Services

For Employer Groups and Members

Our Services offered to members :

 

• Member advice on choosing the most appropriate options

• Advanced quoting system

• Submission and tracking of application forms

• New employees

• Addition of spouse/ adult dependants

• Addition of new born babies

• Assistance with query resolution

• Chronic conditions

• PMBS

• Late joiner penalties

• Unpaid claims

• Benefits not covered

• Short paid claims

• Telephonic, email and WhatsApp support

• COID Assistance

• Receiving and distributing member cards and packs

• Collecting and delivering of claims

 

Annually

 

• Member communication on year-end changes

• Presentations on medical scheme increases and new benefits

 

 

 

 

Our Service offered Employers

 

Employer services consist of:

 

• Dedicated member/ servicing consultant

• Servicing calendar

• New employee induction sessions

• Newsletters

• Billing/ payroll assistance

• Billing reconciliation

• Organising and attending employer healthcare committee meeting – quarterly

• Management reports and presentations

• Training of Human Resource Staff

• Medical scheme and COID

• COID Act

• Annual medical scheme review

 

Annually:

 

• Feedback on scheme changes to all members via e-mails

• Training during annual year-end option selection process

• Organising and attending wellness days

• Feedback to the committee on the wellness days

• Annual Corporate healthcare report