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..
Continue reading…
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
Posted on Leave a comment
Oues se skokverhoging op Discovery-opsie
Posted on Leave a comment
Duisende pensioenarisse wat op die Discovery Health Medical Scheme (DHMS) se Keycare Plus-opsie is, moes tot hul skok hoor hul premies styg volgende jaar met sowat 47%.
Lede op die KeyCare Plus-opsie betaal premies gegrond op hul maandelikse inkomste.
Die skerp premieverhoging raak 139 000 lede wat op die laagste inkomstevlak van KeyCare Plus is. Van hulle is 19 000 ouer as 65.
’n Leser van Netwerk24 het gekla omdat haar 77-jarige ma, wat ’n maandelikse inkomste van R8 000 het, meer sal moet opdok. “Sy het vanjaar R990 per maand betaal en die premie styg volgende jaar tot R1 456, en die voordele bly dieselfde.”
Haar ma wou anoniem bly omdat sy nie wil hê mense moet weet wat haar inkomste is nie.
“My ma sit aan die hoër inkomstekant van wat al die jare Keycare se kliëntebasis was. Wat van al die ander mense wat veel minder verdien?”
Volgens haar is talle voordele tussen 2017 en 2018 weggeneem.
“Sy het natuurlik ander uitgawes ook, s
Continue reading…
Topvyf chroniese siektes waaraan mediese fondse die meeste geld bestee
Posted on Leave a comment
’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
Continue reading…
‘Beste’ mediese skema wen met eenvoud, waarde
Posted on Leave a comment
Medihelp is nou die mediese skema waarmee lede die meeste tevrede is.
Lede van mediese skemas is egter in die geheel beskou effens minder tevrede met hul produk as ’n jaar gelede.
Die tevredenheid van lede van Discovery Health Medical Scheme en van Bonitas het albei gedaal.
Dis onder die bevindings van die South African Customer Satisfaction Index (SAcsi) vir mediese skemas vir 2018, wat Donderdag uitgereik is.
Daarvolgens het die gemiddelde punt vir mediese skemas van 74,2 in 2017 tot 72,7 in 2018 gedaal. Dis uit ’n moontlike 100 punte.
Die grootste rede vir die daling is Suid-Afrikaners se “toenemende frustrasie met stygende premies en dalende voordele”. Hulle voel dat hulle minder waarde vir hul geld kry vergeleke met ander finansiële dienste, sê Schreuder.
Mediese skemas se premies het vanjaar met gemiddeld 9% gestyg, baie meer as waarmee kort- en langtermynversekering se premies gestyg het.
Oor Discovery, die grootste oop mediese ske
Continue reading…
‘Private healthcare not affordable, even for people who are supposedly rich’
Posted on Leave a comment
The findings of the Competition Commission’s Health Market Inquiry released today reveal what Health Minister Aaron Motsoaledi says he already knew – that private healthcare has become so exorbitantly expensive, even those on medical aid can’t afford it.
Moreover, the commission found – during its more than four-year-long investigation – that the market was characterised by high and rising costs of healthcare and medical scheme cover, disempowered and uninformed consumers, and a general absence of value-based purchasing.
“That private healthcare has become costlier and costlier has been proven today, some of us knew it long ago back in 2009 that private healthcare no longer affordable, even for people who are supposedly rich who are on medical aid can’t afford it,” Motsoaledi said at the briefing held in Sandton to announce the release of the much anticipated provisional report.
According to the inquiry’s chairperson, former Chief Justice, Sa
Continue reading…
You are paying more for less when it comes to medical aid, does it make sense. Here’s why.
Posted on Leave a comment
What are your chances of ending up in a hospital? Higher than you’d think if you are a medical aid member in a large city — and the reason reveals some never-before-seen truths about the country’s private healthcare sector.
A lack of competition within the private healthcare market is fuelling an epidemic of overtreatment — and mystery medical bills — in South Africa, the Competition Commission revealed on Thursday.
As part of a four-year investigation into private healthcare costs, the Competition Commission looked at hospital admission rates among patients treated in nine specialised areas of medicine. People who had insurance and lived near more hospitals were more likely to be admitted than people with similar conditions that lived farther away from lots of empty beds, the statutory body found.
Looking for a affordable Medical Aid or Hospital Plan, just click here Continue reading…
What’s driving up our healthcare costs?
Posted on Leave a comment
Discovery Health CEO explains why South Africans are paying higher medical aid premiums than ever before. Access to quality healthcare at an affordable price is a critical priority for every family, and in society at large. South Africans lucky enough to afford private healthcare have rapid and convenient access to some of the best quality..
Continue reading…