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	<title>Medical Aid South Africa</title>
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	<link>http://www.medicalaidsouthafrica.co.za</link>
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		<title>Medical Aids with No Waiting Period</title>
		<link>http://www.medicalaidsouthafrica.co.za/medical-aids-with-no-waiting-period/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/medical-aids-with-no-waiting-period/#comments</comments>
		<pubDate>Mon, 30 Jan 2012 08:36:09 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Alternative Plans]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=242</guid>
		<description><![CDATA[You will be hard pressed to find medical aids with no waiting period, but there are some clauses that qualify medical aid holders to immediate access to their medical aid benefits. &#160; What is a waiting period? A medical aid’s waiting period is a time period in which a medical aid beneficiary has to pay [...]]]></description>
			<content:encoded><![CDATA[<p>You will be hard pressed to find medical aids with no waiting period, but there are some clauses that qualify medical aid holders to immediate access to their medical aid benefits.</p>
<p>&nbsp;</p>
<h3>What is a waiting period?</h3>
<p>A medical aid’s waiting period is a time period in which a medical aid beneficiary has to pay the normal monthly contribution but is not yet entitled to make a claim for any of the scheme’s benefits. Medical aids are allowed by law to enforce this waiting period. There are two main types of waiting period:</p>
<ol>
<li>A general waiting period that lasts up to three months. During this time, neither you nor your dependants may claim form the medical aid, aside from the prescribed minimum benefits. When choosing a medical aid scheme, look for one that includes these prescribed benefits.</li>
<li>A condition-specific waiting period lasting up to twelve months. If a member has pre-existing medical conditions, the beneficiary is not entitled to medical aid benefits for a condition for care, treatment, advice or diagnosis that was received or recommended within a period of 12 months ending on the date the beneficiary made the application for membership to the medical aid scheme. This condition applies to both you and your dependants.</li>
</ol>
<div></div>
<h3>When can a waiting period be applied?</h3>
<p>In accordance with the Medical Aid Schemes Act of South Africa, a medical aid company may impose a waiting period of three months in the following circumstances:</p>
<ul>
<li>If the applicant has not been a member of the medical aid scheme for a time period of no less than 90 before that date of the application.</li>
<li>If the applicant was a previous beneficiary of a medical aid scheme for up to 24 months, ending less than 90 days before the date of the application.</li>
<li>If the applicant has had previous medical aid coverage for over 24 months but chooses to join another medical aid scheme selectively, on a voluntary basis.</li>
</ul>
<div></div>
<h3>When does a waiting period not apply?</h3>
<p>Although there are not many medical aids with no waiting period, there are circumstances in which a waiting period will not apply:</p>
<ul>
<li>For a child dependant who is born during the membership period</li>
<li>For members who change from one benefit option to a different benefit option within the same medical aid scheme. This does not apply if the member is still subject to the waiting period on their current benefit option. If this is the case, the remaining period will apply when the member changes benefit options.</li>
<li>If an employer chooses to terminate or change to medical aid scheme of its employers, this transfer should take place in the beginning of the financial year, or the medical scheme must be given reasonable notice. In the other word, of the change to a different medical aid is not the choice of the employee (but rather the choice of the employer) the waiting period will not apply.</li>
</ul>
<div></div>
<h3>Tips to avoid a long waiting period</h3>
<p>Medical aids impose harsher waiting periods on people who join medical aid schemes with having belonged to another medical aid scheme in the past. Longer waiting period are also given to people who have had a break between memberships. This is to avoid people from only joining a medical aid scheme when they are sick and need the benefits. To avoid incurring these longer waiting periods, join a medical aid as soon as you can afford to do so and ask your employer if they will assist you with medical aid payments. Don’t wait until you fall ill before joining medical aid as it is intended to be used as a preventative measure.</p>
<p>If you change medical aid schemes voluntarily before the waiting period (particularly a condition-specific 12 month waiting period) is up, the new medical aid scheme can impose its new waiting periods as well as adding the remaining amount of time left on the waiting period from your previous scheme.</p>
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		<item>
		<title>Life Health Care Hospitals</title>
		<link>http://www.medicalaidsouthafrica.co.za/life-health-care-hospitals/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/life-health-care-hospitals/#comments</comments>
		<pubDate>Tue, 17 Jan 2012 07:46:57 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Alternative Plans]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=239</guid>
		<description><![CDATA[Life Health Care Hospitals are run by Life Health Care, a leading private hospital group in South Africa. The group specializes in acute hospital care. The hospital network is comprised of one of southern Africa’s widest geographical spread of acute care hospitals. The portfolio includes 63 hospitals; 56 of which are majority owned by Life [...]]]></description>
			<content:encoded><![CDATA[<p>Life Health Care Hospitals are run by Life Health Care, a leading private hospital group in South Africa. The group specializes in acute hospital care. The hospital network is comprised of one of southern Africa’s widest geographical spread of acute care hospitals. The portfolio includes 63 hospitals; 56 of which are majority owned by Life Health Care. The company holds minority ownership in the 7 other hospitals.</p>
<p>&nbsp;</p>
