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BONITAS ANNOUNCES LOWEST INCREASE IN 6 YEARS

BONITAS ANNOUNCES LOWEST INCREASE IN 6 YEARS

Despite increasing healthcare inflation and economic pressures, Bonitas have managed to keep the weighted average for contribution increase at 8.7% for 2018.

The increase is staggered across all plans. A 7.9% increase was announced on Primary, BonSave and Bonfit – options designed to appeal to younger and healthier families.

An 8.9% increase was revealed on Standard, Standard Select, BonEssential and BonCap. A 9.9% will be applicable to all other options.

To provide members with better healthcare, Bonitas has added further value to plans with new and improved benefits:

  • Childcare –bonitas introduces Babyline to assist parents in keeping their little ones healthy.
  • Screening for congenital hypothyroidism
  • Infant hearing screening benefit
  • New benefit for contraceptives – paid from risk with an annual Rand limit applicable to your plan option.
  • Improved WELLNESS EXTENDER – maximizing your benefits with limits increased by 15% on all plans
  • Unlimited terminal care on all options.
  • Separate dental benefit added to BonFit
  • Preventative care boosted
  • Introducing the Mental Wellness programme

Bonitas Brochure Digital

Contribution Table 2018

MOMENTUM – THE HEALTH EFFECT, your journey to financial wellness in 2018

MOMENTUM – THE HEALTH EFFECT, your journey to financial wellness in 2018

Momentum has grown into the third largest open medical scheme with more than 150 000 lives covered in a market that has been stagnant for the last couple of years, because of their unique product offering.

Based on the successes seen over the past few years, there were no major benefit changes but a few enhancements and the introduction of a new plan option; the Impact option.

Enhancements to the Health Platform Maternity Benefit, for Incentive, Extender and Summit members.

Contribution increase for Momentum 2018

If you review Momentum Health’s average risk contributions, it is still one of the lowest in the market, thus members experience a low increase off a lower risk contribution rate, with no benefit cuts.

2018 in no different – Momentum Health’s average increase is 8.3%, excluding the lowest income band on the Ingwe option.

Introduction to the Impact option

The introduction of the Impact option, with contributions that are linked to income bands, it extends the opportunity to access private healthcare to more South Africans.

Offering state as chronic provider and the Impact Primary Care network for day-to-day benefits, this option provides younger entry level consumers affordable access to more benefits than most low cost solutions.

Momentum Health Marketing Brochure

Health Complementary Brochure

Discovery Health, enhancing benefits, without compromising affordability in 2018

Discovery Health, enhancing benefits, without compromising affordability in 2018

Discovery Health continues to invest extensively in building a better healthcare system, centered on the needs of member and we are proud to announce the following Enhancements on the various options going into 2018:

  • Weighted average contribution increase of 7.9% for 2018
  • Enhanced global treatment Platform to access medical treatment outside of South Africa on the Executive Plan
  • Comprehensive risk-funded maternity and post-birth benefits on ALL PLANS without affecting their medical savings account:
  1. Antenatal consultations
  2. Blood tests
  3. Antenatal classes
  4. Six week consultation
  5. My Pregnancy and My Baby app
  • Over the counter medicine benefit on the Smart Plan for schedule 0-2 medicine, subject to an annual limit:
  1. Classic Smart plan:      R600 per family per year
  2. Essential Smart Plan:  R400 per family per year
  • Introducing Dr Connect app
  • Discovery for Corporates:
  1. Premier wellness experience
  2. Healthy Company care that looks after your Physical, Emotional and Financial risk management of your staff

Verso Health wants to take you on this journey in 2018 where we assist you as the employer and the individual to make your life healthier and care-free.

We invite you to make use of our time for your annual review and hassle-free assistance.

Download 2018 Contributions Table

Download Health Member Guide 2018

What will happen to your Gap Cover costs in 2017?

What will happen to your Gap Cover costs in 2017?

Gapcoveredit

New regulations on gap cover products came into effect on the 1st of April 2017.

An overall annual policy limit of R 150 000 per person per year will apply for new policies taken from 1 April 2017 onwards.

“The Demarcation Regulations state that clients on existing policies with a cover start date prior to 1 April 2017 may continue with their existing cover until 31 December 2017. New policies with a cover start date of 1 April 2017 and thereafter must join a policy that aligns to the Demarcation Regulations.”

“Until 1 January 2018, the cover for existing gap cover policy holders will be unaffected.”

Premiums will not be reduced as a case of the new limitation.

According to the Health Minister, the purpose of the change is to try and prevent doctors from charging high tariffs as they currently have no reason to compete on either price or quality.

What does this mean for gap cover clients?

The intention is to prevent doctors taking advantage of over extensive cover, which means you should be paying less. However, there have been instances where, depending on your plan, you exceed the limits that will be introduced with the regulation.

If you would like more clarity on these regulatory changes, please contact your Verso Health, healthcare consultant.

