Evergreen Content

Medical aid fraud: members have little knowledge of benefits says Dr Nhlapo

The Board of Healthcare Funders has mentioned that 10% -15% claims are fraudulent or wasteful, and in 2017, Medscheme recieved 1500 tip offs and recovered R107 million which had been lost to fraudulent claims.

Chair of the Healthcare Forensic Management Unit Dr Hlei Nhlapo says that unfortunately this is the status in the healthcare space. He adds that members have little knowledge of their benefits and they end up doing all kinds of things.

Members will use their card and allow other service providers to charge for services that they didn’t receive.

Dr Hlei Nhlapo, chair of the healthcare forensic management unit

Dr Nhlapo says that members also borrow unregistered relatives their medical aid card which adds up.

Medical aid payments or premiums is a monthly premium so members see it as a grudge purpose. There is a self-entitlement that they feel they must get for paying that amount of money.

Dr Hlei Nhlapo, chair of the healthcare forensic management unit

Also read: Why medical aids aren't totally ripping you off (according to Alexander Forbes)

Click on the link below to hear more…


Recommended

by NEWSROOM AI
Read More
#Changemakers2018: I don't like talking about myself, but I need to - Ray Zondo

#Changemakers2018: I don't like talking about myself, but I need to - Ray Zondo

At the #Changemakers2018 conference, Deputy Chief Justice of SA Raymond Zondo spoke about the struggles he faced growing up.

How to build a business that will survive constant technological change

How to build a business that will survive constant technological change

The Money Show’s Bruce Whitfield interviews Pavlo Phitidis, founder of Aurik Business Accelerator.

A compelling argument for using SA's pension funds to build infrastructure

A compelling argument for using SA's pension funds to build infrastructure

Bruce Whitfield interviews John Oliphant, former Principal Executive Officer at the Government Employees Pension Fund.

Take a look inside BMW South Africa’s high-tech X3 producing factory

Take a look inside BMW South Africa’s high-tech X3 producing factory

The Rosslyn plant makes 15 BMW X3 SUVs per hour for export around the world. Bruce Whitfield interviews BMW SA's, Tim Abbott.

Why medical aids aren't totally ripping you off (according to Alexander Forbes)

Why medical aids aren't totally ripping you off (according to Alexander Forbes)

Alexander Forbes has released a report summarising the performance and demographics of all medical aid schemes in South Africa.

Adulting 101: Tips on choosing the right medical aid for you

Adulting 101: Tips on choosing the right medical aid for you

Wealth coach Lianne Lutz advises on how you can choose a medical aid that is best for you and the needs of your family.

Popular articles
News24 exposes how big SA corporates are funding fake news

News24 exposes how big SA corporates are funding fake news

A News24 investigation has exposed how some of South Africa's biggest companies have been advertising on fake news websites.

7 expert tips on how to make your breakfast healthier

7 expert tips on how to make your breakfast healthier

Nutrition and diet expert, Catherine Pereira, shares some advice on how to make healthier decisions for your morning meals.

[Watch] SA choir stuns with isiZulu cover of Ed Sheeran’s ‘Shape of You’

[Watch] SA choir stuns with isiZulu cover of Ed Sheeran’s ‘Shape of You’

Khabazela shares some of the most popular tweets, posts, and videos on 'What's gone Viral'.

[WATCH] Man exposes people selling stolen goods on Facebook

[WATCH] Man exposes people selling stolen goods on Facebook

Anton Fourie says he used his phone to record the interaction to create awareness of what is going on in the community.

Zondi tells court that she had to 'look happy' in church out of fear for Omotoso

Zondi tells court that she had to 'look happy' in church out of fear for Omotoso

Cheryl Zondi is testifying against Pastor Timothy Omotoso who is accused of rape and human trafficking in his Durban church.