---
title: "Medical Aid Fees"
url: "https://eqhmedical.co.za/medical-aid-fees/"
language: "en-ZA"
updated: "2026-10-08T11:52:56+00:00"
---

# Medical Aid Fees

**Quick Answer:** medical Weight loss consultation cost Medical Aid & Fees Equilibrium Health submits medical aid claims directly to your scheme on your behalf. Most schemes cover a portion of the consultation…

## medical

# Weight loss consultation cost

![](https://eqhmedical.co.za/wp-content/uploads/2026/08/Equilibrium-Health-Medical-Billing-1024x683.png)

![](https://eqhmedical.co.za/wp-content/uploads/2026/09/Equilibrium-Health-Medical-Aids-576x1024.png)

# **Medical Aid & Fees**

Equilibrium Health submits medical aid claims directly to your scheme on your behalf. Most schemes cover a portion of the consultation fee, with a shortfall payable by you. For Discovery members this is typically from R250. GLP-1 weight-loss medication may be covered by your medical aid, but typically will come off the saving account.

**How Billing Works**

Equilibrium Health submits claims directly to your medical aid scheme. You don’t need to pay upfront and claim back yourself, and there’s no paperwork on your side. At your first visit, we’ll ask for your medical aid details (scheme name, plan, membership and dependant number) so your claim can be submitted correctly.

## **Consultation Fees & Medical Aid Shortfalls**

| **Scenario** | **What You Pay** |
| --- | --- |
| **Discovery Health Medical Scheme** | Shortfall of approximately R250-R500 per consultation |
| **Other medical aid schemes** | Shortfall varies by scheme tariff, up to approximately R250-R500 per consultation |
| **Hospital plan (no day-to-day benefit)** | Full consultation fee. Hospital plans do not cover outpatient consultations |
| **Follow-up consultations** | R1000, with shortfall from R74 |
| **Private / self-pay** | Initial consultation from R1,500. Follow consultations R1000 |

## **Weight-Loss Medication & Medical Aid Funding**

GLP-1 receptor agonist medications such as semaglutide and tirzepatide are generally not funded by medical aid schemes, through their Chronic Benefit Funds, when prescribed for weight management, as most schemes classify obesity treatment as an exclusion under day-to-day or chronic benefits.

If you have a diagnosed diabetic condition, your GLP-1 prescription may be covered under your scheme’s chronic medication benefit or Prescribed Minimum Benefits (PMBs), subject to your specific plan rules. Some higher-tier medical aid plans allow these medications to be paid from your available medical savings account, even without a diabetic diagnosis.

We recommend confirming your specific benefit and any pre-authorisation requirements with your scheme directly before starting treatment.

## **What Determines Your Programme Cost**

Every patient’s metabolic health programme is structured differently, and total cost depends on several factors discussed at your initial consultation, including:

- Medication, either weekly injectables or pill form medication
- Medical Consultation with bio-impedence monitoring
- Blood Tests

Because of this, we don’t publish a single fixed programme price. Your specific cost range is discussed transparently at your first visit, once your baseline assessment and treatment plan are established.

## **Payment Methods Accepted**

We accept cash, credit card, EFT and medical aid. Medical aid claims are submitted directly to your scheme on your behalf; any shortfall or non-covered cost is payable by card, cash, or EFT at the time of your consultation.