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Author Topic: Medical Aid Advice  (Read 16765 times)

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Offline Worth-It

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Re: Medical Aid Advice
« Reply #40 on: March 29, 2017, 02:59:18 pm »
Cost effective Medical Insurance that offers day-to-day benefits. For more information please email me on Liesl.cmac@telkomsa.net
 

Offline Worth-It

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Re: Medical Aid Advice
« Reply #41 on: March 29, 2017, 03:04:52 pm »
EVAC24 ONLY PROVIDES COVER BASED ON ACCIDENTS

This policy is available at R99 per month.

Cover provided for husband, wife and 3 children (children until age 18)
Maximum entry age – 16 - 65
No waiting periods.No Medical tests required

The stated amounts per benefit will be payable per EVENT – this is not an annual benefit:
•   Member admitted to hospital through ISOS call centre due to injuries after an accident – R100 000 available for this EVENT.
i.e.:  from admission to discharge the actual claims amounts to R60 000.  The member can utilise the remaining portion for follow up surgery, directly related to the first event. Member again has R100 000 available for a next hospital EVENT – not relating to the first event

Benefits include:
•   R100 000 private hospital cover
•   R  35 000 medical transportation (ambulance, helicopter or fix wing planes)
•   R    1 000 hospital cash back (after 24 hours – maximum 90 days)
•   R  10 000 Emergency Rooms and Casualty Units at a hospital (for stays shorter than 24 hours)
•   R100 000 Permanent accidental disability
•   R100 000 Accidental death cover
•   R  50 000 Repatriation – transportation of departed to location verified by next of kin.

Please note the following exclusions (par.16 of policy wording):

•   Strains and sprains (as per par.5 of attach policy wording)
•   Sport as a professional – hang-gliding or micro lighting accidents, or organised sporting events.

Please contact me for more information on Liesl.cmac@telkomsa.net
« Last Edit: March 29, 2017, 03:07:45 pm by Worth-It »
 

Offline Worth-It

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Re: Medical Aid Advice
« Reply #42 on: April 24, 2017, 10:12:58 am »
Never assume that your medical scheme will pay hospital and –related accounts in full.

 Medical schemes pay specialists and hospital procedures at 100% of scheme tariffs, but in reality the rates are much higher, resulting in a shortfall between the claim amounts and the scheme tariffs.  You are responsible for the short-payment.

Let me assist you in choosing the correct Gap Cover to compliment your Scheme's shortfalls.

Contact me on Liesl.cmac@telkomsa.net or 0829240841
« Last Edit: April 24, 2017, 10:27:07 am by Worth-It »
 

Offline Operator

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Re: Medical Aid Advice
« Reply #43 on: April 24, 2017, 10:25:20 am »

Never assume that your medical scheme will pay hospital and –related accounts in full.

 Medical schemes pay specialists and hospital procedures at 100% of scheme tariffs, but in reality the rates are much higher, resulting in a shortfall between the claim amounts and the scheme tariffs.  You are responsible for the short-payment.

Let me assist you in choosing the correct the correct Gap Cover to compliment your Scheme's shortfalls.

Contact me on Liesl.cmac@telkomsa.net or 0829240841

I recently took out this product through Liesl and  it was without a doubt one the best value for money products out there.
If you compare, others don't even come close.  :deal:
« Last Edit: April 24, 2017, 10:58:38 am by Operator »
 

Offline brianw

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Re: Medical Aid Advice
« Reply #44 on: June 13, 2017, 04:29:02 pm »
 :sip:
 

Offline Worth-It

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Re: Medical Aid Advice
« Reply #45 on: July 24, 2017, 10:15:32 am »
In recent news, there was a court ruling about Medical Scheme Savings accounts. Please read the Judgement below. (With thanks to Discovery Health for the article)

On Tuesday, 6 June 2017, the Constitutional Court ruled on the matter of Genesis Medical Scheme versus the Registrar of Medical Schemes and the Council for Medical Schemes. The judgement found in favour of Genesis Medical Scheme, ruling that funds accumulated in members’ medical savings accounts (MSA) can be considered as part of the Scheme’s reserves.

The judgement has three main implications for schemes and their members. The judgement will have a positive impact on scheme solvency particularly where schemes have large amounts of MSA funds. This is because the MSA funds can now be counted as assets in the solvency calculation. The judgement may also have a positive impact on scheme investment returns, because schemes may now be able to invest some of the MSA funds in higher returning investments. Both these developments will be positive for scheme members since they will reduce pressure on premium increases to some extent.

The judgement also allows schemes to elect whether to pay interest on positive MSA balances. Discovery Health Medical Scheme will continue to pay market-related interest on members’ MSA funds until further notice.

The judgement has no impact on how members’ day-to-day claims are processed from their MSA, though. Medical schemes will continue to refund members who have a positive balance in their MSA if they leave the scheme.

In theory, the judgement implies that if a scheme is liquidated, funds in members’ MSAs would form part of the liquidation and would not be available to members. Members of Discovery Health Medical Scheme should rest assured that they face absolutely no risk from this change. Discovery Health Medical Scheme is currently in an extremely strong financial position, and is by far the strongest medical scheme in the country.

The Scheme has accumulated reserves of R14.2 billion and a solvency level of 26.3%, well above the statutory level of 25%. Global Credit Ratings recently reaffirmed the credit rating of the Scheme as AA+, the highest rating possible for an open scheme in South Africa. Discovery Health Medical Scheme remains the only open scheme in South Africa to achieve this credit rating and has sustained this rating for 15 years in a row.

Please do not hesitate to contact me should you have any questions, require comparisons or quotations on Medical Aid options, Gap Cover, Emergency/Trauma Cover or Travel Insurance. Email: Liesl.cmac@telkomsa.net or 0829240841
« Last Edit: July 24, 2017, 10:16:41 am by Worth-It »
 

Offline Worth-It

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Re: Medical Aid Advice
« Reply #46 on: July 24, 2017, 10:17:49 am »

Never assume that your medical scheme will pay hospital and –related accounts in full.

 Medical schemes pay specialists and hospital procedures at 100% of scheme tariffs, but in reality the rates are much higher, resulting in a shortfall between the claim amounts and the scheme tariffs.  You are responsible for the short-payment.

Let me assist you in choosing the correct Gap Cover to compliment your Scheme's shortfalls.

Contact me on Liesl.cmac@telkomsa.net or 0829240841

I recently took out this product through Liesl and  it was without a doubt one the best value for money products out there.
If you compare, others don't even come close.  :deal:
 

Offline Worth-It

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Re: Medical Aid Advice
« Reply #47 on: September 13, 2017, 09:13:44 am »
The 2017 Tax Season is in full swing. Contact me to obtain your Medical Aid Tax Certificate from your scheme.

Liesl du Plessis
Liesl.cmac@telkomsa.net
0829240841

I am a Medical Aid Specialist. I manage and solve your everyday medical aid frustration
« Last Edit: September 13, 2017, 09:26:10 am by Worth-It »
 

Offline Worth-It

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Re: Medical Aid Advice
« Reply #48 on: September 13, 2017, 01:59:26 pm »
2018 will be an exciting year for Discovery Health!! Many enhancements added to their plans, like Maternity benefits and free Vitality Move to all Discovery Members.

Best of all - only an average  7.9% increase on their premiums.

Contact me to discuss your options. Liesl.cmac@telkomsa.net