Last reviewed: June 2026. We review our guides regularly to keep them accurate.
In the spirit of youth month, let’s discuss why you may think you don’t need medical aid because you are young and healthy when in fact, you do. Although good health may seem a good enough reason to not have medical aid coverage, let’s face it, no one can ever be prepared enough for the unforeseen. Accidents and emergencies are simply too unpredictable not to make provision for, especially when considering the impact of the loss. In an economy where there’s inflation and so much uncertainty, saving for private care is unfortunately not enough, especially when you consider hospitalisation, therapy, surgery, and consultations. These costs can rapidly build up and before you know it, you’re in financial detriment.6 Reasons why medical aid for our youth is essential
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Access to the best health care in South Africa
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Avoiding financial loss
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Access to mental health care facilities
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Avoiding late joiner penalties (additional % to premium for joining after the age of 35)
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Access to regular medical check-ups
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Access to lifestyle benefits (through loyalty programmes attached to medical aid schemes)
Medical Aid Options to consider
There are several schemes in the market which offer a collection of products that cater for the various financial, medical and lifestyle needs of young south Africans. Let’s look at some of the options you can consider:Income based or Capitation options:
This is an entry level option offered across all medical aid schemes which allows you to pay monthly premiums that are in accordance with your income. This option is very ideal for the low to medium income earners as well as students, who are looking to have medical aid without breaking the bank. However, the only condition attached to this option is that you must be willing to make use of designated service providers for the benefits it provides. The best thing about these options is that they offer you in hospital coverage at 100% of the schemes rate as well as defined day to day coverage (out of hospital cover: GP, DENTISTRY, OPTOMETRY, PHARMACY ETC..) at an affordable rate. This entry level option also caters for sufficient chronic cover from consultations to medication provided by the option.Hospital Plans:
Hospital plans are your next best bet when it comes to having enough cover for hospital admissions, planned and/or unplanned procedures subject to pre-authorisation of the scheme. This is mostly suitable for young people who do not require additional day to day coverage. It provides you with 100% OR 200% scheme rate coverage depending on the option chosen. This will allow you to have peace of mind knowing you are covered should you find yourself in need of hospitalisation during those unexpected incidents.The option to upgrade:
Although all schemes only allow upgrades during the year, some schemes have exceptions for emergency upgrades within 30 days of should you be diagnosed with a life-threatening condition such as cancer. This fact will also allow you the flexibility to know that you are not bound to an option for 12 months even if it is a matter of life and death subject to the provider you choose.
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