Five things you need to know about the new National Health Insurance Bill

RedViking

Nord of the South
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Feb 23, 2012
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Great!!! I can sit back and relax and all of you people can pay for my medical treatment....

No more worries...

Sunny Africa!!!!
 

Zophos

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I'm really hoping they can make this work.

Having to pay R 6k a month for something you may or may not need is a ball ache. I would much rather pay a quarter of that and have the same type of cover if/when I need it. But we already know how this is going to pan out...
You are part of a shrinking tax payer base. It is cute that you think that you will be paying less than what you are paying now as more people that do not pay will join the scheme and more tax payers will leave.

But I get the the sarcasm/satire. Currently medical expenses is damn high.
 

maumau

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What happens where employers pay a percentage towards employees medical aid contribution?

Companies will be richer, we'll be poorer?
 

Mystic Twilight

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What happens where employers pay a percentage towards employees medical aid contribution?

Companies will be richer, we'll be poorer?
Keep paying, but those contributions are for those specialists. Didn't read the bill in full, apparently they adding an extra portion to be deducted in income tax for NHI contributions, so then you get hit for double as you will then be paying for NHI and private medical aid.
 

maumau

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Keep paying, but those contributions are for those specialists. Didn't read the bill in full, apparently they adding an extra portion to be deducted in income tax for NHI contributions, so then you get hit for double as you will then be paying for NHI and private medical aid.
So you can continue paying for medical aid but can only visit a specialist when an NHI doctor recommends it. If you don't have medical aid exactly the same thing applies???

Which kippie's going to stay on medical aid?

P.S. Discovery have recently paid only R397 towards a R1 340 specialist's account - not worth the medical aid is it?
 

jambai

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If we ever get there ..next etolls .Companies/people will hopefully all protest and not pay the 10% type extra PAYE tax
 

maumau

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If we ever get there ..next etolls .Companies/people will hopefully all protest and not pay the 10% type extra PAYE tax
Nah, we'll pay - same as we pay for electricity, water, schooling etc :(

Decent people are decent, thieves are thieves.
 

daveza

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So doctors will essentially be govt employees and relying on payment from the govt.

Who is going to pay their medical malpractice insurance costs or will the NHI take over the responsibility for claims ?
 

Mystic Twilight

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Dec 23, 2010
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So you can continue paying for medical aid but can only visit a specialist when an NHI doctor recommends it. If you don't have medical aid exactly the same thing applies???

Which kippie's going to stay on medical aid?

P.S. Discovery have recently paid only R397 towards a R1 340 specialist's account - not worth the medical aid is it?
Well the purpose of the medical aid will still apply, so your total cost to the specialist "should" be lower with a medical aid than without. Your experience may vary between individuals of course.
 

SeRpEnT

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Feb 15, 2008
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Well the purpose of the medical aid will still apply, so your total cost to the specialist "should" be lower with a medical aid than without. Your experience may vary between individuals of course.
Medical aid in their current form will not exist once NHI is fully implemented. They will only provide additional support not covered by NHI - mostly cosmetic type health costs...
 

R13...

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So doctors will essentially be govt employees and relying on payment from the govt.

Who is going to pay their medical malpractice insurance costs or will the NHI take over the responsibility for claims ?
I suppose the NHI would contract with them the same way private hospitals do? Doctors pay their insurance and are sued in their capacity rather than the NHI.

Not really sure why the ANC insist on the NHI,
- It is unaffordable
- They demonstrated time and again their inability to run the public health system and just throwing more money into isn't the way to a solution but rather just another avenue for the hyenas to flock to
- Management of the NHI and employment will no doubt be decided by party membership and their deployment committee

The way to fix the high cost of private care and making it accessible to all is to fix the public system so it gives private a run for its money, then prices will come down. Instead they're compound the problem by screwing up a system that works (in some parts). Really scary prospects.
 

SaiyanZ

Executive Member
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Jun 5, 2008
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8,137
I'm really hoping they can make this work.

Having to pay R 6k a month for something you may or may not need is a ball ache. I would much rather pay a quarter of that and have the same type of cover if/when I need it. But we already know how this is going to pan out...

If the R6k a month is too much and you only make use of medical care on an ad hoc basis then just get the minimum package that you are forced to take and pay cash when you need to. I've been doing this for the last 15 years (hospital plan only) and only pay R1100 a month for medical aid right now.
 

Lupus

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Apr 25, 2006
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If the R6k a month is too much and you only make use of medical care on an ad hoc basis then just get the minimum package that you are forced to take and pay cash when you need to. I've been doing this for the last 15 years (hospital plan only) and only pay R1100 a month for medical aid right now.
If he's got kids and a wife it would be more. Also some companies don't give you a choice of your package.
 

IssiAmd

Well-Known Member
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May 8, 2012
Messages
182
I didn't get this part. I thought NHI was to be additional cost tax payers have to take burden for. This looks like NHI is replacing medical schemes if NHI offers it.
No, NHI will to some extent replace medical aids.
Their plan is for medical aids to still exist but more as a complimentary/supplementary service to NHI.
Sort of like gap cover we have in existing medical aids.

Also I would think if medical aids are covering the same services NHI is, service providers are always going to try to pull payment from medical aids instead of NHI. This is of course assuming NHI runs like every other SOE in the country. You may also have certain providers saying they will only accept medical aid and not NHI (though this will probably be illegal). They don't want any "competition".

It's going to be "interesting" at the very least.
 
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