The unspoken benefits of a Medical Scheme.

Medical scheme membership is essential in South Africa. Medical Schemes not only fund and provide access to high-quality healthcare services, but Schemes also contribute to better overall health for members, potentially leading to a longer life.

Individuals who belong to a medical scheme mostly utilise private hospital services, but those who are not scheme members have to personally finance private treatments or depend on public healthcare facilities that are overwhelmed and lack sufficient funding. Multiple research projects provide evidence that the public healthcare facilities in South Africa are inadequately supported. The public primary care facilities are typically inadequately equipped, understaffed, congested, and have limited operating hours. The lack of adequate infrastructure and skilled staff is a major factor in the underperformance of the public healthcare system.

Accessing private services can improve the entire experience and results of treatment, motivating individuals to follow prescribed regimens. Being a member of a medical scheme allows individuals to access private sector services, which can provide more convenient and superior quality treatment. This encourages members to actively engage in their healthcare.  This highlights the significant impact of medical scheme membership on both the availability of healthcare services and the overall structure of the healthcare system in the country. Patients who actively participate in their medical schemes are more inclined to comply with treatment regimens, consistently attend healthcare visits, and diligently follow up on healthcare suggestions, resulting in improved health outcomes. When individuals possess a comprehensive understanding of the benefits and rules of their scheme, they are more inclined to persist in investing in it, resulting in enhanced adherence to treatment protocols.

Ultimately, being a member of a medical scheme in South Africa is crucial for guaranteeing the availability of high-quality healthcare services, effectively controlling healthcare expenses, and offering scheme members financial security. Medical schemes play a crucial role in financing private healthcare and make a substantial contribution to the entire healthcare system and the welfare of individuals in the country.

Jean le Roux

GM – Quattro Med