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How to avoid wasting your medical scheme benefits

09 April 2008 | Healthcare | General | Medshield Medical Scheme

Being sick is a costly business. With a myriad of nasty viruses affecting millions of South Africans every year, winter can therefore be an especially expensive time. Whether it's you or a family member, being ill is generally inconvenient and costly so prevention is most certainly better than cure.

Following some basic guidelines can make a huge difference to your health and bank balance this winter. You simply need to make the effort to incorporate them into your daily routine. There's no point waiting until you're feeling sick to take heed of this advice.

According to Peter Moyanga (pictured right), Chairman of Medshield Medical Scheme, there's no drain on your day-to-day medical scheme benefits quite like common illnesses such as colds and flu. He comments, "Frequent and sometimes avoidable visits to the specialist, along with prescription medicines can escalate surprisingly quickly, especially for larger families. Moyanga continues, "Add to that diminishing sick leave allocations and suddenly, you'll be all too aware of how expensive it can become to be unwell."

Moyanga suggests you help avoid these costs by doing the following:

* Go on, get your influenza vaccine - it only costs around R60. It takes up to two weeks to become fully effective and you need a new jab annually because the strains of flu change each year. Flu jabs are particularly recommended for sufferers of asthma, diabetes or angina, as well as the elderly since flu can put a severe strain on weak hearts;

* Ensure you are getting sufficient sleep - ideally eight hours. Your body needs deep, regenerative sleep in order to make the necessary immune-strengthening repairs;

* Eat a wide variety of healthy foods including brown rice, low-fat protein sources like fish and beans, and five to nine daily servings of fruits and vegetables;

* Wash your hands frequently. This is such a simple but crucial way to eliminate many of the germs that can make you sick;

* Keep your body well hydrated and simultaneously flush out toxins by drinking plenty of fluids - ideally six glasses of water per day;

* Remember to stay active during the winter months - don't become a couch potato simply because of the change in season;

* And finally, taking supplements such as vitamin C, garlic and Echinacea can provide effective remedies to assist your body in fighting infection.

While temperatures are still surprisingly high and South Africans feel far from the grips of winter, the characteristic bugs normally associated with the change of season have already affected many people. Be proactive in doing your bit towards keeping yourself and your family healthy this winter. It's the logical thing to do.

Comments

Added by ID, 09 Apr 2008
Here are another couple of tips to cut down on medical costs: * Watch out like a hawk for unnecessary tests, scream poverty if you have to, and don't give out your medical aid details to providers you don't know very well - rather tell them you have no medical aid and pay cash. I went to a Medicross clinic for flu on a Saturday recently because my own GP was not on duty. The doctor at Medicross wanted me to have X-rays done. For the kickback of course, as there is no need for radiology for a simple case of flu. I refused, and threatened to walk out without paying unless I got a script for the medication I actually needed. So know your rights as a client. You know those doctors who were put on community service for creaming kickbacks from radiologists at Linksfield Clinic? There are a lot more of them around - they like to get at you in the first eight months or so in the year, so you still have day to day medical benefits to milk. The worse you feel the less likely you are to put up a fight, so be on the alert beforehand. * Watch out for pathologists. Take a pen and ruler and cross out every test you don't need done. Write on the top of the form what you do need done. Or else they can tick off whatever minor test they like, to pad out the account. If you don't pay for their fraud, they have you listed on ITC. So forwarned is forearmed - don't trust doctors or other medical providers too readily.
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Added by Jamie, 09 Apr 2008
ID seems to have a very poor opinion of the medical fraternity, In my long experience with doctorsand other professionals,and 25+ years in insurance and medicals aids I have found very few who I have not had complete confidence in. From time to time they may well over prescribe but rather that than palm you off with a cough cure!! In our industry we play it safe and i'm sure that they do as well. "Rather safe than sorry" comes to mind. If ID finds that he has TB,and could have used an X- ray when suggested,he would not have had kind words for the doctor!!
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