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Health Service Benefits

Baraza Wealth can assist individuals or employer groups to:

  • select a medical plan that provides for their needs
  • explain the benefits of the selected medical plan
  • provide information regarding savings plans and wellness programs
  • determine whether an existing medical plan is suitable
  • apply for GAP insurance to cover specialist costs that will not be covered by the medical aid

Health Service Providers

Bonitas Logo

Discovery Health Logo

Fedhealth Logo

MediHelp Logo

Momentum Health Logo

Profmed Logo

Stratum Logo

 

 

 

Waiting periods

In terms of legislation a medical aid may no longer turn down an applicant, but it may impose the following waiting periods:

Category A

If the applicant did not belong to a medical aid scheme before or allowed more than 90 days break since resigning from the previous medical aid, the following may be imposed by the medical aid:

  • 3 months general waiting period
  • 12 months condition specific waiting period on pre-existing conditions
  • Late Joiner Penalty

Category B

When an applicant belonged to a previous medical aid scheme for less than 2 years and allowed less than 90 days break since resigning from the previous medical aid, the following may be imposed:

  • 12 month condition specific waiting periods on pre-existing conditions that have occurred in the last 12 months
  • Late Joiner Penalty

Category C

In the event of an applicant who belonged to a previous medical aid scheme for more than 2 years and allowed less than 90 days break since resigning from the previous medical aid, a Late Joiner Penalty may be imposed.

Late joiner penalties

Late Joiner Penalties may be imposed on an applicant over the age of 35 and will depend on the number of years that an applicant did not belong to a medical aid. The Late Joiner Penalty will be added to the new member’s monthly contribution. It is calculated as a percentage of the contribution as shown in the table below and is based on the number of years that an applicant was not on a medical aid since the age of 35 years.

Number of years applicant was
not a member of 
a medical aid
since the age of 35

 


Late Joiner Penalty
1 - 4 years   1.05 x Contribution
5 - 14 years   1.25 x Contribution
15 - 24 years   1.50 x Contribution
25 or more years   1.75 x Contribution