Medical scheme membership doesn’t come cheap and consequently many consumers are wondering about hospital plans, what they cover and what the cheapest ones are.
The medical scheme industry is full of jargon and benefit structures that often leave the man on the street confused and frustrated when it comes to understanding and accessing their benefits.
Read: Consider this when choosing a medical scheme
A hospital plan is offered by a registered medical scheme and should not be confused with hospital insurance or hospital cash-back plans. Medical schemes are regulated by the Medical Schemes Act, while the others fall under the umbrella of insurance products. A hospital plan has to pay for 270 Prescribed Minimum Benefits when treated in a hospital and for the treatment of 26 chronic conditions.
Where the difference comes in is that a hospital plan will pay up