How does hospital plan work
Furthermore, those which are offered may differ significantly between medical aids, so it is necessary to make careful comparisons to ensure that your most important needs will be met. In fact, the name given to this type of product is a clear indication of its most obvious limitation.
What a hospital plan does cover will apply only whilst the member is undergoing treatment as an in-patient. All other services, such as visits to a general practitioner or specialist physician, as well as any related medication will need to be paid for by the member. In general, this is an option that will be best suited to younger members, who have no dependents and have good general health, but who need to insure themselves from the unexpected, such as the potentially crippling cost of treatment for extensive injuries incurred in a motor accident.
By contrast, for anyone who is affected by a chronic illness and is in need of year-round consultation and treatment, such limited benefits would be totally impractical. So, what does this hospital plan cover that makes it so different? To receive the latest blog straight to your inbox, subscribe to our blog email. Subscribe to our blog.
Designed and built by Redwing Interactive. Call us on to book a demo Policyholders. Home Hapi Why Hapi? Home Services Insurance Hospital Plan. Services Hospital Plan. Providing financial peace of mind This plan pays a cash benefit following hospital inpatient treatment, outpatient appointments, and day surgery.
Covering any accident or illness Double payment for the first night of a hospital inpatient stay Hospital outpatient benefit, covering two outpatient visits per plan year Day surgery benefit Cover for up to nights in hospital for each new claim Cover for pre-existing conditions from point of policy take up Cover continues up to the employee's 70th birthday Employees also have the option to add cover for their partner and children.
Coronavirus COVID In these troubling times, the Hospital Plan will cover employees if they are diagnosed with Coronavirus and are admitted to hospital for inpatient treatment. Contact Us Please fill in your details below and one of our experts will be in contact shortly.
Last Name. Job Title. Number of Employees. Here the insurance company pays out a lump sum directly to the policyholder for time spent in hospital, which is typically a predetermined minimum period. Cash-back plans should really be seen as a top-up for your other health insurance, rather than your primary medical cover. Healthcare providers may be reluctant to treat you if this is your only source of cover, as there is no guarantee that you will use the funds to pay your medical bills.
On the other hand, a hospital plan offered by a medical aid falls under the Medical Schemes Act, so you cannot be refused membership and the scheme is obliged to cover your hospital costs as well as prescribed minimum benefits or PMBs. Some of these hospital plans also come with additional cover, such as some day-to-day benefits, though these are limited. If there are out-of-hospital benefits linked to your hospital plan, the medical aid probably has a designated service providers DSPs network of healthcare professionals or facilities that you are required to use for non-emergency treatment.
In conclusion, the choice of medical cover is up to you, but given the soaring price of healthcare, a hospital plan is a far better alternative than no cover at all. By Nicci Botha. We send out regular emails packed with useful advice, ideas and tips on everything from saving and investing to budgeting and tax.
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