Medical Schemes

If for argument's sake you have R3500 in your medical savings day-to-day account and you have used it all, many schemes have instituted what they call a 'self-payment gap'.  Up to a pre-determined limit (which is different for every scheme) you will be liable for the payments until you reach what is called a threshold.

After that, many schemes will resume paying for day-to-day medical expenses up to a certain limit. It must be noted that the threshold is determined by the number of dependants you have registered as the main member.

Most schemes have introduced this system in the last few years, largely because of a general change in claim patterns experienced across the industry.

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