Discovery Health Medical Aid summarized benefits for 2019
In 2019, DHMS will balance the increasing demand for supply of healthcare services against the need to maintain competitive contributions and enhance benefits for members. The scheme will also expand access to private healthcare and enhance the digital healthcare experience for members. Key themes: Contribution sustainability Enhanced benefits Greater access to healthcare 2019 Contribution Increase: Medical inflation for 2018 is expected to be between 11.2% - 12.2%, with the variation due to plan-specific utilisation effects Risk management interventions by Discovery Health & ongoing positive impact of Vitality on members’ health is expected to reduce medical inflation by 2% The resulting medical inflation is therefore between 9.2% - 10.2%, which is 3% to 4%
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Gap Cover has become a non-negotiable
Increasingly we are experiencing gaps between what doctors charge and what medical aids are prepared to pay, with some doctors charging up to 600% (or 6x) the medical aid rates. The last thing you need is to get caught off guard with a bill your medical aid is not prepared to pay in full. Fortunately Gap Cover offers a solution to this problem, regardless of the medical aid you belong to. The product does exactly what the name implies: it covers the gap between the doctor's fees and medical aid rates. Gap Cover only comes into play when you go for a planned procedure (elective operation). In an emergency, you should be fully covered by your medical aid. After a planned procedure, you will receive three bills. The first bill will be approximately 60%-70% of the total amount and wil
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Gap Cover a non-negotiable today
The event of experiencing gaps between what doctors charge and what medical aids pay is becoming more and more of a reality for us in todays times. I am sure that you, or at least somebody close to you, has been victim to this “GAP” and we know now that some doctors can charge up to 600% (or 6x) of medical aid rates. The last thing most of us can afford is to get caught off guard with a bill that is thousands of rands and possibly more than what your medical aid is prepared to pay. BUT DON’T WORRY THERE IS A SOLUTION TO THIS PROBLEM IF YOUR MEDICAL AID ONLY COVERS YOU AT MEDICAL AID RATES! So let’s talk about the solution to this problem (no matter what medical aid you belong to)! The solution to the problem is called Gap Cover and it does exactly what the name of the product i
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