Overall, the Makoti Medical Aid Plan is a trustworthy and comprehensive medical aid that offers 24/7 medical emergency assistance, Primary and Comprehensive plans to up to 3 Family Members. The Makoti Medical Aid Plan starts from R332 ZAR.
|🔎 The average number of members||10,000+|
|1️⃣ Number of Markets||1|
|👤 Number of Employees||150+|
|3️⃣ Average Customer Rating||3.1|
|🔟 Average Number of Reviews||<10|
|📉 Market Share||<1%|
|2️⃣ Number of plans offered||2|
|➡️ Number of Hospitals in Network||100+|
|↪️ Medical Claims Portal||☑️ Yes|
|💙 Customer Support Operating Hours||Monday to Friday from 8 am to 5 pm|
|🟦 Chronic Illness Benefits||☑️ Yes|
|🔵 Number of PMB Diagnoses||271|
|⬇️ Number of PMB Chronic Conditions||41|
|⬆️ Maternity Benefit||☑️ Yes|
|💶 Medical Aid Contribution Range (ZAR)||R332 – R3,101 per month|
|➡️ Average Waiting Period||3 to 12 months|
|↪️ Late-joiner penalties charged||☑️ Yes|
|🔎 Plan||💶 Contributions Range (Main)||💶 Contributions Range (+Adult)||💶 Contributions Range (+Child)|
|1️⃣ Primary Option||R332 – R966||R332 – R752||R215 – R346|
|2️⃣ Comprehensive Option||R2,268 – R3,101||R1,954 – R2,657||R754 – R1,008|
Makoti Medical Scheme offers a range of benefit options that cater to the different healthcare needs of its members. The options include the Primary and Comprehensive options. Therefore, members can choose a plan that suits their budget and healthcare needs. Other advantages include:
Makoti Medical Scheme has a strong financial position, with a solvency ratio well above the minimum required by law. This means that the scheme can meet its financial obligations to members and providers and provide sustainable healthcare coverage in the long term.
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To apply for Medical Aid through Makoti Medical Scheme, you must:
Your application will be reviewed and processed by Makoti Medical Scheme. You will be notified and issued a membership certificate and other relevant documents if your application is approved. You can start using your Makoti Medical Scheme membership to access healthcare services once your membership has been activated.
Get a Makoti Medical Aid quote from our Dedicated Medical Aid Specialists Broker
Here are step-by-step instructions on how to submit a claim with Makoti Medical Scheme:
If the claim is rejected, Makoti Medical Scheme will provide a reason for the rejection and advise you on how to proceed.
To submit a complaint or compliment, members can contact the Makoti Medical Scheme customer service department through the following channels:
When submitting a complaint to Makoti, the following must be noted:
Furthermore, to submit a compliment, members can use the above channels to provide details of their positive experience with the Makoti Medical Scheme.
To switch your medical cover to Makoti, you can follow these steps:
Once your application has been approved, you will receive a membership certificate and other relevant documents. Begin using your Makoti Medical Scheme membership to access healthcare services.
New Members 35 years or older may be subject to late-joiner penalties on Makoti Medical Aid Plans.
