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SUB CATEGORIES General  |  HIV |  Medical Schemes | 

Fedhealth fosters partnerships to add value

13 September 2011 Fedhealth
Peter Jordaan

Peter Jordaan

Fedhealth, the fifth largest medical scheme in the country, announced yesterday that, as a result of its forward planning, partnerships and drive to provide sustainable, guaranteed cover for its members, it would be introducing an average increase of only 7.1% and offering excellent benefits for 2012.

"Affordable contribution increases is one of the key components in our strategy to ensure future sustainability through a combination of financial management and better health outcomes. This strategy will provide members with the assurance of predictable and affordable increases into the future.

We have closely evaluated the competitiveness of our products in the market and the increases on individual products options have been aligned with our objective to ensure quality and value-for-money healthcare for all," says Peter Jordaan, Marketing Executive Fedhealth.

Jordaan believes that healthcare management needs to transition from reactive control of price and utilisation through hospital and medicine management to pro-active holistic condition management. "We have adopted a genuine partnership model with a shared focus on not only improving health outcomes, but also providing our members with better value for money benefits," he says.

Fedhealth already has 3900 General Practitioners (GP) contracted as partners throughout the country which means that 95% of members are within 10kms of a partner GP. "In order to better embrace primary and preventative care we are able to provide members of comprehensive plans with unlimited GP consultations though our GP partners. From 2012, all GP visits are now purely a Risk benefit, without ever touching the member's savings," says Jordaan.

Fedhealth also has well over 1000 Specialist Partners signed-on and expects that by 1 January 2012 over 2000 specialists will have joined the Fedhealth partnership. "A new 2012 benefit is that through our Fedhealth Specialist Partners, our members will have no co-payments both in and out of hospital,"

Jordaan adds. "Our primary objective is to ensure that members are able to access meaningful benefits without having to resort to out-of-pocket payments. Our long term strategy is all about improving health outcomes and bending the cost curve by leveraging our partnerships for mutual benefit."

The scheme also currently has 1557 pharmacies contracted that stretch across the country. "This means that the closest pharmacy to 92% of its members would be a pharmacy where no-co-payment on dispensing fees will apply."

In terms of sustainability, the schemes AA- Global Credit Rating has been kept consistent over the past five years and the scheme has managed to keep its solvency ratio above the required 25% ending 2010 on a solid 29%.

 

Looking to the year ahead, Jordaan says although Fedhealth's risk profile has always been seen as a scheme traditionally focused on the individual market, it will begin competing in the groups and corporate market. "We believe that we are totally geared to successfully compete in this market with a comprehensive range of products that can cater for any individual within a corporate. We proudly remain the scheme who pays the most from Risk and are looking enthusiastically to what the year ahead has to offer,"

concludes Jordaan.

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