<h3>Where are Life Health Care hospitals situated?</h3>
<p>Life Health Care offers a range of healthcare services throughout the country, with hospitals in 7 of the 9 South African provinces. Life Health Care facilities can be found in the most populated metropolitan areas, including Pretoria, Johannesburg, Durban, Cape Town, Port Elizabeth, Bloemfontein and East London. The range of facilities operated by Life Health Care includes multi-disciplinary hospitals with the latest technology, stand-alone facilities and community hospitals. Each facility is adapted to meet the local needs and demands in various regions countrywide.</p>
<p>&nbsp;</p>
<p>The Life Health Care Hospitals provide services to the medically insured market. The acute care hospital network includes general hospitals of various sizes with high care units, intensive care units, emergency units, operating theatres, cardiac units and maternity units. There are a number of other specialized facilities that also provide either outpatient or inpatient services, such as:</p>
<ul>
<li>Acute rehabilitation</li>
<li>Mental healthcare services</li>
<li>Chronic renal dialysis</li>
<li>Radiation and chemotherapy oncology</li>
</ul>
<p>&nbsp;</p>
<h3>Healthcare services</h3>
<p>Life Esidimeni is a healthcare service that provides long term chronic and acute hospitalization services to state patients. The Life Occupational Health service also provides occupational and primary healthcare services to employer groups in the sectors of industry, commerce, parastatels, correctional services and mining.</p>
<p>&nbsp;</p>
<h3>Life Health Care Hospital Division</h3>
<p>There are 7665 beds in the Life Health Care network, situated all over South Africa as well as in Botswana. The hospital network also has a support bases consisting of over 2700 specialists and doctors.  Hospitals generally provide inpatient treatments for emergency care and elective care. Within the hospital are a number of specialized departments:</p>
<p>&nbsp;</p>
<ul>
<li>Life rehabilitation: Life Health Care has 6 adult units and 2 pediatric units dealing with acute rehabilitation services. This is the country’s leading provider of private rehabilitation services, operating almost 50% of South Africa’s private acute rehabilitation beds (229 beds). The units offer cognitive and physical rehabilitation for patients who have been disabled by brain or spinal trauma, strokes, or other disabling injuries and conditions.</li>
<li>Mental health units: this specialized care is provided in 6 healthcare treatment facilities around the country, with a total of 172 beds. Facilities are bases in Gauteng, the Eastern Cape and Gauteng, either stand-alone or within acute care hospitals.</li>
<li>Renal division: This service offers 40 dialysis stations through a network of 5 facilities in Gauteng and the Eastern Cape, providing chronic and acute renal dialysis services.</li>
</ul>
<p>&nbsp;</p>
<p>The private hospital facilities are complemented by related health care services:</p>
<p>&nbsp;</p>
<ul>
<li>Life Esidimeni: Meaning place of dignity, this subsidiary operated 4171 beds under 12 facilities that provide long-term care for chronically ill, indigent patients. Life Esidimeni locations deal with frail care and mental health care patients who require chronic rehabilitation. One district hospital also provided acute care for indigent patients.</li>
<li>Life Occupational Health: With 289 on-site clinics, Life Occupational Health is South Africa’s leading provider of primary and occupational healthcare services on-site to large employer groups in a range of industries, including government correctional service facilities, parastatals, industry, mining, and commerce.</li>
<li>Life College of Learning: This higher education institution has over 1350 students enrolled in it. The college was established 12 years ago to offer certified nursing courses and tertiary academic degrees. The Life College of Learning also offers training courses to upgrade service standards and practical nursing as well as courses to improve clinical skills.</li>
<li>Life Healthcare Foundation: This organization was established in 2007 and is managed as a trust with independent and company trustees. The Life Healthcare Foundation provides different resources in the wellness and health arenas as part of Life Health Care’s social investment contribution. The foundation provides hospital and nursing services as well as other financial sponsorships.</li>
</ul>
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		<title>Medical Aid Scheme from Medihelp</title>
		<link>http://www.medicalaidsouthafrica.co.za/medical-aid-scheme-from-medihelp/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/medical-aid-scheme-from-medihelp/#comments</comments>
		<pubDate>Wed, 21 Dec 2011 13:49:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[General]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=235</guid>
		<description><![CDATA[Your health is one of the most important things you have, so using a medical aid scheme from Medihelp can ensure that both you and your family are covered in case you need expensive (but vital) medical treatment. As one of South Africa’s largest medical aids, Medihelp is able to provide a number of coverage [...]]]></description>
			<content:encoded><![CDATA[<p>Your health is one of the most important things you have, so using a medical aid scheme from Medihelp can ensure that both you and your family are covered in case you need expensive (but vital) medical treatment. As one of South Africa’s largest medical aids, Medihelp is able to provide a number of coverage options to suit your medical needs and your budget, ranging from a fully comprehensive plan to a hospital plan.</p>
<p>With over 106,000 members, Medihelp is South Africa’s 3<sup>rd</sup> largest medical scheme. Medihelp offers an electronic claims system (on which 84% off all claims are received), helping the company to process claims efficiently and quickly.</p>