Call us on 021 943 5302 or email us at info@verso-health.co.za

Visit our website today at www.verso.co.za

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References:

  • www.stratumbenefits.co.za
  • businesstech.co.za/news/business/149569/two-massive-medical-aid-changes-coming-in-2017-that-you-need-to-know-about

 

The content in this article is wholly owned by the Verso Group of Companies. Companies in the Verso Group are authorised Financial Services Providers.

HAVE YOU CHECKED WHAT YOUR MEDICAL AID SCHEME INCREASE IS FOR 2017?

HAVE YOU CHECKED WHAT YOUR MEDICAL AID SCHEME INCREASE IS FOR 2017?

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In consideration of the 2017 increases that will affect most, if not all, medical schemes, it’s good to know what your plan will now cost you, in comparison to others.

Contact your Verso Health consultant to find out what you’ll be paying in 2017.

Please note: 15 December 2016 is the last day of the freedom of association period for 2016. If you would like to change your medical aid plan or scheme after this date you can do so by contacting your medical aid broker.

Remember to send us the plan you’re on so we can send you the increase details.

Contact your Verso Health Consultant, Sharon Rix if you would like to change your Medical Aid Scheme or find out more information.

Call us on 021 943 5302 or email us at info@verso-health.co.za

Visit our website today at www.verso.co.za

Verso Health is an authorised Financial Services Provider. FSP License no. 45466.

Verso Health is registered with the Council for Medical Schemes. No. ORG4196.

verso-health-logo

This article is a general information sheet and should not be used or relied on as professional advice. No liability can be accepted for any errors or omissions nor for any loss or damage arising from reliance upon any information herein. Always contact your financial adviser for specific and detailed advice. Errors and omissions excepted. (E&OE)

TAKING CONTROL OF YOUR HEALTHCARE COVER IN 2017

TAKING CONTROL OF YOUR HEALTHCARE COVER IN 2017

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– Brought to you by Verso Health

With high increases for all medical aid schemes in 2017, many members change their options to accommodate the sharp increases on premiums.

Even more reason to ensure that you have cover in place in the event of hospitalisation.

Stratum Benefits cover the gap that exists between what your medical scheme pays and the fee charged for private healthcare. Be sure to get the very best medical shortfall cover you need and the service excellence you deserve.

As your forthright leading medical shortfall specialist, we engineer our products to not only fit, but benefit you and your lifestyle to ensure your medical shortfall is covered.

Stratum Benefits has broadened their scope with the launch of a brand-new product:

Dental Assure

The DENTAL ASSURE option has been cleverly arranged to provide you with essential cover whether you belong to a medical scheme or not.

From basic and affordable dental benefits to specialised dentistry and eye care, you can rest assured that your leading medical shortfall specialist has you covered from as little as R108 per month for the basic dentistry cover for a family of 4.

The specialised dentistry option provides cover for both basic dentistry and a wide range of specialised dentistry, including but not limited to crowns, implants and orthodontic treatment up to R17000 per person. A general 6 month waiting period will apply to specialised dentistry.

Please contact Verso Health for more information.

You have until 12 December 2016 to change your medical aid if you would like to do so.

In consideration of the 2017 increases that will affect most, if not all, medical schemes, it’s good to know what your plan will now cost you, in comparison to others.

Contact your Verso Health consultant to find out what you’ll be paying in 2017.

Remember to send us the plan you’re on so we can send you the increase details.

Call us on 021 943 5302 or email us at info@verso-health.co.za

Visit our website today at www.verso.co.za

Verso Health is an authorised Financial Services Provider. FSP License no. 45466.

Verso Health is registered with the Council for Medical Schemes. No. ORG4196.

verso-health-logo

This article is a general information sheet and should not be used or relied on as professional advice. No liability can be accepted for any errors or omissions nor for any loss or damage arising from reliance upon any information herein. Always contact your financial adviser for specific and detailed advice. Errors and omissions excepted. (E&OE)

MEDICAL AID INCREASES 2017

MEDICAL AID INCREASES 2017

discoveryContribution Increase for 2017

A Weighted average between 7.8% and 14.9%

Plan option Increase 2017
Executive 11.9%
Comprehensive 11.9%
Priority 9.9%
Saver 9.9%
Coastal saver 7.8%
Smart plan 9.9%
Coastal core 14.9%
Core 9.9%
Keycare 9.9%


Discovery Health Focuses in 2017

1. Increasing contributions equitably across its membership base without compromising on benefits

2. Expanding the Smart series with access to the Classic Smart plan and Essential Smart Plan for only R1100 per month – 24 % more affordable than the competitor

3. Unique and enhanced benefits for the Classic/Essential Smart include:

  • Unlimited GP consultations
  • Acute medicine benefit
  • Dental check-up
  • Eye test
  • Sports injury benefit
  • Screening and prevention benefits
  • Extended Smart provider and hospital network

4. Coastal Saver medical savings account changed from 25% to 20 % annual MSA.

5. Targeted benefits for at-risk members:

  • Enhanced individualise approach to the Screening and Prevention Benefit,
  • Health check benefits for members with results that are out of range for their glucose and cholesterol tests.
  • Breast cancer and cervical cancer screening with one mammogram or breast MRI test per year, annual Pap smear and BRCA testing (once off).


momentum

What’s new in 2017?

