Medical Aid Cover

Most medical aids & private health insurance will cover:

  • 24 days of inpatient addiction rehabilitation, per year – and
  • 21 days of inpatient psychiatric treatment, per year.

In some cases, we can arrange that your medical aid pays for 6 weeks of treatment. Our clinics are divided into three specialities:

  • Addiction treatment for adults.
  • Psychiatric care for adults.
  • Treatment for adolescents – whether addiction, psychiatric or behavioural issues. Teenagers are kept separate from adults.

We can also get pre-authorisation from medical aids for the treatment of process addictions like eating disorders, gambling & sex addictions from Discovery, Fedhealth, Bonitas, Momentum, Medshield and Gems medical schemes.

With more than 70 years collective experience in the field, we’ll help you choose the best treatment program for you.

Substance use disorder & mental health problems fall under prescribed minimum benefits (PMBs) of medical schemes. This means your ‘savings’ portion is not affected. If you’re looking for a luxury rehab you’ll have to pay a little to top up what your medical aid will not fund.

The brain disease model of addiction is strongly supported by scientific evidence. It affects the reward centre of our brains and has been classified as a primary illness for more than 50 years.  Addiction to alcohol and others drugs is a complex problem and getting into recovery takes more than willpower, intellect or strength of character.

Be wary of centre’s that cannot accept medical aid payments. They are likely unregistered and not run by certified professionals.

Ensure that the people treating you are accredited to practice in the addiction field through organisations like the Federation of Drug & Alcohol Professionals, the International Certification & Reciprocity Consortium or are qualified doctor’s, psychiatrists, psychologists, social workers and occupational therapists in good standing with their relevant boards.

The facility must be fully licensed through organisations like the South African Department of Health, Department of Social Development & Board of HealthCare Funders or the UK’s Quality Care Commission.

Usually, PMI covers treatment in full so patients choose to stay in the UK close to home & family. If paying privately many UK & Middle East patients travel to Thailand & South Africa to take advantage of the strong GBP currency, reduce costs & ensure anonymity. The current US$ / GBP£ / Euro € exchange rates make luxury rehab attractive to our patients from the Middle East, the UK & Europe, the USA and Canada who aren’t on PMI or would like an exotic rehab experience in a holiday destination. Costs for similar quality treatment in North America or Europe are much higher, so the value for money with treatment abroad is superb.

If you do not have medical aid and cannot afford private treatment, you can contact the South African state facilities or the UK NHS.

South African medical aids:

SA Medical Aid page. .South Africa UK Addiction Treatment psychiatric clinics - Medical Aid Cover

UK Private Health Insurance companies:

Final logo 1 - Medical Aid Cover

South African Medical Aids:

AECI Medical Aid Society, Alliance Midmed Medical Scheme, Altron Medical Aid Scheme, Anglo Medical Scheme, Anglovaal Group Medical Scheme, Bankmed, Barloworld Medical Scheme, Bestmed Medical Scheme, Bmw Employees Medical Aid Society, Bonitas Medical Fund, BP Medical Aid Society, Building & Construction Industry Medical Aid Fund, Cape Medical Plan, Chartered Accountants (SA) Medical Aid Fund (CAMAF), Community Medical Aid Scheme (COMMED), CompCare Wellness Medical Scheme, De Beers Benefit Society, Discovery Health Medical Scheme, Engen Medical Benefit Fund, Fedhealth Medical Scheme, Fishing Industry Medical Scheme (Fish-Med), Food Workers Medical Benefit Fund, Genesis Medical Scheme, Glencore Medical Scheme, Golden Arrows Employees’ Medical Benefit Fund, Government Employees Medical Scheme (GEMS), Grintek Electronics Medical Aid Scheme, Horizon Medical Scheme, Hosmed Medical Aid Scheme, Impala Medical Plan, Imperial Group Medical Scheme, Keyhealth, LA Health Medical Scheme, Libcare Medical Scheme, Liberty Medical Scheme, Lonmin Medical Scheme, Makoti Medical Scheme, Malcor Medical Scheme, Massmart Health Plan, MBMed Medical Aid Fund, Medihelp, Medimed Medical Scheme, MEDiPOS Medical Scheme, Medshield Medical Scheme, Metrocare, Metropolitan Medical Scheme, Momentum Health, Motohealth Care, Naspers Medical Fund, Nedgroup Medical Aid Scheme, Netcare Medical Scheme, Old Mutual Staff Medical Aid Fund, Parmed Medical Aid Scheme, PG Bison Medical Aid Society, PG Group Medical Scheme, Pick N Pay Medical Scheme, Platinum Health, Profmed, Quantum Medical Aid Society, Rand Water Medical Scheme, Remedi Medical Aid Scheme, Resolution Health Medical Scheme, Retail Medical Scheme, Rhodes University Medical Scheme, SABC Medical Aid Scheme, Samwumed, Sasolmed, Sedmed, Selfmed Medical Scheme, Sisonke Health Medical Scheme, Sizwe Medical Fund, South African Breweries Medical Scheme, South African Police Service Medical Scheme (POLMED), Spectramed, SUREMED Health, TFG Medical Aid Scheme, Thebemed, Tiger Brands Medical Scheme, TopMed Medical Scheme, Transmed Medical Fund, Tsogo Sun Group Medical Scheme, Umvuzo Health Medical Scheme, University Of Kwa-Zulu Natal Medical Scheme, University Of The Witwatersrand – Johannesburg Staff Medical Aid Fund, Witbank Coalfields Medical Aid Scheme, Wooltru Healthcare Fund.

 

International Private Health Insurance companies:

Bupa, PPP, Van Breda, Interglobal, Aetna International, Allianz Worldwide Care, Cigna Global Health Benefits, Generali Global Health, IMG Europe Ltd, Pacific Prime, Humana, Allianz, AIA Insurance Group, Aetna Foundation, Blue Cross Blue Shield, Axa, Aviva, United Healthcare, Express Scripts, Zurich Insurance Group, ALC Health, AXA PPP International, Allianz Worldwide Care, BUPA International, ExpaCare, Globality Health, MediCare International and Morgan Price International.

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