<p><img class="alignleft size-full wp-image-236" style="margin-top: 10px; margin-bottom: 10px; margin-left: 15px; margin-right: 15px;" title="Medihelp Medical Scheme" src="http://www.medicalaidsouthafrica.co.za/wp-content/uploads/2011/12/Medihelp-Medical-Scheme.jpg" alt="Website screenshot for Medihelp Medical Aid" width="278" height="206" />There are 7 benefit options provided through Medihelp, aiming to provide varied medical coverage to different income groups. These options are; Unify, Necess, Dimension Prime 1, Dimension Prime 2, Dimension Prime 3, Dimension Elite, and Medihelp Plus. Here are some further details about each option so that you can choose the medical aid scheme from Medihelp that is best suited to your circumstances.</p>
<p>&nbsp;</p>
<ul>
<li><strong>Necesse</strong></li>
</ul>
<p>From R744 per month (if you earn under R7500 per month), Necesse is Medihelp’s most affordable medical aid scheme. Most of the healthcare services or provided by network doctors or providers that have been previously specified by Medihelp. The network Necesse option is operated by a service network of optometrists, GPs, pharmacists, specialists, dentists and hospitals. Necesse includes cover for medical emergencies and a hospital plan (subject to an overall limit of R800,000 annually per family).</p>
<p>&nbsp;</p>
<ul>
<li><strong>Dimension Prime 1</strong></li>
</ul>
<p>This hospital plan will cost from R930 per month and also includes selective day-to-say services. This plan is best suited for healthy individuals who needs peace of mind that he or she is covered in case of an emergency. In this scheme, the value of preventative care can go a long way in keeping your medical aid costs to a minimum.</p>
<ul>
<li><strong>Dimension Prime 2</strong></li>
</ul>
<p>This plan will cost from R1308 per month and is catered to healthy families and individuals who need comprehensive cover against hospitizalation or medical emergencies. In this option, the funds in the medical aid savings account can accumulate if they are not used for day-to-day medical expenses.</p>
<ul>
<li><strong>Dimension Prime 3</strong></li>
</ul>
<p>For day-to-day benefits and a hospital plan, Dimension prime 3 will cost from R1560 per month. This comprehensive  scheme allows for cover of hospitalization, medical emergencies, as well as the insurance of day-to-day benefits.</p>
<ul>
<li><strong>Dimension Elite</strong></li>
</ul>
<p>The comprehensive cover provided under the Dimension Elite plan (the top of the Dimension range) will cost from R2394 per month. This scheme offers extensive day-to-day healthcare as well as cover for hospitalization and medical emergencies.</p>
<ul>
<li><strong>Medihelp Plus</strong></li>
</ul>
<p>From R4278 per month, Medihelp Plus is the most comprehensive scheme offered by Medihelp. This plan covers diverse day-to-day healthcare needs as well as excellent medical emergencies coverage and a private hospital plan.</p>
<p>These days, you simply cannot afford to be without some kind of medical aid cover, particularly in the case of an emergency or if you need hospitalization. If you earn enough to do so, it is important to budget for some kind of medical coverage to stand you in good stead. Medihelp provides enough medical options for you to choose according to your health and budget. To find out which scheme best suits your needs, it is best to contact an experienced Medihelp consultant who will be able to give you invaluable advice. Who knows, it could even save your life one day?</p>
<p><strong>Contact Medihelp</strong></p>
<p>For further information about a medical aid scheme from Medihelp, the company can be contacted via a number of means. To get hold of the Medihelp Head Office, call (012) 334 2000 or email <em>medihelp@medihelp.co.za</em>. You can also visit the Medihelp website on <a title="Medihelp Website" href="http://www.medihelp.co.za/" target="_blank">www.medihelp.co.za</a>. To visit Medihelp in person, you can go to 84 Beatrix Street at Arcadia, or contact Medihelp via post on PO Box 26004, Arcadia,  0007.</p>
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		<title>Various Medical Schools in South Africa</title>
		<link>http://www.medicalaidsouthafrica.co.za/various-medical-schools-in-south-africa/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/various-medical-schools-in-south-africa/#comments</comments>
		<pubDate>Mon, 12 Dec 2011 13:47:42 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[General]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=229</guid>
		<description><![CDATA[Various medical schools in South Africa offer both undergraduate and postgraduate degrees for a number of medical disciplines; medical school doesn’t only refer to becoming a doctor, and these institutions offer qualifications for nurses, physiotherapists, occupational therapists, dentists, anaesthetists and a range of medical professions. CMSA stands for The Colleges of Medicine of South Africa. This [...]]]></description>
			<content:encoded><![CDATA[<p>Various medical schools in South Africa offer both undergraduate and postgraduate degrees for a number of medical disciplines; medical school doesn’t only refer to becoming a doctor, and these institutions offer qualifications for nurses, physiotherapists, occupational therapists, dentists, anaesthetists and a range of medical professions.</p>
<p>CMSA stands for The Colleges of Medicine of South Africa. This institution acts as a custodian of South Africa’s quality medical care and has 28 constituent medical and dentistry colleges. CMSA was founded in 1954 by professionals in the medical industry and in 1955, CMSA was registered as a non profit-making company. CMSA is unique in the way it contains all dental and medical specialities within a single representative framework.</p>
<p>&nbsp;</p>
<h3>Of all the various medical schools in South Africa, there are 6 universities that are recognised as the best among the rest:</h3>
<ul>
<li>The Faculty of Health Sciences at the University of Cape Town (UCT): This is the oldest of South Africa’s medical schools. UCT offers both postgraduate and undergraduate courses for a variety of healthcare disciplines. UCT’s Department of Medicine also is a leader in medical research and education.</li>
<li>The Faculty of Health Sciences at the University of Limpopo. This school developed as the University of the North and former Medical University of Southern Africa merged into one institution. The Faculty of Health Sciences’ School of Medicine has departments that are accredited by the Health Professions Council of South Africa (HPCSA).</li>
