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Healthcare and Health Insurance in South Africa | Expat Exchange
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15 Expats Talk about Health Insurance and Healthcare in South Africa

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By Betsy Burlingame

Last updated on Sep 17, 2023

Summary: The quality of medical care in South Africa is generally considered to be lower than that of the United States. Emergency services in South Africa are generally reliable, though response times may be longer than in the US. To call for an ambulance in South Africa, you can dial the emergency number 112 from any phone.

How are healthcare services South Africa?

When we asked expats and global nomads about the quality of medical care in South Africa, they replied:

"South Africa has a comprehensive healthcare system that provides a range of services to its citizens. The public healthcare system is funded by the government and is available to all South African citizens and permanent residents. The public healthcare system is generally of good quality, with a network of public hospitals and clinics providing primary, secondary and tertiary care. Foreign residents are able to access the public healthcare system, but may be required to pay for some services. Expats in South Africa can use the public healthcare system, but may need to pay for some services. Private healthcare is also available in South Africa, and many expats opt to use private healthcare services due to the higher quality of care and shorter waiting times," commented one expat who moved to South Africa.

"I have insurance that covers hospital stays and some surgery. I also pay for "gap insurance", which pays most all of the shortfall in coverage for surgery. Result is that almost 100% of the costs were paid for the five major surgeries that we have had in the post 10 years," said one expat.

What are medical services in South Africa like?

When we asked expats and global nomads about the quality of medical care in South Africa, they replied:

"South Africa has a well-developed healthcare system, with both public and private medical services available. The public healthcare system is largely funded by the government and provides free or low-cost medical services to citizens. Private medical services are also available, offering a higher standard of care and more specialized services. South Africa has a wide range of medical professionals, including doctors, nurses, and specialists, as well as a number of hospitals and clinics. The country also has a number of medical research centers and universities that offer medical degrees," commented one expat who moved to South Africa.

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Are healthcare and health insurance expensive in South Africa?

"Healthcare and health insurance in South Africa can be expensive, depending on the type of coverage and services required. Private health insurance is often more expensive than public health insurance, and the cost of medical care can vary significantly depending on the provider and the type of care needed. In addition, many South Africans struggle to afford health insurance due to the high cost of living in the country. As a result, many people rely on public health services, which are often underfunded and can be of lower quality than private services," remarked one expat living in South Africa.

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What are emergency services like in South Africa?

When we asked about emergency services, members in South Africa wrote:

"Within 5 minutes drive of an outstanding private hospital; another excellent private hospital is 15 minutes away," said one expat.

"Emergency services in South Africa are generally reliable and well-equipped. Ambulance services are available 24 hours a day, 7 days a week. To call for an ambulance, you can dial the emergency number 112 from any phone, or you can call the local emergency services number for your area. It is important to provide as much information as possible when calling for an ambulance, such as the exact location, the nature of the emergency, and any other relevant information," remarked one expat in South Africa.

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Will I need to travel to see a specialist?

"South Africa is home to a wide variety of medical specialists, with some of the best selections located in major cities such as Johannesburg, Cape Town, Durban, and Pretoria. Other areas with a good selection of medical specialists include the Garden Route, the Eastern Cape, and the Western Cape. Additionally, the coastal cities of Port Elizabeth and East London are known for their excellent selection of medical specialists," said one expat.

Are common prescription medications available in South Africa?

"Yes. Most require prescriptions and they are available at any pharmacy. Virtually all the expense is covered by our insurance policy," wrote one expat.

"Yes, common prescription medications are available in South Africa. Many of the same medications that are available in other countries are also available in South Africa, including antibiotics, anti-inflammatory drugs, and medications for diabetes, high blood pressure, and other chronic conditions. In addition, South Africa has a wide range of generic medications that are available at a lower cost than brand-name drugs," commented one expat who moved to South Africa.

Do you have anything more to add about local medical facilities in South Africa?

"Medical facilities and medical care in South Africa are generally of a high quality. South Africa has a well-developed public health system, with a wide range of medical services available. The country also has a number of private hospitals and clinics that offer excellent medical care. South Africa has a well-trained and experienced medical workforce, with many doctors and nurses having received their training abroad. The country also has a number of world-class medical research institutions, which are helping to improve the quality of medical care in the country," remarked one expat in South Africa.

As a foreigner living in South Africa, will I have access to public healthcare? What is it like?

"Yes, foreigners living in South Africa have access to public healthcare. The public healthcare system in South Africa is generally of a good standard, with a wide range of services available. However, there are some areas where the quality of care is not as good as in other parts of the world. In addition, access to public healthcare can be limited in some areas due to a lack of resources," said one expat living in South Africa.

What have your experiences during the pandemic with the local healthcare system been like?

We asked expats in South Africa if they have access to public healthcare in South Africa. And, if they do have access, what is it like. They wrote...

"The pandemic has had a significant impact on the South African healthcare system. Many hospitals and clinics have been overwhelmed with the influx of patients, leading to long wait times and limited access to care. The government has implemented a number of measures to help alleviate the strain on the healthcare system, such as increasing the number of beds and staff, and providing additional funding for medical supplies. Despite these efforts, the healthcare system is still struggling to cope with the demands of the pandemic. Many people have reported difficulty accessing care, and there have been reports of shortages of essential medical supplies. The pandemic has also highlighted the need for greater investment in the healthcare system, as well as improved access to healthcare for all South Africans," remarked one expat living in South Africa.

"I wasn't in this country during the pandemic but I know if I was, I would be confident of the healthcare services," said one expat living in Cape Town.

What advice do you have for expats having a baby in South Africa?

We asked expat moms who gave birth in South Africa about their experiences and advice they have for other moms to be. They said:

"It is important to research the healthcare system in South Africa before having a baby. Make sure to find a reputable doctor or midwife who is experienced in delivering babies in South Africa. It is also important to familiarize yourself with the local laws and regulations regarding childbirth and parenting. Additionally, it is important to make sure you have access to the necessary supplies and equipment for the baby, such as diapers, formula, and clothing. Finally, it is important to build a support network of family and friends who can help you during the pregnancy and after the baby is born," explained one expat.

"If you want to have a natural birth(medically possible) go to midwifes. If you want to have a cs go to gynacologist the are specialist at that," said one person in Johannesburg.

Are healthcare services good in South Africa?

We asked people if they have access to good medical care in South Africa. They wrote:

"South Africa has a comprehensive healthcare system that provides a range of services to its citizens. Primary healthcare services are provided through a network of public clinics and hospitals, while private healthcare services are also available. The public healthcare system is largely funded by the government, and provides access to basic medical care, including preventive care, diagnosis, treatment, and rehabilitation. Private healthcare services are typically more expensive, but offer a higher level of care and access to more specialized services. South Africa also has a number of specialized healthcare facilities, such as mental health facilities, HIV/AIDS clinics, and cancer treatment centers," remarked one in South Africa.

About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.

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