{"id":125447,"date":"2016-06-02T13:19:09","date_gmt":"2016-06-02T11:19:09","guid":{"rendered":"http:\/\/businesstech.co.za\/news\/?p=125447"},"modified":"2016-06-02T13:19:26","modified_gmt":"2016-06-02T11:19:26","slug":"everything-you-need-to-know-about-medical-aid-schemes-in-south-africa","status":"publish","type":"post","link":"https:\/\/businesstech.co.za\/news\/lifestyle\/125447\/everything-you-need-to-know-about-medical-aid-schemes-in-south-africa\/","title":{"rendered":"Everything you need to know about medical aid schemes in South Africa"},"content":{"rendered":"<p>Stats SA has released the results of its latest General Household Survey, revealing how South African families make use of medical aid schemes in the country.<\/p>\n<p>According to the report, the vast majority of people are not covered by any type of medical aid scheme,\u00a0with public facilities\u00a0still being the primary choice when it comes to healthcare.<\/p>\n<p>One of the biggest barriers to private healthcare in the country is the price.<\/p>\n<p>The South African Competition Commission recently conducted a market inquiry into medical aid schemes, focusing on the price of services and costs involved with private healthcare in the country.<\/p>\n<p>The inquiry was triggered by data that showed that per capita spending on services such as hospitals and medical specialists in SA increased in real terms by 40.7% and 55.7% between 2003 and 2012 &#8211; while\u00a0expenditure on all health benefits by medical schemes rose by 11.1% in 2014 to reach R124.1 billion.<\/p>\n<p>The cost of private healthcare is increasing significantly, with little to no oversight or regulation to keep tabs on what&#8217;s pushing the effect, the Commission found.<\/p>\n<p>According to the Medical Aid Council of South Africa, hospital fees account for the biggest portion of what medical aid schemes pay for, taking up to 40% of total fees paid out, with specialists and medication taking up the rest.<\/p>\n<p>These costs paint the backdrop for Stats SA&#8217;s findings, explaining why private healthcare is out of reach for so many.<\/p>\n<p>Here are other facts about medical aids and healthcare in South Africa:<\/p>\n<ul>\n<li>70.5% of the population choose a public hospital or a public clinic as their first point of contact when it comes to health issues in the country &#8211; 27.7% of the population choose private healthcare.<\/li>\n<\/ul>\n<ul>\n<li>Only 0.4% of the population go to a traditional healer as their first choice.<\/li>\n<\/ul>\n<ul>\n<li>Private healthcare users are overwhelmingly positive about their experiences, with 92% of people indicating they are very satisfied with the care they receive. This, compared to only 57.5% of very satisfied public healthcare users.<\/li>\n<\/ul>\n<ul>\n<li>Only 17.5% of South Africans are covered by medical aid.\u00a0Between 2002 and 2015, individuals who were covered by a medical aid scheme increased from 7.3 million to 9.5 million persons.<\/li>\n<\/ul>\n<ul>\n<li>44.6 million people are not covered by medical aid.<\/li>\n<\/ul>\n<ul>\n<li>The majority of white people in South Africa are covered by medical aid, with 73.3% of all whites being subscribed. The Indian\/Asian population covered by medical aid is approaching half (44.5%).<\/li>\n<\/ul>\n<ul>\n<li>The black African population and the coloured population are least covered at 10.6% and 19.3%, respectively.<\/li>\n<\/ul>\n<ul>\n<li>Gauteng has the most medical aid members, with 27.7% of the province covered. This is followed by the Western Cape (24.2%). Limpopo is the province with the lowest membership (8.5%). Understandably, medical aid membership is concentrated around metropolitan areas.<\/li>\n<\/ul>\n<ul>\n<li>City of Tshwane has the most medical aid subscribers across SA metros, where 33% of individuals are members. This is followed by City of Cape Town (28%) and Ekurhuleni (27.9%). Ethekwini has the lowest number of medical aid members at 19.2%.<\/li>\n<\/ul>\n<h3 class=\"my-4\">More on medical health<\/h3>\n<p><strong><a title=\"Permalink to The shocking truth about medical aid fraud in South Africa\" href=\"http:\/\/businesstech.co.za\/news\/business\/104953\/the-shocking-truth-about-medical-aid-fraud-in-south-africa\/\" rel=\"bookmark\">The shocking truth about medical aid fraud in South Africa<\/a><\/strong><\/p>\n<p><strong><a title=\"Permalink to SA medical scheme payouts\" href=\"http:\/\/businesstech.co.za\/news\/general\/97259\/sa-medical-scheme-payouts\/\" rel=\"bookmark\">SA medical scheme payouts<\/a><\/strong><\/p>\n<p><strong><a title=\"Permalink to Medical aid fraud is costing South Africa billions\" href=\"http:\/\/businesstech.co.za\/news\/general\/94825\/medical-aid-fraud-is-costing-south-africa-billions\/\" rel=\"bookmark\">Medical aid fraud is costing South Africa billions<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Stats SA has released the results of its latest General Household Survey, revealing how South African families make use of medical aid schemes in the country.<\/p>\n","protected":false},"author":10,"featured_media":102907,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9876],"tags":[26],"class_list":["post-125447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lifestyle","tag-headline"],"_links":{"self":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/125447","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/comments?post=125447"}],"version-history":[{"count":3,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/125447\/revisions"}],"predecessor-version":[{"id":125453,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/posts\/125447\/revisions\/125453"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media\/102907"}],"wp:attachment":[{"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/media?parent=125447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/categories?post=125447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/businesstech.co.za\/news\/wp-json\/wp\/v2\/tags?post=125447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}