Sanlam Health Solutions
Prepare for the unexpected. Your health is your single most important contributor to your wealth. Be prepared for whatever life may throw your way.
Customised to you
More choice, flexibility and control, and more risk benefits than other schemes.
Options for every life stage and healthcare need.
Customisation and control for single people, young couples, or growing families with our flexiFED range.
Innovative Fedhealth Savings, powered by MediVault, helps flexiFED members save on their monthly contributions, while still having access to funds for day-to-day medical expenses.
Choosing the right medical scheme
- What are my medical scheme options?
There are a wide range of medical scheme options available including: savings, traditional, virtual, hospital and income-based options. When choosing an option, consider one that will provide you and your family with cover for everyday medical incidents, as well as life-changing events such as pregnancy, accidents, or the diagnosis of dread diseases. A Sanlam financial adviser can guide you to a health-accredited specialist to determine the most suitable option for you.
- What are the key things to consider?
Life stage and age You may have to use a set provider network in order to get full cover for certain treatments.
Health Chronic and dread diseases can affect anyone. If there’s a history of certain diseases in your family, there’s a greater chance that it might become a reality for you. Be prepared with comprehensive medical cover when you need it.
Your pocket Shop around until you find the right option to suit your needs and budget.
- Is there more to consider before choosing?
You may have to use a set provider network in order to get full cover for certain treatments.
Study your product brochure to make sure of what is excluded on your option, or the co-payments on certain in-hospital procedures.
Find out about the chronic medicine formularies, designated service providers and the maximum amount the scheme is willing to pay.
Certain waiting periods may apply before you are covered for a specific condition.
It is crucial to share your full medical history when signing up for a new medical aid to avoid the scheme’s refusal to pay out claims in future due to non-disclosure.
Make sure you know how the option covers oncology, dialysis, and HIV.
Differentiating between medical aid and medical insurance
Medical aid schemes
Medical aid schemes are governed by the Medical Schemes Act and have to adhere to a list of very specific rules and regulations that include open enrolment, standard-rate fees and cover for the diagnosis and treatment for a list of Prescribed Minimum Benefits (PMBs). Payments are normally made directly to the hospital or service provider.
Medical insurance products
Medical insurance products fall under the Short-term Insurance Act with specified benefits that pay out a defined amount per day or per incident, irrespective of the medical treatment needed. Payments are made directly to the client who stays responsible for payment to service providers.