Although it has become a common practice for medical schemes to adjust their rates upwards every year, there are concerns that they will increase significantly for 2020. Medical costs in South Africa have skyrocketed while the state hospitals are in chaos and no one can dare to be admitted. The problems of those who do..
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Medical funds are becoming increasingly unreasonable – People will now have to pay more for towards their medical aid premium, this while state hospitals are plunged into chaos
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SAPS medical scheme – R15.7 million of POLMED’s funds ‘looted’ by board of trustees
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Millions of rand in alleged “unlawful looting” of the SAPS’s medical scheme POLMED have drawn the ire of scores of police officers, who have slammed the level of coverage received. Claims are that POLMED, which covers 680,000 members and beneficiaries, has “unlawfully” awarded roughly R15.7 million to its BOT (board of trustees) over three years..
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Algemene Bestuurder van die Raad van Mediese skemas word geskors daarna aan die lig gekom het dat hy raad mislei het rondom besluite geneem ten gunste van seker organisasies
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Algemene Bestuurder van die Raad van Mediese skemas word geskors daarna aan die lig gekom het dat hy raad mislei het rondom besluite geneem ten gunste van seker organisasies
Die Raad van Mediese Skemas het hul Algemene Bestuurder, Stehen Mmatli geskors.
Hy word daarvan beskuldig dat hy die Raad doelbewus mislei het rondom besluite wat geneem is ten gunste van sekere organisasies.
Hy is glo finansieel vergoed vir die “gunste” wat hy aan die partye betoon het en dui op die korrupsie wat tans die nuusblaaie se voorblad oorheers.
“’N Fluitjieblaaier het beweer dat Mmatli die reguleerder van die mediese skemasbedryf doelbewus mislei het om besluite ten gunste van sekere organisasies te neem. Hy het na bewering finansieel in ruil gebring. Die erns van die bewerings het sy opskorting as ‘n voorsorgmaatreël geregverdig om die reguleerder in staat te stel om doen die ondersoek sonder enige inmenging, “het die CMS in ‘n verklaring gesê.
“Die Raad vir M
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This is a very expensive item, let’s have a look at how much is Jacob Zuma’s retirement costing the South African taxpayer?
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Although Jacob Zuma has resigned from his position as president he still enjoys numerous benefits from his presidential career. Briefly takes a look at how much the South African taxpayer forks out to pay for Jacob Z’s golden years.
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Suid-Afrikaners is woes kwaad oor die Discovery-groep se swart aandeelhouer planne en wil van fondse verander, hoe maklik is dit egter om jou mediese fonds te verander?
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Baie Suid-Afrikaners is so warm onder die kraag oor die Discovery-groep se planne om aan swart deposante ’n 10%-belang in sy nuwe bank te gee dat hulle dreig om Discovery se mediese fonds te verlaat.
Die sangers Bobby van Jaarsveld en Steve Hofmeyr is deel van dié groep ontevredenes.
Mense wat dit oorweeg, moet hulle deeglik vergewis van die vereistes van die Wet op Mediese Skemas sodat hulle nie sonder dekking in ’n krisis gelaat word nie.
Eerstens geld ’n wagtydperk vir enige nuwe lid van ’n mediese fonds. Hoe lank dié wagtydperk is, hang af van hoe lank jy lid van jou vorige fonds was – langer of korter as twee jaar ononderbroke.
As jy langer as twee jaar lid was, geld ’n wagtydperk van drie maande, maar net as daar nie meer as 90 dae verloop tussen die lidmaatskap van die twee fondse nie.
In die drie-maande-wagtydperk moet jy die volle premie betaal, maar net eise ten opsigte van voorgeskrewe minimum voordele (VMW) en lewensbedreigende
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Spectramed and Resolution Health merge to form Health Squared Medical Scheme
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Spectramed Medical Scheme and Resolution Health Medical Scheme (Resolution Health) have merged to form Health Squared Medical Scheme, as from 1 January 2019.
Independent auditors confirmed that 93% of members voted for the merger, and the schemes have extensively engaged with the Council for Medical Schemes (CMS) and, with their involvement, the merger process is now subject to final approval by the CMS and Competition Commission.
Health Squared will be administered by Agility Health, which is currently the managed care provider and administrator for both Spectramed and Resolution Health.
