Makoti Medical Aid

Makoti offers affordable health insurance that enhances your life.

For the past 45 years, Makoti has been providing unlimited private medical care benefits that encourage good health and put a stop to illnesses.

Makoti medical scheme was previously known as Good Hope Medical Aid Society. They are based in Sunninghill Park, Gauteng. According to Hellopeter, Makoti has an average rating of 2.67 from 3 reviews.

Known as one of the more financially strong medical insurers, they’ve positively leapt forward and have experienced longevity in communities they actively engage with.

A strongly managed medical scheme

As much as Makoti is known as one of the minor medical insurers found in the medical insurance field, having a strongly managed team has enabled Makoti to encounter immense growth during the past few years.

Makoti has managed to surpass the margin of safety a company has for paying its debt. With the minimum requirement of 25% required by the Council of Medical Schemes, Makoti sits at 60%.

What benefits does Makoti offer?

• Makoti offers you two options; the primary and comprehensive plans
• Both options give you a choice to be covered through the biggest network of doctors nationwide
• You’re covered for over-the-counter, chronic and acute medication as well as basic dental and eye care
• The biggest benefit of taking out the comprehensive cover is that it offers you specialised dentistry, access to consultations from specialist doctors, cover for private hospital stays and private hospital maternity benefits
• A key feature of Makoti medical scheme is that as a member, you don’t have to pay for any co-payments

A highly credible healthcare provider

Makoti has collaborated with some of the biggest companies in South Africa, which goes to show that they’re a highly credible and sought-after healthcare provider that’s making swift changes in the healthcare industry.

Notably, Makoti is one of the fastest-growing medical schemes whose target market is low-income earners.

Makoti places you first

The entire Makoti team is sincere about giving you the attention you deserve which shows you how much they value you.

As much as they’re unmatched when it comes to giving you healthcare, that’s easily accessible and affordable, they’ll always remain completely devoted to giving you complete trust and the best care that meets your everyday health needs.

What is the chronic care programme?

Makoti medical scheme members are urged to join the chronic care programme, which serves to care for any chronic condition you develop by visiting your preferred doctor to register you for your condition.

By taking part in the registration process, you’re helping yourself to receive the best care with less paperwork involved. The programme covers as many as 27 chronic diseases, including HIV/Aids.

Your Makoti membership card is your gateway pass to exceptional healthcare services. It’s your responsibility to keep it safe and make use of it in the right manner.

Bear in mind that your membership card can only be used by you and your dependants, and nobody else. If unregistered people start using your membership card, this counts as fraud and can badly affect your membership.

Makoti Health's available medical aid plans are Primary Option and Comprehensive Option. Here's a summary of the benefits of each plan:

Primary Option:

• No overall limit
• Unlimited general practitioner services
• Unlimited medicines for acute and chronic conditions as per formulary
• Limited over-the-counter medicine (OTC) up to R406 per family per year
• Annual or requested chronic illness screening by General Practitioner
• Basic pathology and radiology coverage for CXR, suspected fractures of extremities, and two obstetric sonars per pregnancy
• Specialist services only as per Prescribed Minimum Benefits
• Hospitalization coverage as per Prescribed Minimum Benefits
• Limited private emergency stabilisation or casualty for medical emergencies only
• Maternity benefits up to R25,000 per pregnancy in state facilities or private hospitals subject to managed care protocols and pre-authorization
• Full coverage for HIV/AIDS

Comprehensive Option:

• No overall limit
• Unlimited general practitioner services
• Unlimited medicines for acute and chronic conditions as per formulary
• Limited over-the-counter medicine (OTC) up to R429 per family per year
• Annual or requested chronic illness screening by General Practitioner
• Limited basic pathology and radiology with pre-authorization and managed care protocols
• Specialist services subject to managed care protocols, written referral by a GP, and pre-authorization
• Hospitalization in private hospitals subject to managed care protocols and pre-authorization
• Limited private emergency stabilisation or casualty for medical emergencies only
• Full coverage for maternity benefit at cost, subject to managed care protocols and pre-authorization
• Full coverage for HIV/AIDS at cost

What medication does Makoti cover?

Makoti has carefully selected top-of-the-range medicines to alienate and treat illnesses. You’re required to use it correctly and follow the right dose and instructions to maintain and recover your health.

It’s crucial that you take medicine in the prescribed measurement because if you don’t, this could lead to severe health consequences and sometimes even death.

A good number of these medicines are unbranded, yet quality proven. However, if you require something more expensive, then you’ll need to pay more to cover these costs. Medicines not covered by the scheme which are often mostly requested include laxatives, proton pump inhibitors and vitamins.