Oct 132 min read

Reviewing Your Medical Aid Options: How to Make Informed Decisions for the New Year

As the year comes to a close, it’s the perfect time to review your medical aid options! Whether you’re considering a plan change or just want to understand your benefits better, make sure you’re fully informed. Don’t wait until the last minute—explore your options now, seen that all major medical aids in SA are busy with their launches of their 2025 products, to ensure you’re covered for what you need in the year ahead. Your health matters!

Here are some key points to remember when changing your medical aid plan at the end of the year:

Review Current Plan: Assess what your current plan covers and any gaps in coverage you experienced over the year.
Evaluate Health Needs: Consider your medical needs, including any ongoing treatments or anticipated healthcare services for the coming year.
Compare Plans: Look at different options available, focusing on premiums, out-of-pocket costs, and benefits offered.
Network Providers: Check if your preferred healthcare providers are in-network for the plans you’re considering.
Financial Impact: Be aware of premium increases on plans and ensure you use 2025 premiums for calculations.
Prescription Coverage: Review the formulary for each plan to see how your medications are covered and their costs.
Family Considerations: If you’re covering dependents, ensure their premium for the new year as their age may change child classification to adult classification.
Deadlines / Cut-off Dates: Be aware of the specific medical aid’s deadlines for plan changes.
Ask Questions: Don’t hesitate to reach out to the medical aid provider or an adviser for clarification on plan details.