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Medical aid and medical insurance / health insurance


 

开云体育

Hi,

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I always thought that “medical aid” is the South African term for “medical insurance” or “health insurance”. But not so. I saw this on news24 sponsored story: . For those who do not subscribe to news24, the main points are:

?

Key differences between Medical Aid and Medical Insurance

Medical Aid provides a more comprehensive coverage when compared to Medical Insurance. Unlike Medical Aid, Medical Insurance does not have a PMB list. Medical Insurance generally provides cover for your essential healthcare expenses. Medical Aid, on the other hand, covers a much wider list of day-to-day and in-hospital benefits.

Medical Aid premiums are usually risk-rated. An insurer may require someone who hasn’t been on a Medical Aid Scheme for a period of time, to pay a higher premium. With Medical Insurance, all members on the same plan will pay the same price, unless the plan selected is a family plan.

Medical Aid

Medical Aid gives you financial cover against the cost of medical care in exchange for a monthly premium.

Medical Aid Schemes in South Africa are governed by Medical Schemes Act 131 of 1998, and are regulated by the Council of Medical Schemes. The Medical Schemes Act governs and oversees all Medical Aid Schemes in South Africa. Medical Aids are required to give certain Prescribed Minimum Benefits (PMBs) for a wide variety of conditions. These benefits include a variety of treatments for chronic conditions. A detailed list of in-hospital procedures also forms part of the PMBs. Anyone who is a member of a Medical Aid Scheme, no matter what plan they’re on, can receive treatment for 270 hospital-based and 25 chronic conditions.

Medical Insurance

Medical Insurance, also known as, is an affordable and cost-effective form of medical cover. Medical Insurance gives South Africans in the lower-income bracket access to private healthcare.

Medical Insurance is governed by the Short-term Insurance Act and does not have Prescribed Minimum Benefits (PMBs). Medical Insurance gives you cover for various day-to-day benefits. By its nature, Medical Insurance focuses more on essential day-to-day cover. Day-to-day cover includes the following:

- Private General Practitioner (GP) visits.

- Virtual doctor consultations.

- Pharmacy based nurse visits.

- Basic dentistry.

- Optometry.

- Chronic medication.

Greetings,

Charl

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?

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CHARL HATTINGH (pronouns: he/him)

HEALTH SCIENCES LINGUIST

CLINICAL PSYCHOLOGIST

BDram, HonnsBJourn, MClinPsych

Practice no. 0120502, HPCSA no. PS0061697

?

?

Wordweb CC

13 Queens Road, Tamboerskloof, Cape Town 8001, South Africa

Skype: leocharl

+27 (0)83 457 9526

charl@...

(if no reply:) charlhattingh.com@...

?

This email message, including any attached files, is for the sole use of the intended recipient(s) and may contain legally confidential and/or privileged information. If you are not the intended recipient, you are not authorised to copy or disclose all or any part of it without the prior written consent of Charl Hattingh.

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?


 

开云体育

DANKIE, CHARL!? Ek stoor beslis hierdie e-pos.

L?????? : - )

?

?

___________________________________________________________________

Leona Labuschagne, Translator???? |???? 083 302 2632??? |???? SA??? GMT +2

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From: [email protected] <[email protected]> On Behalf Of Charl Hattingh
Sent: Wednesday, March 27, 2024 7:00 AM
To: [email protected]
Subject: [zalangmed] Medical aid and medical insurance / health insurance

?

Hi,

?

I always thought that “medical aid” is the South African term for “medical insurance” or “health insurance”. But not so. I saw this on news24 sponsored story: . For those who do not subscribe to news24, the main points are:

?

Key differences between Medical Aid and Medical Insurance

Medical Aid provides a more comprehensive coverage when compared to Medical Insurance. Unlike Medical Aid, Medical Insurance does not have a PMB list. Medical Insurance generally provides cover for your essential healthcare expenses. Medical Aid, on the other hand, covers a much wider list of day-to-day and in-hospital benefits.

Medical Aid premiums are usually risk-rated. An insurer may require someone who hasn’t been on a Medical Aid Scheme for a period of time, to pay a higher premium. With Medical Insurance, all members on the same plan will pay the same price, unless the plan selected is a family plan.

Medical Aid

Medical Aid gives you financial cover against the cost of medical care in exchange for a monthly premium.

Medical Aid Schemes in South Africa are governed by Medical Schemes Act 131 of 1998, and are regulated by the Council of Medical Schemes. The Medical Schemes Act governs and oversees all Medical Aid Schemes in South Africa. Medical Aids are required to give certain Prescribed Minimum Benefits (PMBs) for a wide variety of conditions. These benefits include a variety of treatments for chronic conditions. A detailed list of in-hospital procedures also forms part of the PMBs. Anyone who is a member of a Medical Aid Scheme, no matter what plan they’re on, can receive treatment for 270 hospital-based and 25 chronic conditions.

Medical Insurance

Medical Insurance, also known as, is an affordable and cost-effective form of medical cover. Medical Insurance gives South Africans in the lower-income bracket access to private healthcare.

Medical Insurance is governed by the Short-term Insurance Act and does not have Prescribed Minimum Benefits (PMBs). Medical Insurance gives you cover for various day-to-day benefits. By its nature, Medical Insurance focuses more on essential day-to-day cover. Day-to-day cover includes the following:

- Private General Practitioner (GP) visits.

- Virtual doctor consultations.

- Pharmacy based nurse visits.