<li>The Faculty of Health Sciences at the University of Pretoria: This faculty has both national and international recognition as a leader in research, clinical service and health professionals. The University’s Faculty of Medicine was established in 1943 and the School of Medicine was formed from this. The following degrees are offered: MMed; MMilMed; MBChB; MPharm Med; MPhil; MPH; MD; PhD; MEIC;BSc (Hons); MSc; and a Postgraduate diploma in Family Medicine.</li>
<li>The Faculty of Health Sciences at Stellenbosch University: This faculty is known for its top academic training and international contribution in the field of health sciences.</li>
<li>The Faculty of Health Sciences at the University of the Free State: This is one of the oldest universities in South Africa, providing postgraduate and undergraduate education in Schools of Medicine, Nursing and Allied Health Professions.</li>
<li>The Faculty of Health Sciences at the University of the Witwatersrand: Here you can do undergraduate degrees in physiotherapy, occupational therapy, pharmacy, nursing, medicine and dentistry.</li>
</ul>
<p>&nbsp;</p>
<h3>Other well known medical schools in South Africa are:</h3>
<ul>
<li>The Faculty of Medicine at the <strong>Medical University of Southern Africa (MEDUNSA). Medunsa can be contacted at </strong>P.O. Box 210, Pretoria 0204, via phone on +27 12 529 4321 or via fax on +27 12 529 5811. Their website is at: <a href="http://www.ul.ac.za/" target="_blank">http://www.ul.ac.za/</a>.<br />
<strong><br />
</strong></li>
<li><strong>The University of Kwa Zulu Natal’s Faculty of Medicine. For more information about this school of medicine, you can visit the department’s website on: </strong><a href="http://www.nu.ac.za/" target="_blank">http://www.nu.ac.za/</a>. The department can be contacted on Umbilo Road, Private Bag 7, Durban, 4041, Kwa Zulu Natal, you can call them on +27 31 260 4232, or fax on +27 31 260 4410.<br />
<strong><br />
</strong></li>
<li><strong>The Faculty of Medicine and Health Sciences at the University of Transkei (UNITRA). Situated in the Eastern Cape, this department can be contacted on </strong>2 East London Road, Private Bag 11, Umtata 5117, Eastern Cape. For more information you can also contact UNITRA on +27 471 302 233, fax on +27 471 302 235.</li>
</ul>
<p>&nbsp;</p>
<p>A profession in health care is both challenging and rewarding. To apply to study at one of these South African medical schools is very competitive (some medical professions more than others) and you need to have excellent matric results, as well as show your desire to pursue a career in medicine.</p>
<p>If funding is a problem, there are a number of bursaries offered at the different South African medical colleges that you can apply for to get funding for your studies.</p>
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		<title>Finance for Cosmetic Dentistry</title>
		<link>http://www.medicalaidsouthafrica.co.za/finance-for-cosmetic-dentistry/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/finance-for-cosmetic-dentistry/#comments</comments>
		<pubDate>Wed, 30 Nov 2011 05:57:58 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[General]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=226</guid>
		<description><![CDATA[If you are self-conscious about your teeth, finance for cosmetic dentistry may be the only option for you to get the perfect set of pearly whites. Any kind cosmetic dentistry is an expensive procedure, available only to a wealthy few without financing. Unfortunately, most medical aids do not support claims for you to get the [...]]]></description>
			<content:encoded><![CDATA[<p>If you are self-conscious about your teeth, finance for cosmetic dentistry may be the only option for you to get the perfect set of pearly whites.</p>
<p>Any kind cosmetic dentistry is an expensive procedure, available only to a wealthy few without financing. Unfortunately, most medical aids do not support claims for you to get the celebrity smile of Matt Damon or put forth a mouthful Halle Berry would be proud of. There are, however, a number of private lenders who will offer medical payment plans for cosmetic procedures.</p>
<p>As dental procedures go, the most common cosmetic processes are:</p>
<ul>
<li>Veneers to improve the appearance of your smile</li>
<li>Tooth Extracting for problem teeth</li>
<li>Dentures</li>
<li>Restorative Dentistry</li>
<li>Teeth Whitening to get your teeth shining</li>
<li>Orthodontics for straight and regular teeth</li>
<li>Bridges</li>
<li>Implants for missing or removed teeth</li>
</ul>
<p>&nbsp;</p>
<h3>Which companies offer Finance for Cosmetic Dentistry?</h3>
<ul>
<li><strong>First Health Finance</strong> are connected with thousands of cosmetic medical doctors all over South Africa. To apply for cosmetic dentistry finance with First Health Finance, you just use the online application form which shouldn’t take more than 2 minutes to complete. Once First Health Finance have had a chance to review your details, a consultant will assist you through the rest of the process and come up with a payment plan that suits your unique circumstances. You can contact First Health Finance on 0800 212 537.</li>
</ul>
<p>&nbsp;</p>
<ul>
<li>Another South African financer for cosmetic dentistry is <strong>Cosmetic Makeover</strong>, who offer free online consultation. To apply for this service, visit <a href="http://www.cosmeticmakeover.co.za/cosmetic-dentistry" target="_blank">http://www.cosmeticmakeover.co.za/cosmetic-dentistry</a>  and fill in the consultation form, attaching any relevant x-rays, treatment plans and reports.  You are also free to ask any questions you may have.  The Cosmetic Makeover team will review your application and find you an appropriate dentist. After the dental practitioner has provided a quote, Cosmetic Makeover will review the quote and ensure that you are getting a good price on the cosmetic treatment.</li>
</ul>
<p>To get your financing on the go, simply fill in an application to get started. Other documents you need along the way are a copy of your identity document, a bank statement of the last 3 months, proof of your salary and employment, and proof of your physical address.</p>
<p>You also have the option of approaching a general credit company to finance your cosmetic dentistry, but the downside of this is that these companies are not specialist cosmetic dentistry financers and may not have the same connections and knowledge as a specialised institution.</p>