The launch of Health Squared forms part of an overall strategy to protect the interests of members while strengthening the service offering in the context of future developments in the South African healthcare landscape.
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Free Medical-Aid, Hospital and Funeral Plan and Insurance Quotes at www.MedSure.co.za
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Limpopo medisyne krisis – hospitale en klinieke sonder die nodige medikasie tog verklaar Cyril dat alles in SA onder beheer is
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Die vorige stelsel van medisyne verskaffing in Limpopo is vervang met ‘n nuwe stelsel wat nie werk nie, en nou kan hospitale en klinieke nie medisyne bestel nie aangesien die stelsel nie bestellings “per hand” toelaat nie.
Weereens word daar nie gemeld wie die verskaffer van die nuwe stelsel is nie maar dit sal sekerlik ‘n Breë Swart Bemagtigingsmaatskappy wees wat betaal is voordat die stelsel getoets is.
Intussen sit hospitale en klinieke sonder die nodige medikasie, maar in die buiteland verklaar Cyril Ramaphosa dat dit klopdisselboom in die land gaan.
Deur: Die Vryburger
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Free Medical-Aid, Hospital and Funeral Plan and Insurance Quotes at www.MedSure.co.za
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Mediese selfbetalings styg met skokkende 13,4%
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Die brood het gekrimp, maar ons betaal nou meer daarvoor.
Só het ’n ekonoom die verhoging van meer as 13% in selfbetalings deur mediesefondslede die afgelope jaar beskryf.
Verbruikers wat elke jaar swaar trek aan die premies vir hul mediese fondse het boonop nog verlede jaar R29,7 miljard uit hul eie sak opgedok.
Dit is 13,4%, of ’n hele R2,5 miljard, meer as die vorige jaar, toon die jongste jaarverslag van die Raad op Mediese Skemas (RMS).
Boonop word dié syfer onderskat omdat dit net bereken word op die rekeninge wat lede indien waarvoor hulle self betaal het.
Die selfbetalings is die bedrae waarvoor geëis is wat fondse nie betaal nie.
“Dit kan ’n onderskatting wees van die werklike bedrag wat self betaal word omdat lede nie altyd hul eise aan hul fondse stuur wanneer hul voordele opgedroog het nie,” het die RMS in die verslag gesê.
Johann van Tonder, ’n ekonoom en navorser vir Momentum, het gesê mediese inflasie meet nie die styging in bybetali
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How your medical bills may change under the National Health Insurance
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Many private hospitals will be opening their doors to more patients but does that mean you’ll be stuck at the back of the queue?
The United Kingdom’s universal healthcare system, known as the National Health Service (NHS), had a problem: By the early 2000s, a growing number of elderly patients were waiting up to three years for sight-saving cataract services in the early 2000s.
But the government-funded healthcare scheme didn’t have enough beds. It did, however, have plenty of parking.
“All we needed was a parking lot and a connection to three-phase electricity,” remembers South Africa’s Netcare CEO Richard Friedland.
Netcare entered the UK market fifteen years ago. It operates more than 50 private hospitals in the country, but 43% of its patients come from the NHS through the service’s electronic “choose and book” appointment system: Patients elect where to go for care, and the NHS pays private providers like Netcare a nationally-set rate
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MEDICAL AID PREMIUMS SET TO INCREASE IN 2019
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Medical aid schemes have announced that the premiums paid by members are set to increase in 2019.
Talk Radio 702’s Xolani Gwala spoke to Paresh Prema, general manager of the benefits unit at Council for Medical Schemes, about what medical schemes consider reasons for increasing the premiums.
Prema says the responsibility of the council is to look at the suggestions put forward by the medical schemes and approve them before they can be implemented.
“So what you have seen, it is actually the submissions that they have made to us for the increases for next year.
“We look at the different elements that make up a contribution. The most important element is the claims and services that are paid for by medical schemes and how much it will be going up by in the next year.”
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Free Medical-Aid, Hospital and Funeral Plan and Insurance Quotes at www.MedSure.co.za
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New drug approved:- Cipla’s new triple-combination antiretroviral drug approved
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The South African Health Products Regulatory Authority (SAHPRA) has approved Cipla’s latest first-line triple-combination antiretroviral (ARV) treatment for HIV.
