medical aid

  1. RedViking

    Bonitas blames Medscheme for medical scheme backlog

    https://www.businessday.co.za/news/health/2026-06-05-bonitas-blames-medscheme-for-medical-scheme-backlog/ Members of Bonitas medical scheme are up in arms over unresolved queries and hospital authorisations after it changed administrators earlier this week. Bonitas is South Africa's...
    • RedViking
    • Thread
    • bonitas claims council for medical schemes (cms) health professions council of south africa (hpcsa) medical aid medical claims and authorisation medical scheme medscheme momentum
    • Replies: 106
    • Forum: News and Current Affairs
  3. Lefty309

    Essential Dynamic Smart Hospital Network?

    Hi I'm on the Essential Smart plan with Discovery and want to downgrade to Essential Dynamic Smart. It's R340 less per month with the difference being you can only choose hospitals that are part of the Dynamic Smart network which is a subset of hospitals on the Smart network. Before making the...
  4. N

    Struggling to choose a medical aid & gap cover (21 year old)

    Hey everyone, I currently am on Momentum Incentive option, my parents pay for it. But the company I am at offers a benefit where they pay up to R2,500. Given how many benefits discovery has, namely fuel, Im tempted to give it a go. But I also dont want to unleash the monster that is medical aid...
  5. D

    Genesis Medical Website Infected

    So, I clicked on Genesis Medical's link from Google search and it redirected me to https://qltuh.magmaartisan.top/eyes-robot/?pl=CHiI7Gh3GUyTa8XGgNqDyQ&sm=eyes-robot&click_id=clef0oijvq3bs5lu3cn0&hash=k1__p5dATlhwnL8-YwQHUw&exp=1700589967 and then to...
  6. Lefty309

    Discovery Medical Aid question

    Hi all. My company requires me to get medical aid, something I've never had before. About myself, I am a single male in my mid 20s residing in Durban, KZN. I have no chronic or pre-existing conditions and I suppose I'm reasonably healthy as I work out regularly and eat a decent diet. Never been...
  7. C

    Why not Discovery Gap on Discovery Medical Aid

    Hi all I’ve seen quite a few posts saying to avoid Discovery’s Gap Cover if you have Discovery’s Medical Aid, but without offering any explanation. What would the reason be not to go with them? Is it a pricing issue? Do they not cover so much? Crucial exclusions? Thanks!
  8. Hanno Labuschagne

    Brace for taxes — Parliament passes NHI bill

    Brace for taxes — Parliament passes NHI bill South Africa’s National Assembly approved a new law that will pave the way for the introduction of universal health insurance, a plan its critics argue will be financially unsustainable and impossible to implement effectively. The National Health...
  9. RaptorSA

    Government pushes through NHI

    https://businesstech.co.za/news/finance/691553/government-pushes-through-nhi-now-legal-trouble-is-on-the-way/ [ChatGPT summary] - 200 words "The Portfolio Committee on Health in South Africa has approved the National Health Insurance Bill (NHI), a controversial piece of legislation aimed at...
  10. E

    Medical aid - portion not payable

    Hi everyone, Can someone clarify how the "portion not payable" should be handled on medical aid statements / claims ? See screenshot - https://ibb.co/9bmcYfM On the bottom of my medical aid statement it shows: Portion Not Payable*** = The amount for which neither you nor the Scheme is...
  11. marco79

    Alternate Medical Aid to Discovery Health

    I have been a Discovery Health client for many years and I think its time to move on. I feel the wheels are starting to fall off the bus. I have no means of contacting Discovery Health. Any other good alternatives out there. I have a few chronic conditions and get some medication on a monthly...
  12. Jan

    Post Office warns employees to take out their own medical aid as Medipos bill looms

    Post Office warns workers to get own medical cover after failing to pay R700 million Thousands of South African Post Office workers could be without medical aid cover from next month after the entity repeatedly failed to pay employee medical scheme contributions to Medipos. MyBroadband has...
    • Jan
    • Thread
    • anton van der bijl medical aid medipos solidarity south african post office (sapo)
    • Replies: 19
    • Forum: Broadband and IT News
  13. Jan

    Medical aids are increasingly unaffordable - Maya Fisher-French asks them why

    Why South African medical aids got so expensive Prescribed minimum benefits (PMBs) covering 271 life-threatening conditions and 26 chronic illnesses are the biggest cost driver for medical aid schemes. This is according to Medshield Medical Scheme acting principal officer Alan Fritz, who spoke...
    • Jan
    • Thread
    • alan fritz maya fisher-french medical aid medshield prescribed minimum benefits
    • Replies: 105
    • Forum: Broadband and IT News
  14. L

    New Member medical Aid

    I would like to find out if I will have maternity cover. I am currently pregnant and have maternity cover with my current medical aid (GEMS) with my work medical aid scheme. I am however in the process of switching jobs and the new job is with another medical aid scheme. Meaning when getting the...
  15. werfie

    Medical Aid Late Joiner Penalty

    So I am finally in a financial position to get the folks onto a medical aid. They have never had it. So schemes by default apply the late joiner penalty (75%) in my case. Although the law makes provision for this, it is not compulsory, although all schemes I have spoken to apply this without...
  16. A

    What was the total cost of Laparoscopic gall bladder removal at MediClinic?

    How much did the total cost of your Laparoscopic gall bladder removal amount to? Including the cost of the surgeon, anesthetist's hospital fee, etc. I am asking because I want to privately pay for a relative's procedure and want to know what I am in for. MediClinic Cape Town informed me that the...
  17. beepbob

    Is it possible to have Discovery vitality without a Discovery medical aid.

    Hey guys, was looking for some clarity on this. I've tried reaching out to Discovery, but keep getting transferred or just left waiting for minutes on end. I'm moving to a new job which requires me to take a medical aid they provide, so I have to cancel my Discovery medical aid. I've got other...
  18. P

    Durban doctors for lower back pain

    Hi guys, I injured my lower back at a trampoline park over a year ago and after seeing a chrio I was told I had an annular tear. With rehab exercises and some rest it got about 70%. I am still very limited in what I can do without my back flaring up again the next day though. The other day I...
  19. A

    Medical aid

    Hi there, I'm looking for suggestions, referrals, etc. please. Middle age male - healthy-ish. No dependants. Retrenched by big corporate. Was a member of their scheme. Have managed to remain on their scheme but they want me off now. Want a medical aid, as opposed to just an accident/hospital...
  20. N

    Late joiner penalties and medical insurance

    Are medical insurance companies like One Plan legally allowed to charge late joiner penalties? Thanks.
  21. J

    New Government plan can immediately increase your medical aid fees by 15%

    New Government plan can immediately increase your medical aid fees by 15% Medical aid premiums for everyone older than 34 in South Africa can immediately increase by 15% if the government pushes through its proposed amendments to the Medical Aid Schemes Bill. This is the warning from...
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