Medical aid loyalty programmes in South Africa: What you need to know

Medical aid loyalty programmes offer members a bit extra for the right behaviour. Usually, they incentivise their members for making healthier lifestyle choices. In consideration, medical scheme members receive discounts, cashbacks, and exclusive privileges based on their participation and engagement with the programme. If you’re looking for a medical aid loyalty programme in South Africa, this blog outlines what to expect from some of the top options that are out there.

How do medical aid loyalty programmes work?

Medical aid loyalty programmes in South Africa are essentially set to encourage and reward their members for healthier behaviours. Here’s a brief summary of how these programmes work:

  • Most work on a points basis. Members earn points by being active; for participating in health assessments; and by making healthy lifestyle choices.
  • Points can be redeemed for rewards at partner retailers, including gyms, cinemas, fuel stations, and even on flights and electricity purchases.
  • Many clients that take part in medical aid rewards programmes will have been allocated a status tier in the system (e.g. Discovery levels from Blue to Diamond) whereby the more points you earn; the higher your status, and the better your rewards.

Do I need to be a medical aid member to join a loyalty programme?

Not all medical aid loyalty programmes require you to be a medical aid member. Some can be accessed through other policies:

  • Discovery Vitality is offered to certain life insurance holders.
  • Momentum Multiply links with medical aid.
  • Eligibility changes for each product, so you should check whether yours qualifies.

Do loyalty programmes influence medical aid choices?

For many South Africans, the availability of medical aid rewards programmes can be a deciding factor when choosing a medical aid scheme. Some key considerations include:

  • Programmes like Discovery Vitality and Momentum Multiply provide significant rewards, making them attractive options.
  • Those who actively engage with these programmes may find the savings and medical aid loyalty programme benefits outweigh the costs.
  • Consumers looking for lifestyle and health incentives often prefer schemes that include robust medical aid rewards programmes.

Do loyalty programmes track physical activity and health screenings?

Yes, tracking health metrics is a core aspect of medical aid loyalty programmes. These programmes monitor:

  • Physical exercises by using mobile apps and wearable devices.
  • Health examination tests such as cholesterol, BMI and blood pressure assessments.
  • Personal lifestyle habits including the smoking status, hydration and possibly driving behaviour.

How can I redeem my loyalty points or benefits?

Redemption methods vary across programmes, but most include:

  • Discounts at affiliated shops, such as grocery stores, pharmacies, and clothes shops.
  • Cashbacks on health-related purchases and subscriptions like gym memberships and wellness goods.
  • Savings on flights, fuel, and even discounts on utility bills.

Do loyalty points expire?

While points themselves may not expire, status levels can drop if members do not maintain engagement. This means:

  • A decline in physical activity or health screenings may reduce the level of rewards earned.
  • Staying consistent with healthy behaviours ensures continued access to the best medical aid loyalty programme benefits.

Can I join a loyalty programme with a hospital plan only?

Yes, hospital plan members are typically eligible to participate in medical aid loyalty programmes. However, the specific medical aid loyalty programme benefits may differ from those available to comprehensive medical aid members.

Do these programmes offer free or subsidised health assessments?

  • Some medical aid loyalty programmes provide free online health assessments.
  • In-person health checks may be subsidised but are often included as part of preventative care benefits within the medical aid scheme.

What happens to my loyalty rewards if I cancel my medical aid?

  • When a loyalty programme is linked to a medical aid, cancelling such a scheme may lead to the loss of loyalty rewards.
  • Contrarily, in instances where the programme is engaged with another product, for instance, life cover, one may still retain membership and benefits.

What are the most popular medical aid loyalty programmes in South Africa?

Several well-known medical aid loyalty programmes operate in South Africa, including:

  • Discovery Vitality – One of the very large medical aid wellness programmes with which there’s a discount on gym membership, flight tickets, and groceries.
  • Momentum Multiply – Focuses on financial health wellness benefits through discounts and cashbacks awarded to members.
  • Sanlam Reality – Offers various tiers of membership, including discounts on lifestyle and financial products.

