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Myths about hospital cash plans

Despite the increasing popularity of hospital cash plans - also known as health cash plans - as supplementary cover for non-medical expenses, some consumers are still not maximising this benefit due to a few misconceptions, says Lee Bromfield, CEO of FNB Life.

Bromfield says that, when used appropriately, a health cash plan can go a long way to help consumers cover daily living costs and other expenses that could be incurred while being hospitalised.

“Although licensed insurers abide by similar guiding principles, the cover they provide is not always the same. Therefore, it is essential for consumers not to base their decisions on hearsay, but rather what is specified on their individual policy documents," says Bromfield.

"If you are unsure about the terms of your policy, seek guidance from your insurer or an expert to avoid making mistakes.”

He demystifies some of the common myths about health cash plans:

Myth: It’s affordable medical aid cover

A health cash plan is not a substitute for a medical scheme and the cover is not the same. It provides a cash pay-out for non-medical expenses that are incurred from being hospitalised.

As a result, you can still choose to have a medical aid plan even if you have a health cash plan.

Myth: Funds can only be used for hospital expenses

Consumers are free to choose how they want to use the cash. For instance, you can either use it for non-medical expenses or to supplement your income for the period that you cannot work.

Myth: The pay-out is based on total hospital expenses incurred

The total pay-out is guaranteed based on the time spent in hospital for consumers who are eligible to get a benefit.

It is by no means linked to the expenses charged by the hospital.

Myth: The benefits of a health cash plan are limited to cash only

There could be free benefits to a health cash plans that are not limited to money.

Customers could, for instance, have access to qualified nursing advice via a free 24/7 telephonic service in any South African language.

This provides customers with peace of mind, should they be anxious about any medical query.

Myth: A medical check-up is required to get cover

No medical assessments are required when taking out a health cash plan.

However, it is a pre-requisite to inform your insurer if you have a pre-existing medical condition, such as a heart condition, diabetes and cancer.

Your insurer will then advise on how it impacts your policy or whether there will be a waiting period imposed.

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