What is medical aid?

Medical aid in South Africa provides financial cover for medical expenses for members of schemes who pay a monthly contribution for this cover.

These contributions paid to medical aid schemes (including Discovery Health Medical Scheme) to be pooled and safeguarded to ensure the equitable access to benefits for the scheme's membership. South African medical schemes operate according to social solidarity principles and are non-profit entities. Medical scheme plans are not insurance products and differ from these in several important respects.

Medical aid covers members' healthcare costs such as hospitalisation, treatments and medicine. These costs are covered according to the rules of the medical scheme and the member's medical aid plan type.

Some medical aid plans optionally include medical savings accounts, which are designed to assist members to pay for some of their day-to-day medical expenses. All plans, however, cover Prescribed Minimum Benefits (PMBs) and these include emergency hospital cover. These benefits can never run out and are there to protect members in the event of severe or life-threatening situations where the cost of treatment may otherwise be unaffordable.

All medical schemes in South Africa are governed in accordance with the Medical Schemes Act 131 of 1998, and are regulated by the Council of Medical Schemes.

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Why do I need medical aid if I am young and healthy?

 
 
 
 

Everyone needs some form of medical aid cover. Few of us could afford the costs of long hospital stays or care for serious injuries, surgery, or chronic illnesses - for example, it costs R8 500 a night for a premature baby to stay in a private hospital's neonatal unit (some stay for five months), and that's just the bed, without any consultations, medicine or medical supplies. Medical schemes help us finance life's curved balls when we can't do it alone.

It's advisable to evaluate your medical aid coverage each year to make sure you have adequate cover for your needs or for any changes in your health, for example, deciding to have a child or being diagnosed with a chronic condition.

More importantly, traumatic events like a car accident, crime-related incidents or sport-related incidents can happen to anyone at any age or life stage. The costs associated with one of these random, high-risk events can run into many thousands or even hundreds of thousands of rands, which few people can afford at any life stage - especially when you're young.

Hospital cover provides real protection for members and their families when it matters most

For example, in 2024:

  • R45 billion was paid out for hospital admissions
  • 2,108 individuals claimed over R1,000,000 from the Scheme
  • It would have taken 283 years' worth of contributions to fund the single highest claim made

Across the top 10 claims, 98% of the costs were covered for members. These totalled R70.5 million:

  • R9.6m, member age 75 - Care for long term use of a ventilator (breathing machine)
  • R 8.4m, member age O - Major surgical procedures in newborn baby
  • R 7.2m, member age 57 - Surgical procedures for multiple major injuries
  • R 7.2m, member age O - Care for long term use of a ventilator (breathing machine)
  • R 6.7m, member age 68 - Surgical procedures for infectious or parasitic diseases
  • R 6.7m, member age 16 - Care for long term use of a ventilator (breathing machine)
  • R 6.5m, member age 64 - Major surgical procedures on the intestines
  • R 6.5m, member age 38 - Insertion or removal of heart implants
  • R 6.0m, member age 63 - Care for long term use of a ventilator (breathing machine)
  • R 5.7m, member age 57 - Care for long term use of a ventilator (breathing machine)
 
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