What is the point of a Medical Aid?

One of my reasons for moving to The Times was the lucrative medical aid offer from Discovery Life. Having not been on a Medical Aid for more than 12 months this was quite a critical issue for me as family medical costs have to be a top priority.

In recent weeks Luke had a minor operation and Colette had an Amniocentesis to test for downs-syndrome in our unborn son.

I’ve just received my medical aid statement for November from Discovery and below is a breakdown of the costs incurred.

You can see that the total cost for both procedures was R9,024.09. Of that I have to pay R4,271.99 and an amount of R2,085.43 was paid directly from my savings account. This means that Discovery’s total liability was only R2,666.67 – the rest is paid using my money.

Now I might be missing the point here but how is it possible that a medical aid company only covers 29.5% of hospital procedures? It’s not like we went to some designer optician and spent R9,000 on matching his and her glasses – these were both hospital induced costs and I find myself paying more than 70% of the total bill.

I’m wondering if a hospital plan is not a better option for me seeing as I pay a fortune for Discovery each month and ultimately end up paying most of bills anyway?

Pathetic!