Association rates which is what healthcare professionals charge. Affinity Health wrote in January that Medical Aid must, by law, cover Prescribed Minimum Benefits.

Medical Aid has specified yearly limits for procedures and health events do not need to be specifically stated; it also does not include any personal accident disability and loss of limbs cover.

Medical Aid is also not authorized to include death and/or funeral cover as part of the Medical Aid Scheme. It pays in-hospital benefits according to the National Recommended Price List limiting benefits as per the plan.

This is why medical aid premiums usually start at around R750 per person per month.

What Is The Cost Of Medical Aid?

Are there any hospital plans for the elderly?

Are there any hospital plans for the elderly

Many young to middle aged people find it quite simple to join affordable hospital plans. The elderly, however, have a bit more of a challenge.

Getting older, for many people, means a decline in general health and well-being, as our bodies change over the decades. Certain medical conditions become more prevalent with older folk. Sometimes, as we age, we need medical assistance more often, even for ailments like the common flu.

According to Web MD, when you’re over 65, your immune system isn’t as strong as it used to be. Seniors make up the bulk of the people who die or are hospitalized for flu-related problems.

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