Why you shouldn't cancel your medical aid cover

With each passing year, the cost of living in South Africa becomes more expensive – and the annual increase in medical aid contributions simply adds to this cost. With this in mind, you may be tempted to cancel your medical aid in order to cut down on expenses.

But while you will save money on your monthly contributions, cancelling your medical aid outright can have far-reaching negative consequences.

“Should you or someone in your family be faced with an emergency and need to be admitted to hospital without a medical aid policy, it can be absolutely devastating to your financial circumstances,” says Jeremy Yatt, Principal Officer of Fedhealth Medical Scheme. “Even a basic operation like having your wisdom teeth removed where you’re only in hospital for a few hours can cost upwards of R13 000.”

Read: 14 quick facts on medical schemes in SA

No medical cover at all

The main reason not to cancel your medical aid is that you won’t have any medical cover at all. So, should you need to be admitted to hospital for any reason, or if you fall ill and need chronic medication, you won’t have any financial help to pay for these medical expenses.

While South Africa does have state-run medical facilities where you are charged according to how much you can afford, these institutions are typically overcrowded and understaffed, so there’s no guarantee that you’ll get the care you need. So, if you’d rather benefit from private medical care, you’ll be liable for a bill of thousands or even hundreds of thousands of Rands – which is far more than the cost of your monthly medical aid contributions.

Even if you think you’re healthy and won’t incur medical expenses any time soon, accidents and illness can happen at any time - so it’s never a good idea to go without this safety net.

Read: Consider this when choosing a medical scheme

Waiting periods

Some people cancel their medical aid policies when times are tough, with the intention of reinstating it again when they’re able to afford their monthly contributions. “The problem with this is that as a new member (even if you were a member before), you’ll most likely be subjected to a waiting period during which you have to pay contributions but aren’t covered,” says Yatt.

The length of this waiting period will depend on factors such as your health and how long you’ve been without medical aid cover, and can range from a three month general waiting period to a 12 month condition-specific waiting period.

Are hospital cash back plans an alternative?

Many people consider hospital cash back plans (HCBPs) as a possible alternative to a medical aid policy, but these two products are actually completely different.

A medical aid plan – including even the most basic hospital plan – will cover most if not all of your expenses should you be admitted to hospital, including doctor care, your hospital stay and any take-home medication. In contrast, a HCBP pays you a daily cash amount while you’re in hospital which is usually far less than the cost of a day’s stay in hospital.

Read: 7 things to know about your scheme

What’s more, most HCPBs only start paying you out if you’re in hospital for more than three days – so if you’re in hospital just for a day procedure, you won’t get any money paid out at all. 

So, what’s the alternative?

If you’re struggling financially and are considering giving up your medical aid, it’s worth looking at any other avenues to save money, rather than cancelling your health coverage. Says Yatt, “Of all the expenses, medical aid should be the last one to consider cutting, because if you need to pay for medical expenses, they’re extremely expensive.”

Instead cut down on non-essential expenses like entertainment and travel, and start a monthly financial budget and stick to it. By taking these steps, you’ll find ways to stretch your money further each month while still being covered should you find yourself needing medical care.

Read more:

What you need to know about PMBs in 2016

Are South Africans baffled by medical scheme benefits?

Do you know which claims your medical scheme doesn't have to pay?

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