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The medical aid that puts you first.
Your health is our priority

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Member faq

How long do I have to submit a medical aid claim?

All medical aid claims must be submitted to the Scheme within 4 months of the treatment date.

What is a network option?

On our network options we have negotiated favourable tariffs with our network providers so that members can avoid out-of-pocket expenses and get more value. Using networks also means you can reduce or eliminate co-payments. On a network option members need to make use of a network of hospitals, doctors and/or other service providers in order to be covered.

This also keeps the costs for the medical scheme down, which allows the contributions to be more affordable.

Who qualifies as a dependant?

To qualify as a dependant, a person needs to be the member’s spouse, child or financially dependent on the main member. In all instances you will require paperwork to prove the dependant’s relationship to the member.

Why do I need a medical Aid

The purpose of a medical aid is to make sure that you are able to pay for treatment received from either a private GP, specialist or hospital. It is very important to have health cover to insure you can get the care you need when you need it. You and your family’s health are unpredictable and accidents can happen.

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