<p>&nbsp;</p>
<h3>What are the benefits if using a cosmetic dentistry credit provider?</h3>
<ul>
<li>Aside from the obvious financing service, financing companies are also experienced industry and know the costs that are involved in cosmetic dentistry procedures, ensuring that you can get the best price for your procedure.</li>
<li>The lending company can also take care of all your appointments and consultations for you, so leave the admin to them. A representative from the company will be available for any queries or needs you have and can assist you both throughout and after the procedure.</li>
<li>Most cosmetic procedures require maintenance and post-dental care, and the financing companies will be able to give you the relevant advice in this regard, making sure that you heed the instructions of the dentist.</li>
<li>You will usually have 6, 12, or 24 months to pay for the treatment you receive.</li>
<li>You can be offered the option of paying for your procedure in part, and have your financing company cover the rest.</li>
<li>After you have applied for a loan online, your loan can be approved in as little as 12 hours.</li>
<li>In most cases you can receive as much as R40 000 for your cosmetic dental procedure, although more money can be negotiated.</li>
</ul>
<p>&nbsp;</p>
<h3>Who is eligible for dental finance?</h3>
<p>Fortunately, most employed South Africans will be able to afford cosmetic dentistry financing which means that they can have the procedure done quickly, rather than having to save up over time to pay for the dentistry that medical aid won’t cover.</p>
<p>Having a gleaming smile means your confidence can glow from within, and you can finally take pride in your pearlies!</p>
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		<title>Medical Aid Rights and Responsibilities</title>
		<link>http://www.medicalaidsouthafrica.co.za/medical-aid-rights-and-responsibilities/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/medical-aid-rights-and-responsibilities/#comments</comments>
		<pubDate>Mon, 17 Oct 2011 13:20:03 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[General]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=223</guid>
		<description><![CDATA[If you are a member of a Medical Aid Scheme, then you need to know your medical aid rights and responsibilities. Medical Aid in South Africa is seen as a luxury due to the fact that we unfortunately have to pay exorbitant rates  for our monthly premiums and as a result we have a deteriation [...]]]></description>
			<content:encoded><![CDATA[<p>If you are a member of a Medical Aid Scheme, then you need to know your medical aid rights and responsibilities. Medical Aid in South Africa is seen as a luxury due to the fact that we unfortunately have to pay exorbitant rates  for our monthly premiums and as a result we have a deteriation in our public health care as the medical practitioners want to work for the hospitals etc that are covered by the Medical Aids.</p>
<p>This means that they are generally working for private institutions which are too expensive for the general public to afford. As a result, in order to receive the best medical care, people are being forced to join medical aid schemes. What is unfortunate is that many people are unaware of their rights when they join medical aids and as a result get taken advantage of. So in order to give you a general understanding of what your rights are, carry on reading this article.</p>
<p>Your rights:</p>
<ol start="1">
<li>You cannot be unfairly discriminated against because of your age, sex, race, gender, marital status, ethnic or social origin, sexual orientation, disability, or state of health.</li>
<li>Your dependants have the right to be covered by your scheme. This means that your spouse, any children under 21 years old who are dependent on you, or children over 21 who are disabled, and basically any family member that you are liable for their car and support, can be covered by your medical aid scheme. In addition to this, dependants have the right to continue their membership of the scheme should they wish to. What is extremely important to note is that should the main dependant die for any reason; the medical aid must cover them until they leave the scheme as long as they can afford the monthly payments.</li>
<li>If you claim against your scheme, they have to pay you out timeously – 30days from the claim being received to be exact. Should it take longer than 30 days for the medical aid scheme to pay you out, you have the right to make a formal complaint against them.</li>
<li>You cannot be charged based on your health. The only variables that come in to play when calculating your monthly instalment is your income, and your number of dependants. Should any medical aid scheme try and charge you more because for example you have contracted HIV/AIDS or have discovered a chronic condition, you can report them. The only time they are allowed to charge you more is when you join for the first time in order to provide you with the basic set of benefits known as the Prescribed Minimum Benefits that will cover any chronic condition that you may have for the first year of your membership.</li>
<li>You are entitled to receive statements from your medical scheme on a regular basis. These statements need to detail all the information surrounding any expenses that you are incurring.</li>
<li>You have the right to question a declined claim or not paid you in full. Should this occur and they have not informed you within 30 days of why they are not paying, you can  report this to the medical aid board.</li>
<li>Your medical aid cannot share your medical history with any other party without your permission. If they do so, it is a breach of your right to privacy and therefore can be taken to court.</li>
</ol>
<p>You have the following responsibilities:</p>
<ol start="1">
<li>Be honest on your application as any false information supplied may result in you losing your membership and criminal charges can be laid against you.</li>
<li>Never submit a fraudulent claim</li>
<li>You have to declare any chronic conditions or pregnancy when applying for membership. Many people do not do so due to the fact that many schemes will make you endure a waiting period before they cover the specific condition that you have. Should they however find out that you are hiding a prediagnosed condition they have the right to report you.</li>
