Evergreen Content

Medical aid fraud: members have little knowledge of benefits says Dr Nhlapo

The Board of Healthcare Funders has mentioned that 10% -15% claims are fraudulent or wasteful, and in 2017, Medscheme recieved 1500 tip offs and recovered R107 million which had been lost to fraudulent claims.

Chair of the Healthcare Forensic Management Unit Dr Hlei Nhlapo says that unfortunately this is the status in the healthcare space. He adds that members have little knowledge of their benefits and they end up doing all kinds of things.

Members will use their card and allow other service providers to charge for services that they didn’t receive.

Dr Hlei Nhlapo, chair of the healthcare forensic management unit

Dr Nhlapo says that members also borrow unregistered relatives their medical aid card which adds up.

Medical aid payments or premiums is a monthly premium so members see it as a grudge purpose. There is a self-entitlement that they feel they must get for paying that amount of money.

Dr Hlei Nhlapo, chair of the healthcare forensic management unit

Also read: Why medical aids aren't totally ripping you off (according to Alexander Forbes)

Click on the link below to hear more…


This article first appeared on CapeTalk : Medical aid fraud: members have little knowledge of benefits says Dr Nhlapo


Recommended

by NEWSROOM AI
Read More
Kahn Morbee (real name 'Dingaan') of The Parlotones opens up about his money

Kahn Morbee (real name 'Dingaan') of The Parlotones opens up about his money

The Money Show’s Bruce Whitfield interviews Morbee about his attitude to money (hopes and fears, successes and failures, etc.).

How to build a resilient small business

How to build a resilient small business

Small business guru Pavlo Phitidis on the basics of building a resilient business. He gives clear guidelines for getting it right.

Story of Van Loveren Vineyards and 'Four Cousins', SA's top-selling bottled wine

Story of Van Loveren Vineyards and 'Four Cousins', SA's top-selling bottled wine

Bruce Whitfield interviews Phillip Retief, CEO at Van Loveren Vineyards, the origin of the SA's top-selling wine, "Four Cousins".

How to save and buy an island (you need only R2000 per month)

How to save and buy an island (you need only R2000 per month)

Saving money on boring stuff such as a car can allow you to do really outrageous and courageous stuff, says Sam Beckbessinger.

Why medical aids aren't totally ripping you off (according to Alexander Forbes)

Why medical aids aren't totally ripping you off (according to Alexander Forbes)

Alexander Forbes has released a report summarising the performance and demographics of all medical aid schemes in South Africa.

Adulting 101: Tips on choosing the right medical aid for you

Adulting 101: Tips on choosing the right medical aid for you

Wealth coach Lianne Lutz advises on how you can choose a medical aid that is best for you and the needs of your family.

Popular articles
'I don’t spend much. I drive an old car. I’ve never been in debt'

'I don’t spend much. I drive an old car. I’ve never been in debt'

Bruce Whitfield interviews analyst Chris Gilmour about his attitude toward money (hopes and fears, successes and failures, etc.).

Absa is the most complained about bank in South Africa

Absa is the most complained about bank in South Africa

Capitec Bank, however, is keeping its customers decidedly happy. Bruce Whitfield interviews consumer journalist Wendy Knowler.