After treatment, the hospital submits the bill to the medical aid and is reimbursed directly by the scheme provided that the specific plan covers the facility in question, there are sufficient benefits available and that the patient was admitted for essential medical services. I am obese. My mom was admitted in hospital after going to the trauma unit with a very bad chest pain, she was diagnosed with a very bad lung infection. Application of this fee is subject to the Rules defined in ANNEXURE A. I’m also on chronic medication. If you are covered for hospital treatment through a private insurance plan, you will usually have to pay for treatment upfront and claim back the costs through your insurance provider. South Africa Estimates of Unit Costs for Patient Services for South Africa. However, these other financial products are often not accepted by most private hospitals in the country. At Mediclinic, we understand that private patients, i.e. Hi Sipho. Hi I’m 4 weeks pregnant and I’m not on medical aid and want to have my baby at a private hospital. I requested an account for the second stay and have been told I cant have one. Most private hospitals in South Africa do not charge rates higher than what your medical aid pays for childbirth and delivery. READ MORE >> Every hospital offers a range of specialist and allied services. Caesarean section – R14,760.00. The hospitals rated … Can i pay cash at a private hospital? If you are unhappy with the fee arrangement you should find a doctor who is contracted into medical aid and only charges medical aid tariffs. Your email address will not be published. Hi Zamankwazi. The first day of confinement costs around R12,000 and the final bill for baby and mother may come close to R40,000. © 2020 Lybrate, Inc. All rights reserved. tried calling around and no medical aid will assist me . Many private practitioners in South Africa are either contract out of medical aid (they will only take cash payments and not deal with your medical aid) or they charge rates above the medical aid tariffs. The hospital benefit is separate to your day-to-day funds. These deposits are just a small surety for the medical bills you will accrue within the hospital. Life Kingsbury Hospital. Hi, Denmar Specialist Psychiatrist Hospital (PTY) Ltd. Hi I get paid cash every week. How are we to pay this? Private Patients For information about fees please click here. Private hospital care (illness-related) benefit up to R70,000 per event. I suggest you to consult me privately to share relevant information. Justmoney contacted 13 doctors in Cape Town to find out how much an appointment costs. patients paying upfront for their surgery, may value predictable pricing. Non-medical aid members are required to pay cash for hospitalisation in a South African private hospital. Finding affordable healthcare in South Africa is possible, but it comes with its own challenges. I have seen a trend which worries me. List of Life Healthcare Hospitals in South Africa, Milpark Hospital (Netcare) in Parktown, Johannesburg. Nevertheless you should still speak to the hospital as soon as possible. About 79% of doctors work in the private … Hospital Rates. Content posted on, created for, or compiled by Lybrate is not intended or designed to replace your doctor's independent judgment about any symptom, condition, or the appropriateness or risks of a procedure or treatment for a given person. I just need to buy a policy that will assist me. I need to make a co payment at a netcare hospital. This ensures that the hospital will be paid upon your discharge. Provided that you have a legitimate medical reason to be hospitalised, your medical aid will still pay for your treatment in-hospital. However, the costs do not end there. He does not have the funds to pay for his hospital bill…. I got angry and decided to change the doctor coz she is a thief, i realy ddnt understand that doctor, how does she work? We don't support your browser. Find a Community of Care at your nearest Lenmed Private Hospital. It is important to note that the medical aid member/patient is responsible for any shortfall in payment. Anaesthetic emergency – R7815.00. The gynaecologist would be familiar with the pricing since he/she mainly operates from that facility. Birthing centre This is a private midwife-run birthing centre where you can receive all your antenatal or pregnancy care as well as deliver your baby. The public system serves the vast majority of the population. both admissions were the same, for the same thing. Follow up visit – R770.00. Hi I'm from South Africa. Medical Aid Mediclinic is contracted with all major medical schemes in South Africa, allowing competitive rates to be negotiated. Here are the average costs to give birth in a private hospital in South Africa: If you have a normal delivery with a 2 day and 1 night stay, this will cost you about R15 000 If you have to stay an extra night and day, then this will cost you R19 000 Hysterectomy - Tips to Help You Recover Fast. Learn about how hospitals work in South Africa, including the difference between public and private hospitals and health insurance in South Africa and what it costs to visit the hospital. It is essential