<li>Pay your instalments timeously</li>
</ol>
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		<title>The ABSA Medical Aid Scheme</title>
		<link>http://www.medicalaidsouthafrica.co.za/the-absa-medical-aid-scheme/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/the-absa-medical-aid-scheme/#comments</comments>
		<pubDate>Thu, 15 Sep 2011 16:50:17 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Alternative Plans]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=220</guid>
		<description><![CDATA[The Absa Medical Aid Scheme is for businesses who are looking for a medical aid scheme for their employees. This medical aid aims to help improve employee wellness, productivity, and help the business focus on what is best, the running of the business. They claim to understand that many businesses have difficulty with absenteeism, which [...]]]></description>
			<content:encoded><![CDATA[<p>The Absa Medical Aid Scheme is for businesses who are looking for a medical aid scheme for their employees. This medical aid aims to help improve employee wellness, productivity, and help the business focus on what is best, the running of the business. They claim to understand that many businesses have difficulty with absenteeism, which has a direct impact on the productivity of a business, especially if it is a small business with few staff members.</p>
<p>It is for this reason that Absa has come up with a range of services to help the management of businesses effectively bring about workplace productivity through adequate health care and wellness for their employees. This may be the strategic move that your company needs to move you in to the next phase and help you be the best in the market.</p>
<p>&nbsp;</p>
<p>If you are now wondering exactly how the Absa Medical Aid Scheme will help you become more productive, then here are a list of some of the services that this scheme offers its customers:</p>
<ol>
<li> Absenteeism management solutions</li>
</ol>
<p>&nbsp;</p>
<p>This service will not only monitor the amount of absenteeism that an organisation has, but they will analyse why this is occurring and will provide your organisation with planning and training on how to deal with this. This includes training management to review sick notes as well as get the absent staff back up to speed with what happened whilst they were ill.</p>
<p>&nbsp;</p>
<ol start="2">
<li>Acturial integrated risk analysis and reporting</li>
</ol>
<p>&nbsp;</p>
<p>There is no point in having a strategy in place for you business if you cannot adequately assess the effectiveness of the strategy. For this reason, Absa will provide you a report that shows you the effectiveness of the planning and strategy, as well as the return o investment which it is providing for your organisation. This is important, especially in small businesses where the initital outlay of funds needs to be proven as a sound investment.</p>
<p>&nbsp;</p>
<ol start="3">
<li>Aids management solutions</li>
</ol>
<p>&nbsp;</p>
<p>Unfortunately in South Africa, we have one of the highest HIV/Aids rates out of all of the countries in the world. What is more is that employees are not legally obliged to make their employees aware of their status. This means that many organisations in South Africa regularly have to deal with absenteeism due to HIV/Aids related illnesses.</p>
<p>What is more is that many organisations do not have the proper procedures in place to help their employees with the disease. For this reason, Absa has developed a service which helps management and employees deal with the disease. This includes voluntary counselling and testing programmes, workshops, and surveys in order to tailor programmes for those employees and their specific risk profiles. One of the most common downfalls in businesses is that they do not know how to deal with the stereotypes that surround the disease and how to manage these stereotypes. Absa will provide businesses with the means to do so through their medical aid scheme.</p>
<p>&nbsp;</p>
<ol start="4">
<li>Health care and corporate wellness strategy development</li>
</ol>
<p>&nbsp;</p>
<p>One of the biggest things that South African organisations lack in internal communication plans to help develop employee loyalty. It is therefore a service that Absa offers in order to develop an integrated health and wellness programme that will be beneficial to all employees of the organisation and will help improve employee loyalty.</p>
<p>&nbsp;</p>
<ol start="5">
<li>Intermediary services</li>
</ol>
<p>&nbsp;</p>
<p>Should your business be looking for a medical aid scheme and are not sure of which scheme is best suited to meet the needs of your business, then Absa will help you find the best medial aid solution for your organisation.</p>
<p>These are merely a few of the great service which this medical scheme has to offer. For more information, you should contact Absa today to help you with your medical aid programme.</p>
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		<title>Special Benefits of Oxygen Medical Schemes</title>
		<link>http://www.medicalaidsouthafrica.co.za/special-benefits-of-oxygen-medical-schemes/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/special-benefits-of-oxygen-medical-schemes/#comments</comments>
		<pubDate>Thu, 08 Sep 2011 07:00:26 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[General]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=216</guid>
		<description><![CDATA[The special benefits of Oxygen Medical schemes are now available under the Medshield Scheme as in October 2010 Medshield incorporated Oxygen Medical Aid. This has lead to Medshield now holding the title of the fourth largest medical aid scheme in South Africa with just over half a million clients to its name. This means that [...]]]></description>
			<content:encoded><![CDATA[<p>The special benefits of Oxygen Medical schemes are now available under the Medshield Scheme as in October 2010 Medshield incorporated Oxygen Medical Aid. This has lead to Medshield now holding the title of the fourth largest medical aid scheme in South Africa with just over half a million clients to its name.</p>
