Fraud continues to be a major concern to most medical aid companies and schemes lose millions of Emalangeni as a result of paying fraudulent claims. As you know, the greater the losses through fraud, the higher your contributions are to help cover this loss. Swazimed has measures in place to detect and manage fraud and […]
Managed care aims to reduce the risk posed by disease or injury. It is a holistic approach to promote health, prevent disease and treat existing disease approximately and cost-effectively, within a given budget.
High Benefit Plan offers optional savings to cater for all charges above the SPL and also used for other costs above consultation and medicine limits. All these costs must be within the member’s savings.