This is a friendly reminder that we at Careline Group are here to assist you with any of your Medical Aid or Insurance queries. As your advisor is often out of the office and on the road, this line connects you straight to our office where we are ready to assist.
How healthy are you? Your current health has everything to do with the option you choose. You need to look at benefits like chronic cover, specialist visits, pathology and radiology. You need the correct benefits to go with your current health. If you are a young woman you might want to look at pregnancy benefits for future planning.
How much money do you want to spend per month? Affordability is something we all struggle with in life. We can only take the medical aid cover we can afford.
What is your family like? The age of the family makes a difference on what option to choose as you may need child rates until a certain age. The type of sport and activity of the family should be taken into consideration. If you have small babies or children you might want to look at a plan covering child immunisations.
Comprehensive or hospital plan? If you are a healthy individual or family, choosing a hospital might make more sense. A hospital plan might work out a bit more affordable if you choose to pay day to day out of your own pocket.
How financially sound is the scheme? Ask for the latest financial statements and reports to get an indication of how well the scheme is doing financially. Ask for the solvency ratio.
How quickly does the scheme pay out claims? Do a bit of research at one or two different doctors or hospitals to find out if the scheme has issues paying out claims.
Will there be a waiting period when joining? This is a period where contributions are being paid without having full cover.
Have you read the fine print? Make sure you are aware of all co-payments, limits, and exclusions.
What is the scheme’s payout rate? If a medical aid says they pay 100% of scheme rates it is not the same as paying 100% of a specialist’s bill.
Is the scheme registered and does your broker have credentials? Make sure the medical aid is registered with the CMS. Make sure your broker is registered with the FSB and accredited by the CMS.
Careline Group can assist you in comparing medical aids and finding the one that fits your needs. Call us 0861 45 00 45
Determining when you can change your medical plan depends on whether you want to stay with the same medical scheme or not.
If you are considering changing your plan, but not the Medical aid scheme you are currently with you could only do that at the end of the year to start from January of the following year. Depending on the rules or your current scheme.
Most schemes allow you to downgrade your plan at any time. Some schemes might allow you to upgrade your plan, but in this case only life changing situations like cancer for instance. This you can arrange with them directly or through your financial advisor.
Some schemes will place a time limit on this upgrade ( for example, you need to change plans within 30 days of a new diagnosis ).
CHANGE OF MEDICAL SCHEMES
If you decide to change medical schemes, you can do this at any time. You are not allowed to be on two medical aids at the same time, so you need to take your time when you change. You need to resign from one scheme before you can be a member on a new medical aid. There is one month cancellation notice period to give before your membership will be terminated.
If your current plan has a savings fund and you change plans in the middle of the year, your scheme will calculate how much savings you were entitled to on a pro-rata basis. If you have used less than this, they will refund you. If you have used more, you will need to pay it back.
When you change plans in the middle of the year, know that your benefits will be worked out on a pro rata basis for the rest of year. When changing plans, be aware of waiting periods.
Careline Group has many years of experience in a big variety of different medical aids, let us assist you in matching up your family with the medical aid that will meet your needs. Give us a call 0861 45 00 45
First you need to inform the medical aid that you are changing GP’s as they need to update the GP on their system.
If you change your GP it is important to inform him that you have a chronic condition and what type of medication you are using. It is very important to also inform your new GP on your history and when your condition started, what medication you first used and what type of treatment plan you are on.
You can always ask your previous GP to give you a report on your condition and treatment plan he referred you to go onto. Giving your GP all that information can help him see if you are using the correct medication to improve your health. If your new GP is not happy with the medication you are using you can get a new chronic script from your GP and send it to your medical aid to process and update their system correctly.
Remember to get a new script every 6 months, the script needs to be sent to the medical aid to be updated. This is to ensure that the dosages or change of medication is noted with the medical aid scheme to avoid any discomforts when you next collect your medication from the pharmacy.
Careline Group can assist you, by getting you registered for your chronic condition, call us on 0861 45 00 45
Despite the importance of having a will, statistics indicate that most South Africans don’t have wills. The employee value proposition (EVP) has highlighted having an executable will as a critical component of your overall Financial Wellness. A will enables you to support your family when you are no longer there and ensures that your last wishes are respected.
Did you know?
If you die without a will in place there are delays in dealing with your estate, which could affect your family if they are relying on their inheritance for an income.
If you live with someone but are not married to that person, the law will not necessarily recognise your ‘common-law’ spouse as a beneficiary of your estate, unless you have a will naming your partner as a beneficiary.
