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Medical Aid
The Harsh Truth
#49 Posted : Monday, January 24, 2011 6:08:10 PM(UTC)
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I am joining a medical aid before I get pregnant (ironically enough - that's all I've been doing all of last week). Surely you can't expect the insurance to pay for your car after the accident. Be fair - the only reason you're joining the medical aid is so that you don't have to put up with a heap of cash for the birth. Maybe you should have thought of the costs before getting pregnant....? BTW - medical aids will cover the birth if you get pregnant after joining them. they also give you exclusions for conditions you have before you joined them. (so if you had Diabetes before you joined the medical aid, they will give you at least 3 months waiting period before you're allowed to get any treatment on the medical aid for Diabetes) they're financial institutes, can you imagine the type of money they'd loose if they if you pay them for 9 months and them drop them after the birth.
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#50 Posted : Tuesday, January 25, 2011 10:12:43 AM(UTC)
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who do you think you are why will i join a medical aid just because im pregnant, IF IM ALREADY ON ONE ???? ^%$&$$ if you cant read dont comment on ppls question!!!!!!!
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#51 Posted : Tuesday, January 25, 2011 12:58:29 PM(UTC)
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Some posters here are already pregnant and now frantically "phoning around" for medical cover. This post is directed at them. Do the math : if you've only been on the scheme for, say, 5 months, then you've only paid a contribution for 5 months. Yet now you want to claim in excess of R25,000 because now it suits you. Some of us, myself included, have been faithfully making payments for the past 30 years, have never had children, have never claimed large amounts from the medical aid besides the occasional GP visit or dentist check-up, but you feel quite comfortable that the funds for your pregnancy and delivery should come from what we've contributed over the past 30 years. Because it suits you. But that's how society works : there will always be givers and there will always be takers.

Yes, state hospitals are less than pleasant. But you get what you pay for, don't you? If you have not been paying medical aid contributions before your pregnancy, then you can't expect medical aid to cover your bills now.
Shortypam
#31 Posted : Thursday, February 10, 2011 3:56:12 PM(UTC)
Shortypam

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Guest wrote:
I'm 4 weeks pregnant and also looking for a medical aid. All of them want to give me a 9 month waiting period cause I'm pregnant. When some of you say that your medical aid covers the baby, do you mean that they covered the birth? I'm really confused. My only other option is to get my Gynae to write to my prospective medical aid and tell them that i fell pregnant a few days after joining. My siser in law did that and her medical aid paid for everything.


I think medical aids are allowed to exclude benefits in certain circumstances. I belong to Profmed and they don’t put waiting periods on pregnant moms.
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#52 Posted : Thursday, February 17, 2011 5:39:40 PM(UTC)
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I am presently on a closed medical aid and pregnant. I phoned various medical aids enquiring if I had to move will I was pregnant if there would be a waiting period. All of the medical aids stated that there would be a three month exclusion period. So whether you have been on a medical aid for your whole life (open or closed) or noton any medical aid, all the medical aids will slap a waiting period onto you.

It is always to ensure that they are on the winning side.
#5 Posted : Saturday, August 27, 2011 11:41:16 PM(UTC)
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Originally Posted by: crey Go to Quoted Post
When I was pregnant with my first baby in 2006. Medihelp accepted me when I was 4 months pregnant and they paid for everything. Check them out. I was very happy with them.

Good luck.

M
My name is christine I am 14 weeks pregnant!
Medihelp has an exclusion about being pregnat an then apply,the don't cover that then!
I don't really know what to do!
My email christinenippold@gmail.com
Hope to hear from u soon!
Kind regards
Christine
#41 Posted : Sunday, February 26, 2012 1:06:01 PM(UTC)
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Originally Posted by: Guest Go to Quoted Post
Hi, there are 2 senarios to being pregnant. If you are not on a medical aid is pregnant and wants to join, you will get a 12 month exclusion for pregnancy, the child is however born into the scheme and should he/she require medical attention, medical would pay for it. If you are currently on a plan for more than 2 years without a break in membership of more than 90 days and you are preganant you would receive a 3 month general waiting period. This means no claims would be paid in the firts 3 month.
The only time an open scheme will accept you without waiting periods is if you move from a closed scheme eg Bankmed, Gems etc.

jip
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