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‘Beste’ mediese skema wen met eenvoud, waarde | SA-News.com
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‘Beste’ mediese skema wen met eenvoud, waarde
Medihelp is nou die mediese skema waarmee lede die meeste tevrede is.
Lede van mediese skemas is egter in die geheel beskou effens minder tevrede met hul produk as ’n jaar gelede.
Die tevredenheid van lede van Discovery Health Medical Scheme en van Bonitas het albei gedaal.
Dis onder die bevindings van die South African Customer Satisfaction Index (SAcsi) vir mediese skemas vir 2018, wat Donderdag uitgereik is.
Daarvolgens het die gemiddelde punt vir mediese skemas van 74,2 in 2017 tot 72,7 in 2018 gedaal. Dis uit ’n moontlike 100 punte.
Die grootste rede vir die daling is Suid-Afrikaners se “toenemende frustrasie met stygende premies en dalende voordele”. Hulle voel dat hulle minder waarde vir hul geld kry vergeleke met ander finansiële dienste, sê Schreuder.
Mediese skemas se premies het vanjaar met gemiddeld 9% gestyg, baie meer as waarmee kort- en langtermynversekering se premies gestyg het.
Oor Discovery, die grootste oop mediese skema, sê Schreuder dit lyk asof die moedermaatskappy se fokus na van sy ander produkte verskuif het – onder meer die verwagte bekendstelling van Discovery Bank en sy kort- en langtermynversekering. “Dit het sy mededingers in staat gestel om die speelveld gelyker te maak in die suite van mediese produkte deur eenvoudiger, tradisionele mediese versekering te bied wat goedkoper en makliker is om te verstaan.”
Schreuder sê Medihelp se sukses kan daaraan toegeskryf word dat hy ’n “nisgehoor het en presies bied wat lede wil hê en verstaan”.
Die peiling meet verbruikers se algehele tevredenheid met hul mediese skema, of daar aan hul verwagtinge voldoen word, of hulle voel hulle kry gehalte en of hulle voel hulle kry waarde vir hul geld.
Net lede van bogenoemde vyf mediese skemas is gepeil (die skemas betaal vir die diens, maar die peiling word onafhanklik gedoen).
Die algehele SAcsi-indeks lyk as volg:
1. Medihelp: Styg van 72,6 tot 75,1 punte (+2,5)
2. Discovery Health Medical Scheme: Daal van 74,8 tot 73,1 punte (-1,7)
3. Bonitas: Daal van 73,1 tot 70,2 punte (-2,9)
4. Momentum Health: Bly onveranderd op 72 punte
5. Gems: Styg van 64,3 tot 68,8 punte (+4,5)
Prof. Adré Schreuder, uitvoerende hoof van Consulta, wat die SAcsi-peilings doen, sê die broodnodige verbetering in kliënte se ervaring by Gems kan dalk as regverdiging vir die inwerkingstelling van Nasionale Gesondheidsversekering dien. Gems, as geslote mediese fonds vir staatsamptenare, kan straks die grondslag van dié omvattende projek vorm.
Schreuder maan egter dat “beduidende verbeterings” by Gems nodig is voordat dit bewys dat die staat die NGV-skema op lang termyn volhoubaar sal kan bestuur.
Schreuder meen as mediese skemas relevant wil bly in die lig van NGV, sal hulle die waarde wat hulle aan kliënte bied, moet evalueer. Dit sluit in gehalte, bekostigbaarheid, deursigtigheid en gemak.
Die bedryfsgemiddeld vir dié onderafdeling van die peiling is 69,4 punte. Dit meet of mense dink hulle kry waarde vir hul geld.
Schreuder sê met meer as 270 opsies om uit te kies, raak mense verward. “Baie voel gefrustreerd wanneer hul eise nie gedek word nie en die algemene kliënte-ervaring van mediese skemas is een waar voordele beperk word en premies styg.”
1. Medihelp en Momentum Health: Medihelp se punt het van 70,9 tot 73,6 gestyg (+2,7) en Momentum s’n van 70,5 tot 72,3 (+1,8).
2. Discovery Health Medical Scheme: Daal van 72 tot 69 (-3).
3. Bonitas: Daal van 70,7 to 68,3 (-2,4).
4. Gems: Styg van 63,6 tot 67,5 punte (+3,9).
Free Medical-Aid, Hospital and Funeral Plan and Insurance Quotes at www.MedSure.co.za
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Categories: Affordable Medical Aids, Medical Aid, Medical Aids, News, Uncategorized, Wellness
Tags: beste mediese skemas, Bonitas, Discovery Health Medical Scheme, GEMS, Medical, medical aid, medical scheme, medical schemes, mediese skema, Medihelp, Momentum Health, South Africa, South African Customer Satisfaction Index
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