Category Healthcare
SUB CATEGORIES General  |  HIV |  Medical Schemes | 

CompCare brings value to healthcare in stressed economy

08 October 2020 CompCare Medical Scheme
Josua Joubert, Chief Executive and Principal Officer of CompCare

Josua Joubert, Chief Executive and Principal Officer of CompCare

Significant changes await members in 2021

Josua Joubert, chief executive and principal officer of CompCare, says the scheme will be entering 2021 in a strong financial position armed with an array of 15 products, all with significant new added benefits.

Commenting on the past year, he noted that while 2020 will go down in the history of the world as the year when everything changed, it has nevertheless been a productive and successful year for the scheme. “During the year the Selfmed merger with CompCare was successfully concluded allowing CompCare to almost double its size to approximately 33 000 lives.

“At 47% the solvency ratio of the scheme is well in excess of the minimum 25% required by the Council for Medical Schemes, thereby living up to its independent ranking as one of the most financially sustainable schemes on the market. This takes the accumulated funds per principal member to more than R21 000, which is precisely for eventualities such as COVID-19,” added Joubert.

“Affordability challenges have become a fact of life for people the world over and we are mindful that many healthcare consumers are increasingly focused on finding lasting value, particularly in the current financial climate. In response to this we will be implementing a member weighted overall average contribution increase of 4.6% across all benefit options in 2021, along with a host of enhanced benefits. In certain instances, our contribution increase is as low as 3.5%. On our most popular option, UniSave, the increase for 2021 is a low 4.8%, while on the entry level NetworX option it ranges between 3.5% and 5.1%, in line with salary bands.”

Some scheme highlights include:
• The introduction of a comprehensive COVID-19 benefit package, available on all options, but one, to ensure members are guaranteed the best possible care during the pandemic.
• The scheme introduced virtual consultations to all benefit options this year. Members will soon have access to a special virtual consultation platform with a full suite of services enabling doctors to request radiology and pathology tests and to issue electronic prescriptions.
• The complete revamp of the Selfnet option to appeal to a younger audience, with a specific focus on those with an active lifestyle, including professional sportsmen and women and adventure seekers.
• CompCare’s emotional wellness benefit, which is available free of charge on all options, provides a 24-hour helpline with trained clinical professionals, together with a referral for face-to-face counselling when required.
• Preventative benefits provide for every stage of life with the majority of benefits being paid from scheme risk and not from day-to-day benefits.
• CompCare has always offered an unlimited cancer treatment benefit and has now added a new colorectal cancer screening test for 2021 to the scheme benefits.
• Executive medicals comprising a full medical examination by a participating general practitioner and a referral to a specialist in instances where any abnormality is detected, has been introduced to the Pinnacle option. This option will now also cover aviation medicals required for pilots.
• The launch of a personalised concierge service, available via the CompCare contact centre, enables members on the Pinnacle option to optimally access healthcare benefits and services while navigating challenges associated with provider claims.
• As the preferred scheme for adventure seekers, CompCare offers comprehensive cover for injuries resulting from professional and adventure sports, as well as a search and rescue benefit.

Affordability and choice go hand-in-hand at CompCare
Joubert says financial pressures following a worldwide recession, job losses and reduced working hours have forced many people, particularly young people, to tighten their belts and focus on essentials including accommodation, food, healthcare, and education.

“In times of uncertainty one of the greatest attributes a medical scheme can offer its members is the ability to innovate in order to create meaningful value from even the lowest of healthcare budgets. Everyone is looking for options that are both affordable and sustainable. We believe that we have developed an array of benefit options that fit every need and every pocket. Our efficiency discounted or “ED” options offer exceptional value when using Netcare hospitals for elective planned procedures, and Dis-Chem pharmacies for chronic medication. This saving can amount to as much as 25% of the normal contribution rate. For corporates, we have an option for everyone, from the top-ranking executives to the lowest income employee, all within one scheme,” asserts Joubert.

Introducing a COVID-19 benefit package
According to Joubert CompCare has added a COVID-19 benefit to all its benefit packages, which extend well beyond the PMB requirements, with the exclusion of the NetworX option.

“Members and their dependants diagnosed with the virus will have access to a range of benefits providing the best clinical care and support. This includes GP consultations, chest physiotherapy, a pulse oximeter for every family, a nebulizer, a home oxygenator where clinically necessary, an electronic thermometer as well as PCR tests and antibody tests when prescribed by a doctor. In addition, nutritional supplements such as Vitamins B, C, D and Zinc will be provided on options with discretionary savings. The scheme will also pay for an approved vaccination from risk when it becomes available,” he elaborates.

Revamping of popular options
“Millennials and recently qualified graduates are looking for maximum flexibility with a strong focus on lifestyle benefits. In response to this gap in the market we have specifically re-designed the Selfnet option to address both financial and healthcare benefits for this target audience. At a contribution rate of just below R1 700 the newly revamped Selfnet, with its wide array of attractive benefits, provides great value for money,” says Joubert.

UniSave stands out head and shoulders above similar products in the market in terms of its savings component and value for money. It provides comprehensive unlimited hospital cover, a flexible savings account that can be used for day-to-day healthcare requirements, at your own discretion, and acute medicines are covered at full cost without the need for co-payments.

MedX and MedX ED are highly cost-effective, market-leading hospital plans that protect members and their families from sudden and unforeseen medical emergencies. Although these are essentially hospital plans, they offer preventative care benefits, active lifestyle programmes including fitness assessments, exercise prescription benefits, nutritional assessments and healthy eating plans, as well as post-rehabilitation benefits.

The NetworX option is ideally suited to international students, and corporate clients looking for an affordable, high quality benefit package for lower earning employees. The NetworX Option provides exceptional value as an entry level medical scheme option targeting members earning below R10 000 per month for whom affordability is a priority.

Looking to the future
“Opportunity exists like never before in the South African private healthcare arena. At CompCare we are honoured to be sharing in many of the opportunities that surround us. Medical schemes that are able to meet the growing demand for highly affordable and sustainable healthcare cover are ideally placed to perform the much-needed healthcare delivery miracle that so many South Africans are waiting for.

“Having said that, long-term success in the South African healthcare arena requires flexibility, an innovative approach, expert skill and the willingness to challenge the status quo. CompCare has all of these credentials. We are not ashamed to reach out and forge the much-needed partnerships that can make a tangible and lasting difference for our members,” notes Joubert.

“People at every level within CompCare Medical Scheme and its healthcare administrator, Universal, value the intrinsic rewards that come from caring for those in need of our services. Healthcare, as the word itself implies, is about people. At CompCare caring for people is so much more than mere philosophy, it is the very foundation of an uncompromising people-first mind-set that underpins everything we do for our members.

“While our systems are state-of-the-art, as they should be after 42-years in the business of healthcare, it is the personal touch and the care we provide that makes a real and lasting difference to the members whose lives we touch every day. Although goods and services may be bought and sold, healthcare is above all an activity of caring that grows out of relationships of mutual responsibility, concern, and trust — and this cannot be reduced to a commodity,” concludes Joubert.

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