Streaming issues? Report here
Pippa Hudson 2019 1500 BW 2 Pippa Hudson 2019 1500 BW 2
Lunch with Pippa Hudson
13:00 - 15:00
volume_up
volume_mute

Up Next: Afternoon Drive with John Maytham
See full line-up
Lunch with Pippa Hudson
13:00 - 15:00

Is your medical aid ripping you off? MediCheck can help you resolve claims

27 January 2021 8:25 AM

R35 billion spent by members out of their savings, which is their own money, or out of pocket this past year, says Mark Hyman.

Have you had a medical claim declined by your medical aid even though you were told it would be covered?

Sometimes these are due to certain conditions that need to be met and other times it is due to an admin error.

MediCheck's Mark Hyman talks to Refilwe Moloto about how they will help you get to the root of the issue and check if the decision is valid.

MediCheck is a consumer activist organisation.

It handles for the first time in the country, the member's problems that he has with his medical aid.

Mark Hyman, Joint Chief Executive Officer and Marketing and Operations - MediCheck

MediCheck covers all 75 medial aids whether they are open or restricted schemes, he explains.

It is our function and duty to assist members in the resolution of claims with their medical aid.

Mark Hyman, Joint Chief Executive Officer and Marketing and Operations - MediCheck

Hyman says there has been rising out of pocket expenditure for South Africans who are on medical aid schemes.

Consumers may not realise that when they walk into a pharmacy or visit the doctor, while they are not seeing an account, the bottom line is they are still paying.

In the last year, R35 billion has been expended by members out of their savings, which is their own money not the medical aids' money, or out of their own pockets.

Mark Hyman, Joint Chief Executive Officer and Marketing and Operations - MediCheck

Many of these payments occur in terms of co-payments and levies if the member has visited a doctor not designated by the service provider, or where the medical practitioner has incorrectly coded a diagnosis, he explains.

South Africans pay 55% more out of pocket in the past 5 years.

Mark Hyman, Joint Chief Executive Officer and Marketing and Operations - MediCheck

Listen to the interview below:




27 January 2021 8:25 AM

More from The Big Breakfast Broadcast

'Matric results are a superficial measurement of education'

24 February 2021 12:10 PM

Refilwe Moloto chats to Education strategy consultant Raees Khan and education law specialist Dr Jaco Deacon about matric results.

Share this:
Read More arrow_forward

'School Life Orientation plays a key role in pupils decision-making and success'

24 February 2021 8:48 AM

Western Cape Education Department Senior Curriculum Planner: Life Orientation/Life Skills Ismail Teladia talks to Refilwe Moloto.

Share this:
Read More arrow_forward

Is SA capable of producing future leaders in STEM subjects?

24 February 2021 8:42 AM

Refilwe Moloto shone the spotlight on SA's STEM education as part of Wednesday's Big Breakfast Broadcast on CapeTalk.

Share this:
Read More arrow_forward

Medical aid too costly? 'Medical insurance' is far cheaper and it provides a lot

27 January 2021 9:37 AM

For R397 per month, you get unlimited GP visits and unlimited medication. You also get basic radiology, pathology, dentistry...

Share this:
Read More arrow_forward

2 reasons your employer can force you to join a specific medical scheme

27 January 2021 5:23 AM

Lawyer Craig Berkowitz outlines when it is compulsory for employees to join a medical aid scheme selected by an employer.

Share this:
Read More arrow_forward

State capture a major reason for decline in crime fighting capacity - Mo Shaik

28 October 2020 7:48 AM

The former head of SA Secret Service says overall architecture once had in 1994 no longer matches the problem SA has today.

Share this:
Read More arrow_forward

Tourism: How Cape Town plans to make summer pop

30 September 2020 1:18 PM

All the interviews from the BIG Breakfast Broadcast with Refilwe Moloto on "South African Tourism, Reimagined".

Share this:
Read More arrow_forward

We have an advantage. Who doesn’t want to spend summer in the Cape? - Alan Winde

30 September 2020 9:42 AM

"Fly south! Come here for the summer! This is going to be a great place in the summer," says Premier Alan Winde.

Share this:
Read More arrow_forward

How this Cape Town tour operator has had to learn to 'swim' again

30 September 2020 6:56 AM

Tour operator and owner of Beyond the Vine Robbie Knoetze normally catered to international tourists visiting the Western Cape.

Share this:
Read More arrow_forward

The Big Breakfast Broadcast: Tourism Edition

30 September 2020 5:31 AM

Join Refilwe Moloto live from the Century City Virtual Conference Centre Studio for the first Big Breakfast Broadcast.

Share this:
Read More arrow_forward