<p>This means that not only do you get the fantastic benefits that Oxygen has to offer its members, but you also get to enjoy the peace of mind that is associated with a company that has a large footprint in South Africa. This peace of mind is further exacerbated by the fact that Medshield has a global credit rating of AA which means that they have a healthy solvency ratio so you can be assured that you will never be left with a claim that is not paid.</p>
<p>What is more is that because of this merger, the special benefits of Oxygen Medical schemes have been consolidated with the benefits that Medshield has to offer. This means that you are getting better benefits than you would have without the assimilation by Medshield. Some of these benefits include:</p>
<ol>
<li>A guaranteed one day turn around period on all claims submitted.</li>
<li>A guaranteed 14 second call answer response.</li>
<li>Value added benefits such as hospital management, aids for Aids, and a chronic medicine management.</li>
<li>The access to emergency medical services 24 hours a day which includes medical emergency medical guidance.</li>
<li>Programmes designed specifically around the needs of your chronic diseases.</li>
</ol>
<p>Now you may be wondering what types of plans Oxgen or Medshield has that you could obtain in order to qualify for these benefits. At the moment, they have three key plans available, each targeted at different groups of people. These three plans are:</p>
<h3>Core plus</h3>
<p>This plan was developed for young, healthy, active people who want to be covered against all major medical expenses as well as unlimited hospitalisation. In addition to this, this plan covers chronic medication too. This is their premium price offering which means that you get all of the above mentioned benefits, plus cover should anything go wrong.</p>
<h3>Essential</h3>
<p>The Essential plan was created for low income earners and as a result your contributions will be capped according to how much you earn. What is more is that you will receive a savings account which you manage yourself to deal with any day to day expenses that you may be faced with.</p>
<h3>Standard</h3>
<p>This is the medium cover offered by Oxygen and includes cover for all major medical expenses and general in hospitalisation benefits. This cover however is limited in terms of the chronic medicine which it covers however they do offer a savings account which can be used for day to day expenses that you may incur.</p>
<p>Should you for any reason not need chronic cover, you can additionally opt out of cover in this regard with any of the above mentioned plans. This means that there is a no waste policy which is beneficial to members. Although Oxygen has been incorporated in to the Medshield scheme, it does not mean that it has lost its guidance from the brand which started it – Old Mutual.</p>
<p>This is a trusted brand in South African and people need to realise that just because it falls under a new name it does not mean that it no longer has the backing of a 150 year old, well established company that realises the importance of excellent service. Old Mutual began this medical scheme with the intention of delivery a quality product that fitted in with peoples lifestyles and they continue to deliver on this even if Oxygen has been taken under the wings of Medshield.</p>
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		<title>GEMS &#8211; Government Medical Health Scheme</title>
		<link>http://www.medicalaidsouthafrica.co.za/gems-government-medical-health-scheme/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/gems-government-medical-health-scheme/#comments</comments>
		<pubDate>Tue, 30 Aug 2011 17:02:01 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Alternative Plans]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=211</guid>
		<description><![CDATA[GEMS – Government Medical Health Scheme was developed in order to provide medical assistance to public service employees by government.  Their aim is to show public service employees that the government understands their individual needs and realised that many of them could not afford private health cover. This is mainly due to the fact that [...]]]></description>
			<content:encoded><![CDATA[<p>GEMS – Government Medical Health Scheme was developed in order to provide medical assistance to public service employees by government.  Their aim is to show public service employees that the government understands their individual needs and realised that many of them could not afford private health cover. This is mainly due to the fact that the government realised that they needed to develop a medical system that showed that they really care about their public service employees and that they can provide them with the medical safety that we all want. Their vision is “to provide all public service employees with equitable access to affordable and comprehensive healthcare benefits.”</p>
<p>If you are a public service employee and have never heard of GEMS – Government Medical Health Scheme then I definitely think that you should take a look at their website. Not only does this website provide you with a history of the organisation, but also displays their vision, mission and core values so that you can be reminded that you are in good hands with them. For all prospective members, if you visit <a title="Government Medical Aid" href="http://www.gems.gov.za/" target="_blank">www.gems.gov.za</a>, you will able to view or print out a copy of their latest marketing brochure in any language you like. This will help you find the right medical aid solution for you and your family’s needs.  If you still find yourself wondering why you should join, why would you not want to join a medical scheme that understands the exact needs of someone in your industry and who will provide cost effective and comprehensive cover? In addition to this, GEMS has stated that every fortnight they pay out any money owing to any of their members which means that you do not have to wait for months for your repayment should you have over paid, unlike other medical aid providers.</p>
<p>&nbsp;</p>
<p>If you are wondering exactly who may join GEMS, then take a read of the list below:</p>
<p>&nbsp;</p>
<ul>
<li>A National Department listed in Schedule 1 of the Public Service Act;</li>
