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Mediclinic News : National Health Insurance: Is this medical aid paving the way to a new era in benefits?

Title

National Health Insurance: Is this medical aid paving the way to a new era in benefits?

Date

2019-07-31

Link

national-health-insurance-is-this-medical-aid-paving-the-way-to-a-new-era-in-benefits-20190730

News Description

Paying for unlimited doctor’s visits could save patients and medical schemes thousands in medical bills, says Stan Moloabi, the chief operating officer at the Government Employees Medical Scheme (Gems). Moloabi was speaking at the annual conference of the Board of Healthcare Funders of Southern Africa (BHF) held in Cape Town last week. When people have to pay for visits to a general practitioner (GP) out of pocket one in three of them will go directly to more expensive specialists even when they have a basic ailment, Gems data presented at the conference show. Patients who snub their GP in favour of a specialist pushed up the cost of care by 12%. But, Moloabi argues, just because people can go to the doctor for free, doesn’t mean they’ll go when they’re not sick. "People don’t like queuing," he quips. 'A magic combination' On top of unlimited trips to the GP, members of Gems’ sapphire package — the cheapest package that the scheme offers — are also completely covered for preventative services, including screenings for sexually transmitted infections, breast or ovarian cancer as well as cholesterol. It’s proven to be a magic combination – but there’s a catch.
Created at 2019/08/06 12:25 PM by Mediclinic
Last modified at 2019/08/06 12:25 PM by Mediclinic