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It’s expensive to be healthy: you have to save to save your life

Healthcare costs have become an escalating concern in South Africa, posing a significant threat to both our financial and overall well-being. As the price tag of medical treatments continues to rise, it is crucial for us to explore effective strategies to manage these expenses.

Stats SA reports that annual health inflation was 6.5% in September 2023 compared to 6.2% in August 2023. This is the highest inflation rate for healthcare since November 2017 when it was also 6.5%. Prices for medical products increased by 7.5% in the 12 months to September 2023.

Without a plan to safeguard your health, the rising cost of living can easily drain your finances and leave you vulnerable in times of medical emergencies.

Before we dive into some of the strategies you can use to save money on medical expenses, let’s examine the current state of healthcare in South Africa:

The public healthcare system in South Africa is marked by insufficient funding and staffing. The shortage of doctors is especially severe, with a ratio of one doctor to 2,457 patients in the public sector compared to one doctor to 571 patients in the private sector. This results in long queues, poor-quality treatment, and delays in surgeries at public healthcare facilities. Consequently, many qualified professionals have left for the private sector or overseas employment opportunities.

Private healthcare has become out of reach for many South Africans. Prior to the COVID-19 pandemic, medical scheme contribution increases consistently outpaced the consumer price index (CPI), often by as much as two or three percent. This meant that every year, you had to dig deeper into your pockets just to afford the same level of medical coverage. Not to mention the additional costs you incur when facing hospital stays. According to the Independent Financial Consultants, the cost of a bed in a general ward can set you back around R4,000 per night, and a whopping R4,900 if you opt for a private ward. In intensive care units (ICUs), the costs are even higher, with a night in the ICU costing R16,800 and specialised ICU treatment skyrocketing to over R19,900. These figures are enough to make anyone’s heart skip a beat.

With the poor quality of the public healthcare system and the high ‘out-of-pocket’ costs associated with private healthcare, you have to consider medical aid. Although medical aid premiums are high, it will be cheaper to have medical aid than to have to pay for even one night’s stay in the hospital.

Here are some ways that you can save that could possibly save your life:

Choose a healthcare plan that suits your needs and budget

The first step is to select a healthcare plan that suits your needs and budget. Conduct thorough research on the different options available, considering factors such as premium costs, coverage, and network providers. Ask yourself: “Do I need comprehensive medical aid or will a hospital plan suffice?” Seek advice from trusted professionals or consult independent healthcare brokers who can guide you through this complex process. Remember to always compare apples with apples, and to only change your medical aid when you understand the benefits of the plan you are moving to completely.

More savings or saving more?

More expensive premiums often accompany a bigger savings plan. For example, plan A may cost you R1,000 a month with a R0 savings benefit while plan B costs R1,500 per month with a R500 savings benefit. Does it make sense to pay more each month or would you be able to leverage alternative investment options to safeguard that shortfall? There are pros and cons to each decision. Evaluate your lifestyle and level of discipline and then decide which option makes more sense.

Adopt effective strategies for managing medical expenses

Being proactive is key when it comes to managing medical expenses. Prevention is better than cure. Start by exploring preventative measures, such as engaging in regular exercise, maintaining a balanced diet and undergoing regular check-ups to reduce the need for regular medical interventions. Additionally, be proactive in understanding the terms and conditions of your medical scheme. Familiarise yourself with co-payments, deductibles, and exclusions, and plan accordingly to avoid any surprises when the bills stack up.

Become an informed consumer

Compare prices for medications and procedures, and consider generic alternatives whenever possible. Engage in open conversations with healthcare providers regarding costs and explore options for payment plans or negotiated rates. Remember, you’re not alone on this journey, and building a strong relationship with your medical team can go a long way in managing expenses without compromising quality care.

Navigating healthcare costs in South Africa is crucial for safeguarding our financial and overall well-being. The current state of healthcare, both in the public and private sectors, presents challenges that require consumers to be proactive and informed. Saving for medical emergencies could save your life. So, choose a healthcare plan that suits your needs and budget and adopt effective strategies for managing medical expenses so you can make informed decisions and prioritise your healthcare needs. Quite frankly, your life depends on it.