that a person being admitted to a hospital understand the implications of having the necessary fund to secure treatment in a private hospital. If he is not on medical aid or does not have travel insurance, then the bills will have to be settled by you directly. The Department of Health is the custodian of health care delivery in South Africa. Visit our hospital pages to find out more. See full address and map. Covers GP, dentist & specialist visits, prescription medication, select tests & scans. The hospital fee is between R20 000 ­­and R30 000 depending on the length of your stay. Hi Thuli. Important fees to know: First antenatal visit – R880.00. Im pregnant and a member of medical aid but my gyner wanted cash of R3500 which i dont understand what is it for because the medical aid is paying on my behalf, while on top of that amount, she said i must pay R488.00 for consultation, i phoned my medical aid they said they paid all consultatation, while i was in shock of that,they send me a massege that i must pay the amount of R900 in cash on my next visit because my funds are finished, i asked them i just started using the medical aid, how come my funds are finished they didnt answer me. What does this mean and am I entitled to a copy of the full hospital account as the patient? I just got into an accident and sustained a femur fracture. The average cost of a Caesarean section in South Africa during 2019, according to Guardrisk’s Admed Gap Cover claims received, excluding hospital stay, is R38,000 to R44,000 … These day, most private hospitals in South Africa accept all major credit cards and some will also accept foreign currency. I have always requested a full detailed hospital account and never been refused. I was admitted to a Mediclinic twice in December 2017/Jan 2018, for the same reason. Patients may be required to pay a small co-payment admission fee in cash. My name is Nkuli i have a problem with my mother who need to do an oparation on a hip and i dont have a medical aids she is really suffering with pain she is straggling to walk it been 2 years now we even went to the public hospital but they are postponing date since from last year but now im willing to pay cash in a private hospital. My husband is in a private hospital there in South Africa. A private hospital will admit a medical aid member after acquiring an authorisation number from the scheme. The rates charged to non-medical aid patients may differ from the National Health Reference Price List (NHRPL) tariffs charged to medical schemes. Payment by Medical Aid, Cash or Credit Card Only. As for your medical scheme funds, you will need to discuss that directly with your medical aid. In both cases you will have to pay your specialist and then claim back from your medical aid, although you may not be reimbursed in full. I avoid fried food. Private hospital care in South Africa is of a similar standard and price to many western countries. Hi. Categories: Private Hospitals Is there a way or payment method? My husband Was let go from employment due to the company closing down and therefore we no longer have a medical aid, Last year 11 December, I was diagnosed with ovarian cyst that has to surgical removed, I want to have my procedure done in a private hospital, As per my conversation with my gynecologist , He told us that my surgical procedure could cost us R40.000 in our private hospital here in Ladysmith KwaZulu Natal, I wanted to know should I contact the hospital directly to find out about cash payment arrangements or should I trust what my gynecologist said as he works for the hospital, Please help I really need to know what I must do to make a right decision. I need arm surgery. Anything above that will be extra from your pocket. FIX FEE) according the billing guidelines – I cannot print or email a detailed account to you.” I have no idea what this means. Doctors, medical specialists and allied health professionals have to claim independently from the scheme or patient. Paediatricians +/- R5000.00. Suggestions offered by doctors on Lybrate are of advisory nature i.e., for educational and informational purposes only. Private hospitals deal directly with a medical aid to ensure that a patient can be treated and managed within the hospital environment. Hi Mariam, cost of hysterectomy depends upon the method of surgery. To get private treatment in Cape Town you are advised to take out a private insurance to cover any medical costs. Non-essential medical services such as cosmetic surgery and fertility treatments are not covered by most medical aids. Over: 0. How could i go about getting a good medical aid with a hospital plan? What other options are there for me ? Specialist medical disciplines. Pregnancy (pre-birth) maternity visits and childbirth delivery in private hospital up to R70,000. See full address and map. What do we do? Please upgrade your browser or download modern browsers from here! Alternatively the private hospital can send him to a government hospital for free care. Usually the private hospital wants the payment upfront but this may vary among different facilities. Your gynaecologist cannot be held liable if the hospital costs are higher and you will still have to pay for it. This may be covered by medical aid gap cover. I need to have a hysterectomy done .What are cost of hospital fees, Dr. and anesthetic ,theatre fees etc awaiting your response kind regards Mariam Patel. I appreciate your help of any kind to help get him home. The Hospital Association of South Africa exists to lead the private hospital sector, to represent it in appropriate forums, and to serve the interests of members who are drawn from the sector. 