<li>A Provincial Department listed in Schedule 2 of the Public Service Act;</li>
<li>A Provincial Administration listed in Schedule 2 of the Public Service Act;</li>
<li>Organisational components listed in Schedule 3 of the Public Service Act or</li>
<li>You belong to any employer group approved by the Scheme.</li>
</ul>
<p>&nbsp;</p>
<p>For those of you who used to work in the public service and are now a pensioner, then there is also an opportunity for you here as they pay for the medical expenses of pensioners. If you are now intrigued, then why not visit <em>www.gems.gov.za</em> and take a look at the quick and easy application process on offer to you. Firstly you can visit one of the GEMS offices and get the forms yourself. But why would you do that when (second point) you can download all of the application forms online and just fax them through their head office. For those of you who are looking to contact them for any reason, you can do so via fax on 0861 000 4367, or email them at <a href="mailto:enquiries@gems.gov.za">enquiries@gems.gov.za</a>. If you prefer to do things the old fashion way or just prefer face to face contact, then why not visit the GEMS Regional Office and drop your application forms off there directly.</p>
<p>&nbsp;</p>
<p>There are also a number of options available to public service employees and depending on your needs you can choose from the following options:</p>
<p>&nbsp;</p>
<ol>
<li>Sapphire</li>
<li>Beryl</li>
<li>Ruby</li>
<li>Emerald</li>
<li>Onyx</li>
</ol>
<p>&nbsp;</p>
<p>Each membership fee is based on the cover that you choose as well as the salary bracket that you fall in to. This means that you will never be charged at a rate that GEMS know you cannot afford. This therefore is one of the better medical aid schemes that are available to public service employees.</p>
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		<title>Medical Aid Schemes for People with HIV and AIDS</title>
		<link>http://www.medicalaidsouthafrica.co.za/medical-aid-schemes-for-people-with-hiv-and-aids/</link>
		<comments>http://www.medicalaidsouthafrica.co.za/medical-aid-schemes-for-people-with-hiv-and-aids/#comments</comments>
		<pubDate>Mon, 29 Aug 2011 14:32:26 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Alternative Plans]]></category>

		<guid isPermaLink="false">http://www.medicalaidsouthafrica.co.za/?p=206</guid>
		<description><![CDATA[Medical Aid schemes for people with HIV and Aids are vital in order to ensure that if you have either of these conditions, that you can get the treatment in order to live a long and healthy life. Although many people think that you cannot become a part of a medical aid scheme due to [...]]]></description>
			<content:encoded><![CDATA[<p>Medical Aid schemes for people with HIV and Aids are vital in order to ensure that if you have either of these conditions, that you can get the treatment in order to live a long and healthy life. Although many people think that you cannot become a part of a medical aid scheme due to the fact that they have HIV or Aids, this is in fact not the case.</p>
<p>What many people get confused with is that the medical aid providers have an exclusion policy for pre-existing chronic diseases which means that in the first year of membership, you will not be covered for chronic illnesses which include thyroid problems such as Hyper or Hypothyroidism, Arthritis, as well as HIV and Aids.  However, this does not mean that you cannot enjoy the full benefits after the exclusion period is up. If you are now wondering why medical aids have these exclusion periods, then you should ask a representative from whichever medical service provider you are joining to explain them in full to you. One source claims that the reason why medical aids do this is because they pool all of their funds in order to provide care for those who need it most at any given time <em>(www.vitacare.co.za)</em>. In addition to this, it allows them to safe guard themselves against members who may use up all of their benefits in one year and then leave the medical aid scheme.</p>
<p>For those of you who are looking for medical aid schemes for people with HIV and Aids, then you should contact any of the medical service providers in South Africa, such as Discovery Health, Fed Health or Momentum who can take you through the different policies that they have on offer. This way you will be able to see which medical aid provider has the best scheme for you. Many medical aids additionally have specialised schemes for those people dealing with HIV and Aids and the best thing is that you generally do not have to pay more for these programmes. It is also imperative that you join a medical aid scheme as they will be able to help you manage you the disease by facilitating the continuous monitoring of your CD4 counts and can provide you will all of the anti-retrovirals that you need in the correct dosages. The majority of the medical aid providers will additionally provide you with all the nutritional information and guidance in order to help you along your journey and to ensure that you live a long and healthy life.</p>
<p>If you are concerned that you application for medical insurance will be denied because of the fact that you are HIV positive, then you have no reason to fear as no medical aid provider can deny medical insurance based purely on the basis that you are HIV positive. If you apply for medical insurance and are denied because of the fact that you are HIV positive, this medical aid provider is acting in an unlawful manner and can be taken to court because of it. It is therefore imperative that if you are diagnosed with HIV or Aids that you ensure you know your rights as many people will try to discriminate against you and would be doing so unlawfully.</p>
<p>For more information about how to cope with the disease and the best medical aid providers for people living with HIV or Aids, then you should definitely take a visit to your local clinic or you GP who will be able to provide you with all the help you need. In addition to this, there are specialised HIV and Aids clinics in South Africa that can help you with the emotional and psychological effects of HIV such as The  Well Project (<em>www.thewellproject.org</em>) and Avert (<em>www.avert.org</em>).</p>
<p>&nbsp;</p>
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