Claims

 

With winter around the corner, you need to know what flu really feels like !!!

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You’re sneezy, stuffed up, and feel bad all over. Is it a cold, or do you have the flu? The symptoms can be a lot alike. But if you know the warning signs of the flu, you can get treatment quickly and work on feeling better, sooner. What You Need to Know Unlike a cold,..
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The case for a restricted medical scheme

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With the sustainability of medical schemes coming under increasing scrutiny, many companies may be left wondering whether offering restricted medical scheme membership to their employees is still a viable benefit. Restricted membership medical schemes – those not open to the public and where membership eligibility is dependent on working in a certain industry sector, company,..
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Desperately seeking: A viable healthcare payment system

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South Africa’s private healthcare sector is under severe pressure, particularly with rampant inflation tracking at rates higher than CPI, creating a system that will eventually, in the not too distant future, become unsustainable. In fact, at the end of last year, most of the country’s medical aids announced double-digit premium increases for 2017. “Issues that..
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What to consider when deciding on a medical scheme

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Are your health insurance costs too high? Try decoding your medical aid terms and conditions and associated costs to make sure that it works for you. “While health insurance is important, it comes at a cost that is rapidly rising. Unfortunately for the consumer, this affects medical scheme membership contribution rates, and the increases of..
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Medical aid members still have to dig deep in their pockets

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Despite having medical aid, many members still have to fork out chunks of money out of their own pocket for healthcare products and services. “In South Africa, healthcare services and products is provided by parallel running public and private healthcare systems. Even though private healthcare is only available to a very small section of the..
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Are Medical Scheme Members aware of what they are paying for?

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The medical scheme industry is full of jargon and benefit structures that often leave the man on the street confused and frustrated when it comes to understanding and accessing their benefits. Medical schemes have in recent times attempted to simplify terminology to make it more understandable, but are they doing enough to ensure members know..
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Why medical aids are so expensive.

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Healthcare is complex. Our bodies are the most complex machines we know of, and our brains and minds work in ways we do not yet fully comprehend. Despite rapid advances in medicine it remains an imperfect and growing science. This article unpacks just some of the mysteries of the healthcare system. When health problems arise..
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Why healthcare is so expensive in SA

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Some of the most significant contributors to soaring healthcare costs are fraud, waste and abuse. These are difficult to detect, monitor and prevent because the perpetrators are at every level of the delivery chain from healthcare providers at the top to policy holders at the bottom with many abusive acts playing out under the radar,..
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Tax claims for your Medical Expenses

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Putting in a claim for your medical expenses can be tricky when filing your tax returns. I’d like to know if one can claim for medical expenses: 1. If medical aid doesn’t cover for the expenses paid; and 2. What if medical aid is exhausted and I pay out of my pocket, can I claim..
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15 Facts You Should Know About Open Medical Schemes

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How much do you really know about the inner workings of your medical scheme? Here are some quick facts on open medical schemes in SA. Whereas each scheme will readily provide you with the facts on themselves, not everyone has the time or the patience to do a comparative study. Fortunately, Alexander Forbes Health has..
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What does the law say about Medical negligence claims?

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Medical negligence can take place in so many ways, and as a result it sometimes appears impossible for the ordinary man on the street to know when and for what he may claim. In this article we highlight a few examples of possible negligence claims and the different forms of damages that can be claimed..
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