The changing world of the medical scheme industry is a daunting one for most, new and existing members which may leave them unsure of which medical aid and benefit option to select.
“With the cost of living being so high, members are always looking for the best priced medical aid that can offer them a wealth of benefits. It is highly recommended that they make use of the services of an intermediary also known as broker services, says Fred Hurter, Managing Member at Chrismar Healthcare Consultants.
Brokers have vast knowledge of the Medical Schemes Act and Legislation as well as all or most medical schemes registered in South Africa, which put them in an ideal position to provide best advice and to ensure their clients get the best buy for their money.
“We have seen a sharp increase in the number of individuals with medical aid cover over the recent years which is why brokers should always assist members in selecting a suitable a medical scheme, or to understand some of the intricacies”, adds Hurter.
What members should look out for when selecting medical aid:
- Consider your medical needs first by evaluating your and your dependants’ state of health.
- Decide what you can afford.
- Evaluate your specific situation on an ongoing basis, as it may change.
What brokers should know:
- Brokers should understand the terms and conditions of the scheme you promote to the client.
- As a broker one should not commit the medical scheme by misleading undertakings to potential clients on matters such as guaranteed waiver of waiting periods or granting of special dispensations.
- Brokers should not advise clients not to disclose certain conditions which may result in the client’s membership being terminated retrospectively for failure to disclose such conditions.
“A good medical aid broker can be instrumental in assisting members to select the best medical aid and benefit options that suit their needs”, concludes Hurter.