Medical aid planning involves selecting the right medical scheme and option for your family's health profile and budget, and pairing it with appropriate gap cover to address the shortfall between what specialists charge and what your medical aid pays. It is one of the most under-advised areas of personal financial planning — most people choose their medical aid once and never review it.
An inappropriate medical aid plan — either over-specified or under-specified — costs you money every month. Gap cover, misunderstood by most members, can be the difference between a hospital account being settled in full and receiving a bill for R80 000. These decisions interact with your broader financial plan — medical expenses in retirement, for example, are often the largest unplanned cost retirees face.
I review your family's health profile, utilisation history, and budget — and match these against available medical scheme options to find the optimal plan. I then assess whether gap cover is appropriate and, if so, which product best addresses your specific exposure. This is reviewed annually, particularly at scheme rate increase time, to ensure you remain on the right plan as your needs and the market evolve.
Individuals and families who want to ensure they are on the right medical scheme at the right cost, and those approaching retirement who need to understand how medical costs will affect their retirement plan.