Does GEMS pay for elective C section?

From 1 September 2016, all in-hospital maternity caesarean sections for non-medical reasons (i.e. elective caesarean) are funded up to the cost of a normal vaginal delivery.

Does GEMS pay for C section?

Elective Caesareans are planned during pregnancy. However, if an elective caesarean section is chosen as a personal preference, without any medical reason for the surgery, GEMS will fund the hospital account up to the amount of a normal vaginal delivery.

Does GEMS medical aid cover pregnancy?

Benefits of joining the Maternity Programme

We will give you a GEMS pregnancy, birth and early parenting book when you register. We will send you a free maternity bag during your third trimester. This is a gift from us to you and your baby. You will enjoy free access to all services offered by the programme.

What category is an elective C section?

Most emergency caesareans are Category 2 and mostly are done about an hour after the decision is made.

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How many weeks is an elective C section performed?

You will usually have a planned c-section at 39 weeks of pregnancy. The aim is to do the c-section before you go into labour. Babies born earlier than 39 weeks are more likely to need help with their breathing. Sometimes there’s a medical reason for delivering the baby earlier than this.

What does GEMS Ruby cover?

The Ruby option includes a PMSA that consists of 20% of your contribution that is allocated to a savings account held in your name. This account will pay for your out-of-hospital or day-to-day medical expenses. Once you’ve depleted your PMSA, your out-of-hospital claims will be paid from the limited block benefit.

Which medical aid that covers pregnancy immediately?

Tell us about your pregnancy as soon as possible

TFG Medical Aid Scheme covers the birth of your baby either in hospital or clinic with a doctor or a midwife or at home with the help of a midwife.

Which medical aid covers pre existing pregnancy in South Africa?

Discovery Health maternity benefit

Discovery Health offers targeted cover for antenatal care, child birth, and baby’s early childhood. The scheme covers gynaecologist, GP or midwife consultations, and offers benefits for ultrasounds, blood tests and prenatal tests.

What does GEMS not pay for?

GEMS won’t pay for claims for services rendered by a healthcare provider who isn’t registered as per scheme rules and the Medical Scheme’s Act. All healthcare providers must have an active practice number which they must use when they claim from our scheme.

Do gems cover newborns?

If documents for a newborn are provided more than 60 days after birth, the dependant will not be covered by the Scheme from the date of birth. This means you will have to pay the hospital costs of the newborn out of your own pocket.

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How much does an elective C-section cost?

For a C-section, the bill costs $22,646 on average, but it could climb to more than $58,000 depending on the state where the procedure is performed. Mothers who experience birthing complications during a vaginal delivery typically pay much more than those who deliver via a C-section, too.

What is more painful C-section or natural birth?

Recovery times following C-sections are also typically longer than those following natural birth. Ultimately, a natural birth may be more painful than a cesarean section. However, the pain after your cesarean section combined with the heightened risks to you and your baby may outweigh the initial pain of childbirth.

What if I go into labour before planned C-section?

What happens if I go into labour first? About 1 in 10 women whose planned caesareans are scheduled for 39 weeks will go into labour first. That means their waters break or their contractions start. If this happens, you will have an emergency rather than a planned caesarean.

Do they cut in the same place for a second C-section?

Ideally, your doctor will cut through the same scar so that you don’t have multiple scars on your abdomen and uterus.

How long do you stay in hospital after elective C-section?

The average stay in hospital after a caesarean is around 3 or 4 days. You may be able to go home sooner than this if both you and your baby are well. While in hospital: you’ll be given painkillers to reduce any discomfort.

When can I shave before C-section?

Your midwife may ask you to stop shaving or waxing your bikini area a few days before your c-section. This is to reduce the risk of your c-section wound becoming infected.

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