The new combination medicine commonly referred to as TLD, is a combination of tenofovir (TDF), lamivudine (3TC) and dolutegravir (DTG).
In future, TLD will be manufactured at Cipla’s facilities in Durban and Uganda, reinforcing Cipla’s commitment to produce medicines in Africa for Africa and ensuring more affordable treatment for patients.
Looking for a affordable Medical Aid or Hospital Plan, just click here Medical Aid or just send your Name, surname, age and email address to 082 738 5586
Head of Manufacturing for Cipla South Africa, Ajay Kumar Pal, said the reason for the new formulation complexity related to the three different processes required for the three active pharm
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Will artificial intelligence change the face of patient care? The question remains … How!!
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There is no doubt that artificial intelligence (AI) and machine learning will change the way healthcare is managed and delivered, particularly in helping patients in tangible and life-saving ways.
A recent Price Waterhouse Coopers (PwC) report found that the potential for both AI and robotics in healthcare is vast and that they are increasingly becoming immersed in the modern healthcare system. They allow for more seamless treatments, better decision making for doctor and patient alike, more effective diagnoses and even early detection of diseases.
Looking for a affordable Medical Aid or Hospital Plan, just click here Medical Aid or just send your Name, surname, age and email address to 082 738 5586
Dispensing medication
“A superb example of how AI is changing the face of healthcare on the ground level is in the prescr
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Topvyf chroniese siektes waaraan mediese fondse die meeste geld bestee
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’n Nuwe siekte het in 2017 kop uitgesteek onder die topvyf chroniese siektes waaraan mediese fondse wat Mediscor se dienste gebruik, die meeste geld bestee.
Die gebruik van generiese medisyne pleks van die oorspronklike is nou 59,9%.
Bipolêre gemoedsversteuring het asma onder die topvyf vervang.
Volgens Mediscor, die bestuurder van farmaseutiese voordele, se jaarlikse verslag het mediese fondse verlede jaar 64% van die totale besteding aan chroniese siektes wat onder voorgeskrewe minimum voordele val, aan die topvyf bestee.
Die topvyf (met die persentasie van die totale besteding aan chroniese siektes in hakies):
Hoë bloeddruk (26,5%)
Diabetes tipe 2 (13,6%)
MIV/vigs (10,8%)
Hoë cholesterol (8,2%)
Bipolêre gemoedsversteuring (5%)
Bipolêre gemoedsversteuring het asma in die vyfde plek vervang.
Die siektes se plek op die ranglys het effens verander gemeet aan die voorkoms per 1 000 lewens.
Die topvyf hier (met die getal per 1 000 lewens
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The Private healthcare industry needs to change
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The “startling costs” of South African private healthcare is at the heart of the Competition Commission’s Health Market Inquiry (HMI) draft report released in July. While cost is a key theme, the report also describes a sector lacking the vital force of authentic, robust competition.
Currently, the South African private healthcare sector is an opaque system dominated by a small handful of players. Members pay for medical scheme cover, and accept that they will also have to pay costs out of their own pockets.
Looking for a affordable Medical Aid or Hospital Plan, just click here Medical Aid or just send your Name, surname, age and email address to 082 738 5586
The common refrain of the medical aid will pay is one that is inherently false. It is not the medical aid that pays, but the member. “The fact that so many people cling to this erro
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Nearly 2 million will lose private healthcare if tax reform happens
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The government’s plan to ditch medical aid tax credits will have a disastrous effect on already cash-strapped South Africans and force nearly 2 million people onto the over-stretched state health system.
If the tax credit is removed, 22% of medical aid users will not be able to afford cover, Stellenbosch economics consultancy Econex warned in a report published on Friday – 1.9 million of the 8 million medical aid members, including children, will have to drop out of the private healthcare system.
In a national health insurance policy document released in July, Health Minister Aaron Motsoaledi said he wanted to remove the tax credit to users, which amounts to R20-billion a year.
Medical aid schemes’ members get a tax reduction of R3,636 a year – or R303 a month. Motsoaledi said then that “the tax credit … we believe, is unfair”.
Economist Paula Armstrong, author of the Econex analysis, said the rebate was intended to “alleviate some pressure on the state [
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