MMI employees who do not have a will or need to update their will, can contact their financial adviser about drafting a professional will or updating an existing one. This is a free service that MMI offers to all its employees. Through Momentum Trust you can draft a free will if the trust is the nominated executor. If it is not the nominated executor, then you will get a 50% discount on drafting the will. The only fee that is payable is the annual R85.50 safe custody fee.
Steps to follow to draft your will:
Contact your financial adviser.
Draft a will
Momentum Trust will be appointed by your estate adviser who manages the relationship on your behalf. The Momentum Trust team will meet with you and your financial adviser to give you points to follow to ensure that your will is understandable and not misinterpreted.
Once your will is drafted, it is kept in a safe place together with other related documents. This prevents any loss, theft or damage.
Take advantage of this opportunity through the MMI EVP and make sure you get a will drafted today! The future is unpredictable, so ensure that you are prepared and your family is supported.
Momentum Health took first place in the Product Supplier of the Year – Healthcare category at the Financial Intermediaries Association (FIA) Awards last night.
The FIA Awards recognise brands that intermediaries in the industry choose to do business with. These awards survey how financial advisers experience the quality of our products, service and overall satisfaction with our client-facing brands.
Receiving multiple nominations from intermediaries is an honour and bears testament to the trust relationship that they have built with our brands.
This year Momentum and Guardrisk were finalists in five out of the ten categories at the 2017 FIA Awards.
Short-term Insurer of the Year – Personal Lines
Long-term Insurer of the Year – Risk
Product Supplier of the Year – Employee Benefits
Product Supplier of the Year – Healthcare
Short-term Insurer of the Year – Commercial
Being finalists in these five categories and winning in the Healthcare category is significant because it means that intermediaries are seeing value in our Financial Wellness proposition. Financial advisers, who partner with our brands, are able to deliver solutions to clients that are best suited to their individual needs. It is this holistic approach that enables us to enhance the lifetime Financial Wellness of people, their communities and their businesses.
Congratulations to Momentum Health for coming home with gold. Thank you to the financial advisers who nominated us, we look forward to continuing our trust relationship with you as we strive to put our clients at the centre of what we do.
And lastly, a big thank you to all staff whose commitment and hard work earned these honours.
At Multiply, we’re passionate about helping you to improve your Financial Wellness by doing the things you already do. We’re also continually looking for ways to make your life more convenient. So, we’re excited to let you know that you can now do your health assessment at any one of our approved independent pharmacies, as well as at any Clicks, Dis-Chem or Pick n Pay pharmacies.
For your peace of mind, the health assessments done at these independent pharmacies meet Multiply’s quality and standard.
By doing your health assessment, not only will you know how you’re doing physically, but you’ll also get your Healthy Heart Score. Remember, with a green Healthy Heart Score, you get:
120 points to boost your Multiply status or reward level;
Up to R12 000 a year in HealthReturns with Momentum Health;
Up to 60% off your Myriad life insurance premiums; and
Up to 60% in EmployeeReturns on your FundsAtWork lump-sum death and critical illness benefits.
As a Multiply member, you get one free health assessment per year. Plus, if you’re on Momentum Health, you get one additional health assessment for free. (Anything outside of this will cost R120 per health assessment, which can be paid out of your HealthSaver.)
Now, no matter where you are, you can go and do your health assessment.
In cardiovascular disease, cholesterol plaques gradually block the arteries in the heart and brain. If a plaque becomes unstable, a blood clot forms, blocking the artery and causing a heart attack or stroke.
Prevent cardiovascular disease with these steps
a. Check your cholesterol from age 25 and every 5 years thereafter
b. Control your cholesterol and blood pressure
c. Quit smoking!
d.Exercise 30 minutes per day, most days
e. Eat more fruits and veg, and less saturated or transfats
The prostate is a walnut-sized gland behind the penis that secretes fluids important for ejaculation. It’s prone to problems as men age.
Did you know?
Prostate cancer is the most common cancer in men other than skin cancer
Depression and suicide
Experts previously thought depression affected far more women than men. But, that may just be men’s tendency to hide depressed feelings, or express them differently than women.
Three ways depression affects sufferers
a. Brain chemicals and stress hormones are out of balance.
b. Sleep, appetite, and energy levels are disturbed.
c. Research even suggests men with depression are more likely to develop heart disease.
Most men and women respond well to depression treatment with medications, therapy, or both. If you think you might be depressed, reach out to your doctor or someone close to you, and seek help.