6th Floor Fredman Towers, 13 Fredman Drive, Sandton I am 16 weeks pregnant and not on a medical aid would like to deliver at a private. It is only applicable to essential medical services for the treatment and management of a disease or injury. Over: 0. Cardio-tocogram – R450.00 There is no other form of payment or guarantee of reimbursement that is usually accepted. i wanted to know how do i take a short term insurance for my scar removal, i do have a medical aid but i heard that if forms part of cosmetic surgery despite what i feel and my drs got tired of motivating. Delivery fee: Vaginal birth – R14,760.00. Hi Nothando. Copyright © 2020 SA Private Hospitals. Are the tariffs the same for medical aid and non medical aid patients in South African private hospital. A private hospital may reserve a large amount on your credit card to cater for the services rendered while you are in hospital. A medical aid in South Africa is a registered non-profit organisation that guarantees payment for medical services to its members. Will I have to pay the hospital fees cash or can it be paid on installment please help.thanks in advance. Hi Cindy. That is why Mediclinic has extended their bouquet of fixed fee procedures for privately paying patients, allowing for peace of mind across a range of diagnostic and surgical procedures. Address: 507 Lancelot Rd, Garsfontein, Gauteng, 0081, South Africa, Pretoria. With the variety of different financial products that are now available in the South African market, consumers can sometimes be mislead into believing that certain insurance policies will be accepted by private hospitals. What are the for this , on average, if I am paying cash because I am not on medical aid. Some rooms can cost up to R3 000 extra a day (depending on hospital). I am 51 years lady having one son. You should discuss this with the private hospital of your choice. Your email address will not be published. Anaesthetic – R5450.00. Ultrasound – R880.00. This includes care delivered at public as well as private facilities. National Hospital Network (NHN) was founded in 1996 with the prime objective of bringing together leading independently owned private hospitals and medical facilities under one umbrella; to gain synergy, cost effectiveness, and to collaborate on best practice patient care. When the facility is registered the Department of Health will issue the owner of the facility a certificate of registration, which needs to be renewed before 31 December each year. Private hospitals in South African only accept payment in the form of medical aid or directly from the patient either in cash or by credit card. Really! Private Health Care Costs in South Africa. Every private hospital or unattached operating theatre needs to be registered. We are now in debt of 51k. In South Africa, private and public health systems exist in parallel. Cormed Vanderbijlpark private hospital, clicnic and pharmacy offer the best medical care in the Vaal Triangle I need to have a hysterectomy done .What are cost of hospital fees, Dr. and anesthetic ,theatre fees etc awaiting your response kind regards Mariam Patel. He is an American citizen that was on his way yo the airport to come back to the United States, when he was injured in a car accident. I am 38 years old female patient and I have been diagnosed with end... Ayurvedic Medicine After Total Hysterectomy. Alternatively, you can contact the patient administration manager at your preferred Mediclinic hospital for information on charges and payment options. Hi, We are going on a vacation in South Africa.. We have free travel insurance from our credit card company which covers 3000 USD (1600 for my SO) per day of hospitalization and 20000 USD of surgery / emregency treatment (15000 USD for my SO).. All rights reserved. 008 Rehab fee R 2 288.90 The Mediclinic Southern Africa Private Tariff Schedule 2020 TARIFFS WITH EFFECT FROM 1 January 2020 IN RESPECT OF MEDICLINIC'S HOSPITALS LOCATED IN SOUTH AFRICA My wife has just been sent to do these expensive blood test, even though there is no specific treatment if the outcome are positive. I phoned my medical aid again they confirmed that my funds are still there, no funds finished. In 2017, South Africa spent 8.1% of GDP on health care, or US$499.2 per capita.Of that, approximately 42% was government expenditure. The reason: “The system does not allow me to email a fully detailed account to you in this case as this account is not a Fee for Service (FFS) account – this is an Advanced Fix Fee (ADV. Will they accept my Nedbank Amex card? Doctors (Gynaecologist) to be specific have a tendency of suggesting a patient take procedures that are more expecive than usual. 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