- Basic dentistry.

- Optometry.

- Chronic medication.

Greetings,

Charl

?

?

?

CHARL HATTINGH (pronouns: he/him)

HEALTH SCIENCES LINGUIST

CLINICAL PSYCHOLOGIST

BDram, HonnsBJourn, MClinPsych

Practice no. 0120502, HPCSA no. PS0061697

?

?

Wordweb CC

13 Queens Road, Tamboerskloof, Cape Town 8001, South Africa

Skype: leocharl

+27 (0)83 457 9526

charl@...

(if no reply:) charlhattingh.com@...

?

This email message, including any attached files, is for the sole use of the intended recipient(s) and may contain legally confidential and/or privileged information. If you are not the intended recipient, you are not authorised to copy or disclose all or any part of it without the prior written consent of Charl Hattingh.

?

?


 

On 27/03/2024 06:00, Charl Hattingh wrote:

I always thought that “medical aid” is the South African term for “medical insurance” or “health insurance”. But not so. I saw this on news24 sponsored story....
That may be so, but when a source text from the United States uses "medical insurance", it usually means medical aid. Still, "mediese versekering" would cover both health insurance and medical aid, in my opinion.

Samuel


 

Goeie punt, die Amerikaanse teks maak nie vir ons opset voorsiening nie.
Aangesien "mediese versekering" die meer beperkte betekenis volgens die
Suid-Afrikaanse definisie is, dink ek dit sou beter wees om "mediese fonds"
vir Amerikaanse "medical insurance" te gebruik, of as 'n mens heeltemal
tegnies korrek wil wees, "mediese fonds/versekering". Ek dink egter lg. is
te omslagtig, dus seker beter om van "mediese fonds" te praat. In sommige
kontekste kan die onderskeid wel van belang wees.

-----Original Message-----
From: [email protected] <[email protected]> On Behalf Of
Samuel Murray
Sent: Wednesday, March 27, 2024 1:34 PM
To: [email protected]
Subject: Re: [zalangmed] Medical aid and medical insurance / health
insurance

On 27/03/2024 06:00, Charl Hattingh wrote:

I always thought that "medical aid" is the South African term for
"medical insurance" or "health insurance". But not so. I saw this on
news24 sponsored story....
That may be so, but when a source text from the United States uses
"medical insurance", it usually means medical aid. Still, "mediese
versekering" would cover both health insurance and medical aid, in my
opinion.

Samuel





 

Dis waar, Samuel. Ek sit dikwels ’n voetnoot by wat sê: Medical insurance
vs medical aid (fund): In SA, "insurance company" usually refers to an
institution that sells life, short-term, etc policies. We normally call
"medical/health insurance" a "medical (aid) fund", AFZA "mediese
(hulp)fonds".


___________________________________________________________________
Leona Labuschagne, Translator???? |???? 083 302 2632??? |???? SA??? GMT +2

-----Original Message-----
From: [email protected] <[email protected]> On Behalf Of Samuel Murray
Sent: Wednesday, March 27, 2024 1:34 PM
To: [email protected]
Subject: Re: [zalangmed] Medical aid and medical insurance / health
insurance

On 27/03/2024 06:00, Charl Hattingh wrote:

I always thought that “medical aid” is the South African term for
“medical insurance” or “health insurance”. But not so. I saw this on
news24 sponsored story....
That may be so, but when a source text from the United States uses "medical
insurance", it usually means medical aid. Still, "mediese versekering"
would cover both health insurance and medical aid, in my opinion.

Samuel


 

Hallo almal

Ek benodig 'n bietjie hulp. Toksiese epidermale nekrolise (TEN) - moet die
begin van elke woord in hoofletters wees? Toksiese Epidermale Nekrolise? Ook
nie-stero?edale anti-inflammatoriese middels (NSAIMs).
Dan, ek sien Pharos het ook "niestero?edale" sonder 'n koppelteken. Daar is
seker geen rede hoekom die koppelteken daar moet wees nie, alhoewel Pharos
dit by sommige Afrikaanse of Engelse woorde gebruik.

Ek leer graag.
Groete
Jeanne

-----Original Message-----
From: [email protected] <[email protected]> On Behalf Of Leona
Labuschagne via groups.io
Sent: Wednesday, March 27, 2024 2:24 PM
To: [email protected]
Subject: Re: [zalangmed] Medical aid and medical insurance / health
insurance

Dis waar, Samuel. Ek sit dikwels ’n voetnoot by wat sê: Medical insurance
vs medical aid (fund): In SA, "insurance company" usually refers to an
institution that sells life, short-term, etc policies. We normally call
"medical/health insurance" a "medical (aid) fund", AFZA "mediese
(hulp)fonds".


___________________________________________________________________
Leona Labuschagne, Translator???? |???? 083 302 2632??? |???? SA??? GMT +2


-----Original Message-----
From: [email protected] <[email protected]> On Behalf Of Samuel Murray
Sent: Wednesday, March 27, 2024 1:34 PM
To: [email protected]
Subject: Re: [zalangmed] Medical aid and medical insurance / health
insurance

On 27/03/2024 06:00, Charl Hattingh wrote:

I always thought that “medical aid” is the South African term for
“medical insurance” or “health insurance”. But not so. I saw this on
news24 sponsored story....
That may be so, but when a source text from the United States uses "medical
insurance", it usually means medical aid. Still, "mediese versekering"
would cover both health insurance and medical aid, in my opinion.

Samuel