Did you know?
Suicide is the eighth leading cause of death among all men; for young men it’s higher.
Diabetes usually begins without symptoms. Over years, blood sugar levels creep higher, eventually spilling into the urine. Many men finally visit the doctor because of frequent urination and thirst. The high sugar of diabetes is anything but sweet. Excess glucose acts like a slow poison on blood vessels and nerves everywhere in the body.
Some of the possible effects of diabetes
Prevent Type-2 Diabetes
Eat a healthy diet
Exercise 30 minutes per day
Lose weight if you carry extra kilos
Did you know?
Just half an hour a day of physical activity reduced the chance of diabetes by more than 50% in men at high risk, found one major study.
Erectile Dysfunction (ED)
Up to 39% of 40-year-old men have erectile dysfunction
66% of men older than 70 suffer from ED
Men with erectile dysfunction, also known as impotence, report less enjoyment in life and are more likely to be depressed. Despite the impact it has on their sex lives, ED could also be an early warning sign for ardiovascular disease, and as such, should be taken seriously if experienced frequently. ED is most often caused by therosclerosis – the same process that causes heart attacks and strokes. Having ED frequently means that blood vessels throughout the body are in less-thanperfect health.
Did you know?
Treatments make a fulfilling sex life possible despite ED, but they don’t cure the condition. If you have erectile dysfunction, see your doctor, and ask if more than your sex life is at risk.
You will notice ICD-10 codes on the account received from you medical service provider. These codes are used to indicate the condition for which you were treated. Medical schemes use these codes to assess which conditions have been treated, in order to ensure the correct claim payments from the correct benefit, be it chronic, day to day or dental.
The ICD-10 is a shortened version of the very long name for the code – International Classification of Disease and Related Health Problems 10th Revision. The World Health Organisation issued the code system to enable standardized descriptions for medical information.
When you joined a medical aid, you will contribute towards a specific benefit plan / option offered by your scheme. With these codes it is possible for the scheme to get accurate information regarding the exact condition diagnosed and treated and for payment according to the terms and conditions applying to payment for the specific condition and treatment plan.
These codes are very important to ensure that PMB treatments are paid. The standardized codes used on your account is an indication to the scheme whether the condition is a PMB or not. If an incorrect code is used on the account, it can lead to non-payment by your medical aid. Then the client have to go back to their service provider and obtained the correct ICD-code for the specific treatment and the service provider have to resubmit the account again for processing.
No other person are allowed to request a medical practitioner to disclose the ICD-code. The code stands for a specific condition or treatment and is confidential information regarding the patient.
In today’s time it is very important to have medical cover as you never know when you might need it. Medical aid cover is not only for cover when you are in a situation of illness but also for any unforeseen situations. There are so many different types of medical cover available today for you and your family. A hospital plan is usually a good place to start because this will provides you with basic and important medical cover.
When you have a medical aid, you need to know what exactly is covered and how about making sure that everything is covered. Without this coverage you will have to pay out of your pocket for every medical expense for yourself and your family.
This can cause you to go into debit and eventually you’r not going to be able take out a loan, credit cards or anything else. That is why a lot of single persons and families should look into gap coverage for their medical aids. Firstly find out what this coverage is exactly and if you need it.
Gap cover is a medical insurance product that can be purchased and added additionally to your existing medical aid. It assist medical aid members to be protected by covering all their short payments regarding in hospital treatments and doctors visits.
The purpose of short term insurance is to assist you, should you be in an accident or for the loss of damage to your vehicle or goods.
You can get cover for your building (house), household contents, all risk items and vehicles.
When insuring your building, confirm with your broker that all fixtures are covered, for an example, pool pump, geyser etc.
You need to provide broker with all means of security taken to protect your property, for an example burglar bars, security gates, alarms linked to security companies, etc.
JOB DESCRIPTION: Long term, team players needed, for challenging permanent work in an often chaotic environment.
Candidates must possess excellent communication and organizational skills and be willing to work variable hours, which will include evenings and weekends and frequent 24 hour shifts on call.
Some overnight travel required, including trips to primitive camping sites on rainy weekends and endless sports tournaments in far away cities. Travel expenses not reimbursed. Extensive courier duties also required.
Did you know? Even if your new baby is born on your medical aid, you still need to register baby on the medical aid. You can register by completing an addition of dependant form or some schemes have forms specially for new born babies. You need to supply the birth certificate or ID number, if you are still waiting for the certificate from home affairs.