The average 2017 contribution increase announced for Momentum Health members is 11%.

Momentum Health has maintained medical scheme benefits (and increased limits) in line with its strategy not to reduce members’ access to benefits.

One of the client-centric healthcare offerings from Momentum that serves to complement the medical scheme experience is its Health Returns offering. In conjunction with Multiply, Momentum’s rewards and wellness programme, it will enable greater monetary rewards (of up to R2 000 per family per month) and more choice in terms of how and on what clients spend these monthly rewards to enhance their health and state of wellness.

Extending healthcare cover to staff and domestic workers will form part of the holistic, client-centric healthcare solutions available from Momentum during 2017.

Ingwe Option:

1. Major Medical Benefits

  • The overall annual limit will be increased to R1 190 000 per family.
  • Annual sub-limits for in-hospital benefits have also been increased.


2. Chronic and Day-to-day Benefits

  • Out-of-network GP, casualty or after hours visits – co-payment will be R100 per visit and no longer 10% of the event.
  • Chronic and Day-to-day benefits will continue to be provided by the Ingwe Primary Care Network or Ingwe Active Primary Care Network providers


Custom Option:

1. Major Medical Benefits

  • Annual sub-limits for in-hospital benefits will be increased, except for oncology.
  • The Custom Option co-payment that applies per authorisation will increase to R1 200.
  • Co-payments payable for the specialist referral procedures/treatment will increase to R500 per authorisation if the procedure/treatment is performed out-of-hospital. If the procedure/treatment is performed in-hospital, the co-payment will be increased to R1 200. An additional R700 co-payment will apply if you do not obtain an appropriate GP referral
  • The costs of anaesthetists for gastroscopies and colonoscopies will be covered up to R425, subject to pre-authorisation.


2. Chronic Benefits

  • Chronic Benefits are still subject to registration and Scheme authorisation. If you are currently registered for a chronic condition, please remember that scripts are valid for 6 months and you need to submit a new script to us and your pharmacy once your script expires.
  • Remember that you need to obtain your chronic benefit from your chosen chronic benefit provider.


3. Health Platform Benefits

  • The additional free early detection and preventative care benefits available on the Health Platform continue in 2017.
  • Your international emergency cover will increase to R7.66 million for 2017.

 

bonitas

Why Bonitas?

An average premium increase of 11.9% announced across all plan options.

Research amongst consumers showed a need for more options with more traditional benefits.

Structural changes have been made to Standard and Standard Select and a brand new option BONCOMPLETE has been launched for 2017.

  • Standard and Standard Select: savings account has been removed and has been changed to Day-to-day benefits
  • Separate benefits not impacting on utilisation


BONCOMPLETE:

  • Savings account and above threshold benefit
  • Additional benefit for basic dentistry
  • Cover for 31 chronic conditions
  • Childhood illness. Infant paediatric and maternity benefits
  • Annual wellness screening and R1450 for Wellness Extender
  • No co-payments for CT and MRI’s
  • Contributions from R2923 for principal member


Contact us:

Call us on 021 943 5302 or email us at info@verso-health.co.za

Visit our website for more information: www.verso.co.za

MAKING THE MOST OF YOUR MEDICAL AID

MAKING THE MOST OF YOUR MEDICAL AID

Choosing a medical aid plan is considered to be one of the most complex decisions you will make. Every medical aid plan has different limits and exclusions, and the more basic the plan the more limited your options are. It is therefore essential to understand the terms and conditions of the option you choose.

Here are 4 steps to help you optimize your benefit from your medical aid scheme.

  1. If you need to undergo a medical procedure, ask you medical scheme to provide you with a list of Designated Service Providers (DSP’s) for the procedure and other medical products that you require. These providers usually have agreements with the medical schemes for non-prescribed minimum benefits as well.
  2. Request the codes that will be charged by the surgeon (DSP). This will include the procedure codes and codes for any other medical products that are required.
  3. Discuss the medical scheme tariffwith your surgeon and negotiate the price that you will pay.
  4. Determine if there is likely to be a shortfall, and if there is, speak to your broker to advise you on a suitable Gap Cover to provide cover for these shortfalls.

Do you know your PMB’s?

Prescribed Minimum Benefits (PMB’s) are a set of defined benefits that ensure all medical scheme members have access to certain minimum health services. This means that on any plan you choose, your PMB’s will be covered.

PMB’s are prescribed in the Medical Schemes Act, which stipulates that all medical schemes have to cover the costs related to the diagnosis, treatment and care of:

Ensure your chronic illnesses are registered to ensure that the treatment thereof is paid from your risk benefit and not from your medical savings account.

– By Sharon Rix

Verso Health (Pty) Ltd is an authorised Financial Services Provider with license number 45466 and is accredited by the Council for Medical Schemes with the number ORG4196. To find out more on what Verso Health offers click here.

This article is a general information sheet and should not be used or relied on as professional advice. No liability can be accepted for any errors or omissions nor for any loss or damage arising from reliance upon any information herein. Always contact your financial adviser for specific and detailed advice. Errors and omissions excepted. (E&OE)