Getting the medial aid coverage that you need is sometimes easier than one may think. For those employees of Media24 and their affiliates, there are two different medical aid plans in place to help with any potential medical illness or emergency that may happen in the life of you or your qualifying dependant’s lives. Not only does Naspers medical aid offer the medical cover that the employees of Media24 and their qualifying family members need, it is required that any employee that works for this company selects and signs up for one of the two different medical plan options. This helps to ensure that when the need arises for medical assistance, whether for a chronic illness or a medical emergency, there is coverage in place to help pay the costs of the treatments.
The two plans that Naspers medical aid has available are the N Option Basic and the N Option Plus. Each of these plans was designed with specific benefits in mind for their members. One of the most important forms of cover that is in place, in both of these plans, is the Chronic Illness benefit. There is a list of Chronic Illnesses, or diseases, that qualifying members can get regular medicine and treatment for regardless of the plan for which they are signed up. Some of these illnesses or diseases include diabetes, asthma, Parkinson’s disease, epilepsy, glaucoma, and bipolar mood disorder. There are additional diseases that the N Option Plus plan covers, as it is a more comprehensive medical plan, than its counterpart is.
Along with the medical assistance that is provided for pre-existing, or chronic illnesses, both of the Naspers medical aid plans cover a variety of different medical treatments and medical necessities. One of the most important forms of coverage that is offered is the hospital benefit. This is a critical benefit to have if the need should arise for you or a family member on your plan requires admittance into a hospital for some type of medical treatment. It is important to note that prior to admittance into the hospital that the member contact Naspers medical staff to confirm that the admission and treatment is covered by the medical plan that is held. If this is not done prior to admittance, it is possible that the member could be liable for the costs incurred for not only the hospital stay but also the treatment. Other treatments and services cover medicines, medical emergencies, oncology, and coverage for a variety of tests.
Having medical care in place is essential for not only the maintenance of regular health but also in the unfortunate occasions an accident or other emergency leaves you seeking medical assistance.
This entry was posted in
When it comes to getting the best possible coverage at an affordable price from schemes such as Netcare medical aid there are a few important things that you need to keep in mind. The choice can be overwhelming if you do not know what exactly to look for, so we have put together this list of the key points to consider when choosing medical aid.
- Look At The Level Of Coverage
Every medical aid program offers slightly different levels of coverage. You may find that one scheme covers pregnancy while another doesn’t. Even between plans in the same scheme there can be large differences in cover. It is important to think about what sort of cover is important to you so that you can make sure it is included in your plan.
- Look Into Payment Policies
When it comes to paying for your medical treatment procedures differ between schemes. For example, what Netcare medical aid does may not be what Liberty does. Some schemes will pay providers directly meaning that you only have to pay your agreed deductible or co-pay amount. However, with other schemes you may be expected to pay your own medical bills and then submit a claim to be reimbursed. Depending on your medical aid provider it could take as long as 30 days to receive your refund.
- How Much Will It Cost
Perhaps the most important consideration when choosing your medical aid provider is the cost of cover. It is a good idea to work out how much your budget for health care is so that you can immediately eliminate those which are too expensive. It is never wise to sign up for medical aid you cannot afford as your cover will lapse if you are not up to date on payments. Always keep in mind that more expensive is not always better, it could be that you would be paying for services you will never use so make sure you are looking at which plan offers the best value for money.
- Have You Considered Your Health
When choosing medical aid you need to take your own health and the health of any family members attached to the plan into consideration. If you have an existing condition then you need to make sure that your medical aid will cover your treatment. Some of the chronic illnesses covered by Netcare medical aid include: Asthma, Bipolar, COPD, Crohn’s Disease, Diabetes, Haemophilia, Parkinson’s Disease and Schizophrenia among others. However, this list will be different with other providers so take care to ensure your condition is on the list.
- Does The Scheme Cover Hospital Care?
Not every medical scheme covers hospital care as standard. Often it is added as an additional premium for those requesting it. If you can afford to do so you should definitely opt for a plan which offers hospital care as you will never know when you might require treatment in a hospital or ER. As an example, the Netcare medical aid scheme does include hospital care provided you are admitted to an approved treatment facility within the Netcare group. Hospitalisation must also be pre-authorised under the rules of the Netcare medical aid scheme.
These are the top 5 things to take into consideration when choosing the right medical aid cover for you and your family, but you may have additional needs in which case you must thoroughly examine the terms and conditions of the program before making a commitment.
This entry was posted in
South Africa is currently enjoying being one of the most productive nations in the world and with our growing economic success has come improvements in health care and medical services. Naspers Medial Aid is just one of many schemes on offer to help South African’s to meet the cost of improved health services. With so many programs on the market it can be difficult to stand out from the crowd, which is why Naspers has opted for a diverse range of features and benefits designed to provide a functional medical aid program to members.
In general, Naspers medical aid is only available to employees and family members of Media24 and their affiliates although in certain cases continuous membership is also available, albeit under certain restrictions.
Conditions Of Continuous Membership
On of the main reasons why continuous membership to the Naspers Medial Aid scheme may be applied is that if the employee loses their job due to illness or disability, they will continue to receive benefits even after termination of employment. Another situation in which continuous membership might apply is where member has been retrenched due to cut backs in the department that they work in. Lastly, continuous membership may be offered to those who have retired.
Basic Health Plan Options
Naspers Medical Aid offers two basic care plans to the general public, the N Option Plus and the N Option Basic. The plans each comes with their own set of benefits. On both products, one of the key features is the Chronic Illness coverage which has proved very popular with many members who are used to medical aid programs charging additional fees for this service. There is a long list of diseases which are covered by Naspers medical aid plans including, but not limited to:
- Asthma
- Parkinson’s Disease
- Rheumatoid Arthritis
- Chronic Kidney Disease
Naspers medical aid offers sufficient benefits for members to receive adequate medical care for most issues that they will encounter, although there are some diseases which will have limitations applied to them. Overall, the programs offer a good choice in medical aid with N Option Plus members getting hospitalization benefits of up to R2 million per family and Basic plan members being entitled to up to R1 million. If you are employed by Media24 or one of their subsidiaries then the Naspers medical aid program is well worth looking into.
This entry was posted in 