You can contact Makoti Medical Scheme customer support using any of the following channels:
|🔎 Medical Aid||🥇 Makoti Medical Scheme||🥈 GEMS||🥉 Sizwe Hosmed|
|📌 Years in Operation||47 years||18 Years||35 Years|
|📍 Average # Members||10,000+||1.8 million+||172,000+|
|📈 GCR Rating||–||AA||A+|
|📉 Number of Employees||150+||500+||500 – 1,000|
|📊 Market Share||<1%||>10%||<5%|
|🟥 Market Coverage||South Africa||South Africa||South Africa|
|🟧 Customer Rating||3.1||3||–|
|🟨 Number of reviews||<10||1,700+||<1,000|
|🟩 Mobile App||No||Yes||Yes|
|🟦 Contribution Range (ZAR)||332 – 3,101 ZAR||1,186 – 6,022 ZAR||405 – 7,320 ZAR|
|🟪 International Travel Benefit (ZAR)||No||Scheme Rate – Members pay and claim back from GEMS||100% of the Scheme Rate|
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My experience thus far with Makoti has been exceptionally positive. The consultants are patient and accommodating and provide comprehensive explanations, ensuring I fully comprehend my queries without the inconvenience of prolonged waiting times or tedious music. – Carl van Tonder
I recently became a member of Makoti Medical Aid. I was pleasantly surprised by the 100% service and support received from the Makoti team. – Steve Rikhotso
It is a delight to consult with Makoti. The consultants exude high professionalism, courtesy, and amicability and willingly go beyond to assist. – Robert Botha
|✅ Pros||❎ Cons|
|Affordable contribution rates||Limited geographic coverage|
|Comprehensive benefit options||Limited online resources and tools|
|Personalized service||Some benefit options may have restrictions or exclusions|
|Speedy claims processing||Limited member perks or discounts|
Makoti Medical Scheme is a South African medical aid scheme offering affordable healthcare coverage to individuals and families. The scheme provides a range of benefit options to suit different healthcare needs and budgets, including comprehensive coverage for hospitalization, chronic conditions, and day-to-day medical expenses. Makoti Medical Scheme’s unique selling points include its personalized service, speedy claims processing, and competitive pricing. However, the scheme has limited geographical coverage, as it only operates in specific provinces within South Africa. In summary, Makoti Medical Scheme is a reliable and cost-effective medical aid scheme for those who live in its operational areas and require comprehensive healthcare coverage.
Makoti Medical Scheme is a medical aid scheme in South Africa that offers comprehensive healthcare coverage to its members.
Makoti Medical Scheme offers a range of benefit options, including hospital plans, chronic condition cover, and day-to-day medical expense cover.
The contribution rates for Makoti Medical Scheme start from R332 per main member and depend on the income bracket of the main member, which option they choose, and how many dependents they add.
Makoti Medical Scheme is known for speedy claims processing, with most claims processed within 5 working days.
You can contact Makoti Medical Scheme customer support by telephone, email, online chat, contact form, or postal address.
Makoti Medical Scheme operates in specific provinces within South Africa, including Gauteng, Limpopo, Northwest, and Mpumalanga.
Yes, Makoti Medical Scheme offers comprehensive coverage for chronic conditions, subject to certain terms and conditions.
Depending on the specific benefit option chosen, some benefit options may have restrictions or exclusions.
The Makoti Medical Scheme website provides information on benefit options, contribution rates, claims procedures, and contact details.
While Makoti Medical Scheme does not offer many member benefits or discounts, it does offer affordable contribution rates and comprehensive healthcare coverage.
You can contact Makoti Medical Scheme by telephone at 0860 002 400, by email at [email protected], or through the online contact form on their website.
Makoti Medical Scheme offers a range of benefit options for 2023, including hospital plans, chronic condition cover, and day-to-day medical expense cover. Furthermore, prospective members can view the Member Benefits brochure on the Makoti website.
To join Makoti Medical Scheme, complete an online application form on their website or contact their customer service department for assistance.
Yes, Makoti Medical Scheme allows members to choose their doctors, subject to certain terms and conditions.
The Makoti Medical Scheme website is https://makotihealth.co.za/.
You can use the Makoti Medical Scheme website to search for healthcare providers who accept Makoti Medical Aid or contact their customer service department for assistance.
The customer service hotline for Makoti Medical Scheme is 0860 002 400.
You must provide a copy of your ID or passport, proof of income, and any other documentation required by the Makoti Medical Scheme. Contact their customer service department for more information.
If you want to add a child or adult dependent, you can log into your Makoti Medical Scheme profile and obtain the necessary forms from the Makoti Medical Scheme website or the customer service department.
Notify Makoti Medical Scheme of your intention to downgrade your benefit option by contacting the customer service department. You can do this via email, telephone, or by visiting the Makoti Medical Scheme website and using their online chat or contact form. Complete and submit the required forms to request the downgrade. The forms can be downloaded from the Makoti Medical Scheme website or the customer service department.
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