Medscheme concentrates on decisive buying or activist paying of medical assistance, and want to improve services overall. We aim to build as many possible relationships with network health facilities and practitioners. Medscheme exercises risk through Diagnosis Related Groups to enable comparison among several medical aid providers. Furthermore, the class of assistance is regulated to enable correlation across departments.
Medscheme has the highest contracted Family Practitioner Network in the RSA (approximately 5500 networks):
- accept to ask the medical plan rate and not tax co-payments
- are weighed against practice-specific status and price marks
- obtain an enhanced price for holding a ‘top’ performer status
- assures excellent admittance and cover for every member
- accept to join a peer supervision system for ‘poor’ display
Medscheme consists of over 3600 contracted specialists including Anaesthetists. We can help reduce the high claims on Prescribed Minimum Benefits by a contracted Specialist Network.
Medscheme has completed and maintains various Hospital Networks, one that will suit the requirements of your medical aid. They also have a huge Pharmacy Network (about 1800 pharmacies) to lessen the financial burden of expensive prescribed medications. The aim here is to reduce overcharged dispensing costs, and offer people generic options of the medication. They do have a list of dental networks and optometry programmes to help you when you need it.
Medcheme is one of many medical aid providers in South Africa. Gather quotes here from various schemes, compare and get the right plan for you and your loved ones. Having the right medical scheme in our country is necessary, because treatment in state hospitals is poor. You want to go to a private hospital or facility for the best treatment and care.