Medic Service

This product is designed for groups such as Funders, Medical Schemes, and Medical Scheme Administrators.

It is a full risk-transfer (capitation) agreement and provides, in addition to the services included in the Medic Access and Medic Access Enhanced products, a comprehensive basket of services that are “tailor-made” for each client as required:

·      Dispatch of appropriate emergency response

·      Medical transportation by ambulance, helicopter, or fixed wing aircraft

·      Inter-facility transfers

·      Interaction with the funder’s clinical risk management team as required for individual case management

·      Compliance with funders’ principles and protocols

·      Repatriation of mortal remains (if required)

·      Claims management – auditing and payment

·      Management and quality control of ER24 resources

·      Management and quality control of contracted provider network

·      Clinical governance

·      Interaction with designated representatives from medical schemes and administrators

·      Access to comprehensive, real-time reports

·      Provision of IFRS4 reports as per the Council of Medical Schemes’ requirements