Question: Does Gems medical aid cover pregnant?

We will give you a GEMS pregnancy, birth and early parenting book when you register. We will send you a free maternity bag during your third trimester. This is a gift from us to you and your baby. You will enjoy free access to all services offered by the programme.

Can I take a medical aid while pregnant?

Pregnant mothers who need to be admitted during their pregnancy can apply to have their admission covered in full as a Prescribed Minimum Benefit. To access full cover for your hospitalisation as a Prescribed Minimum Benefit, you must use a doctor, specialist or other healthcare provider who is in the Schemes network.

What does the GEMS maternity bag contain?

A GEMS pregnancy, birth and early parenting book when you register. A free maternity bag during your third trimester. Free access to all services offered by the programme.

What does gem medical aid cover?

Comprehensive cover for both in-hospital and out-of-hospital benefits. All salary level 1-5 members can have a subsidy of up to 100% from an employer. Access to a network of private hospitals. Unlimited GP and specialist consultations.

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How much does it cost to give birth at Netcare hospital 2021?

The programme fee, which is from R29,400 based on 2021 prices, dependant on the location of your nearest TBT, can be paid off monthly, but the full amount must be paid before 34 weeks of pregnancy. Are you a medical aid?

Which medical aid will cover me if I am already pregnant?

There is no medical aid for pregnant women who are already pregnant at the time of joining the scheme. In this case, most medical schemes consider the pregnancy to be a pre-existing condition and it is therefore not covered.

Can I get gap cover while pregnant?

Gap cover providers impose a 10-month exclusionary waiting period on pregnancy and childbirth, which means that these will not be covered by the policy until this period has elapsed. This is true even if you weren’t pregnant when you signed the policy but get pregnant shortly afterwards and give birth early.

Does GEMS pay for baby immunization?

From 1 January 2021 an additional benefit for vaccinations has been made available on all GEMS Options. A limit of R750 per beneficiary per year applies and funding is allowed for Practice types 14, 15, 60, 61, 63, 110 and Specialists.

Does GEMS cover C section?

Elective Caesareans are planned during pregnancy. However, if an elective caesarean section is chosen as a personal preference, without any medical reason for the surgery, GEMS will fund the hospital account up to the amount of a normal vaginal delivery.

Does GEMS pay for gynecologist?

The GEMS Specialist Network now gives you access to Physicians as well as Paediatricians, Obstetricians and Gynaecologists.

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Does GEMS pay for Covid test?

Members should take solace in knowing that testing for COVID-19 will be covered, provided it is clinically appropriate. Ideally, beneficiaries should ensure they are screened first by a nurse/doctor who will then determine if a test is required. Once tests are done, both negative and positive tests will be paid as PMB.

Is there a waiting period for GEMS medical aid?

There are two types of GEMS waiting periods: A general waiting period (GWP) of up to 3 months. A condition-specific waiting period (CSWP) of up to 12 months.

Does GEMS Emerald pay for braces?

GEMS does not have a separate benefit limit for orthodontic treatment; all claims are payable from the available dentistry limit. The benefit for orthodontic treatment is only available to GEMS beneficiaries under the age of 21 on the Ruby, Emerald, Emerald Value and Onyx options. This is a once in a lifetime benefit.

How much does a baby cost per month in South Africa?

Parents are most likely to spend R7,785 a month on their baby’s essentials. When you plan your budget for your baby’s arrival, you’ll need a lump sum for the initial setup, which is roughly R14,000.

How much do doctors charge to deliver a baby in South Africa?

According to data from medical aid schemes, the average cost of a natural birth in a private hospital is around R25,000, including two to three days spent in hospital. If your baby is delivered by Caesarean section, the cost jumps to between R38,000 and R44,000.

How do I book a mediclinic maternity bed?

It is best to do this scan between 28 to 32 weeks.In order to book your bed, you will need the following documents and details:

  1. the hospital admission form/card/letter from your gynaecologist.
  2. your identity document (green bar coded ID book)
  3. your medical aid card.
  4. the authorisation number from your medical aid.
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