Final thoughts

Medical aid loyalty programmes in South Africa provide one-of-a-kind incentives for those choosing to adopt a healthier lifestyle. They certainly add that extra bit of flavour to your health care journey, but are not the only benefits to consider when selecting a medical aid scheme. Compare the various loyalty programmes with Checkmed.co.za before joining to ensure that you gain maximum benefit.

Medical Aid vs Health Insurance: What’s the Difference?

Do you need medical aid or health insurance? What is the difference between them and how are they the same? If these are questions you want to know the answer to then this is the blog for you. Which of these options is right for you depends on what you need, what you can afford and in some cases what you qualify for. On the one hand you might find yourself with too little cover and end up paying for a lot out of pocket on the other you may be paying for cover you don’t use. One thing is certain though, if you are informed you will be able to make the best decision, so let’s dive in.

What is Medical Aid?

Medical aid South Africa is defined as a regulated program whereby its members have access to an extensive range of healthcare services, paying a certain amount monthly to the medical scheme. As a result of paying this, the members receive benefits like:

  • Hospitalisation and certain out-of-hospital treatments.
  • Day-to-day medical expenses like visits to a doctor, medication, and specialist consultations (depending on the plan).
  • Prescribed Minimum Benefits (PMBs) which are benefits for core therapy on certain conditions and emergencies.

Medical aids work on a pooled basis where all members’ contributions are pooled and works to cover medical expenses for the most needy. Hence, ensuring some baseline security and peace of mind.

Requirements for Joining a Medical Aid
While medical aids are widely accessible, there are specific requirements to consider when applying:

  • Age Limits: Some medical aid options cater to individuals of all ages, but medical aids may have tailored plans for young adults, families, or retirees. Children can remain on their parents’ plans as dependents until a certain age, often up to 21 or 24 if they are studying.
  • Medical Underwriting: Medical aids may require new members to undergo a medical underwriting process. This could include completing a detailed medical history questionnaire.
  • Waiting Periods: Members are often subject to general waiting periods (up to three months) or condition-specific waiting periods (up to 12 months for pre-existing conditions) before they can claim benefits.
  • Medical Exams and Tests: While not always required, some medical aids may request medical exams or tests, especially for applicants with pre-existing conditions.
  • Affordability Requirements: Members need to meet the monthly premium payments based on the plan they choose, with costs varying by the level of coverage.
  • Compliance with Medical Aid Rules: Members are expected to abide by the rules of their chosen medical aid, including pre-authorisations for certain treatments and hospital admissions.

What is Health Insurance?

As opposed to medical aid, health insurance South Africa generally offers specified compensation for certain medical incidents at a lower cost. Additionally, health insurance often does not require a medical exam like medical aid does and it can be purchased in conjunction with a medical aid as a top-up to cover bolster specific health issues or to cover additional expenses. Unlike medical aid South Africa, it doesn’t take care of – the majority of the healthcare expenses, but it offers the following benefits:

  • Fixed cash payments for events such as hospitalisation, surgery, or critical illnesses.
  • Limited coverage of day-to-day medical expenses.
  • Free to use cash however you like, whether it be for medical bills or some other financial needs.

Health insurance South Africa is usually seen as the quick simple coverage without the high premium costs of medical aid South Africa.

Which One is Right for You?

When choosing between medical aid vs health insurance, the individual would need to make this decision based on their healthcare needs and budget:

  • Medical aid South Africa works best for families, those with chronic conditions, or those who have to seek medical care frequent times, since they have comprehensive coverage and PMBs.
  • If you’re young, healthy, and looking for an affordable way to protect yourself against major medical events, health insurance South Africa could suffice.

Still not sure?

If you are unsure which option is best for you contact us and one of our expert advisors will give you free and impartial guidance.

Conclusion

Remember that there are merits to both medical aid and health insurance as part of South Africa’s healthcare system. Compare your needs with what fits your budget, ensuring the best balance between your health and your finances.