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Maximise Your Medical Aid Benefits for Chronic Care

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At Health with Heart, we’re dedicated to ensuring that you receive the best possible care tailored to your needs. To help you navigate your medical aid benefits effectively, here’s what you need to know about making the most of your chronic condition coverage.

Understand and Make the Most of Your Medical Aid Benefits

Your medical aid plan includes two main components: chronic benefits and savings. Chronic benefits are specifically allocated to cover treatment and medication for registered chronic conditions, whereas savings are meant for other day-to-day medical expenses. Using the right portion of your medical aid ensures that your benefits last longer and work better for you.

Plan Ahead for Your Chronic Needs

Schemes allocate 2 – 4 consultations a year to the management and ongoing assessment of chronic conditions. There are also those that make provision for one 40 min consultation a year from this same benefit. For these consultations to come from your chronic illness benefit and not from your savings, certain ICD10 codes need to be used.

Should you consult for an acute condition in the same consultation as you request the script for your chronic condition, you not only lose out on these consultation benefits, but you also possibly do yourself a disservice by not giving yourself valuable time and attention to it by the doctor.

Help Us Help You

To ensure the best care and optimal use of your medical aid:

  1. Set up separate appointments for your chronic condition or medication needs.
  2. This ensures the consultation is billed to your chronic benefits and not your savings.
  3. Plan your healthcare appointments early in the year to align with your chronic benefits.

We Want the Best for You

Our priority is to provide comprehensive care that supports your health journey while maximising the value of your medical aid. If you have any questions or need assistance understanding your benefits, we’re here to help.

To book your next chronic care appointment, please feel free to contact us or use our online scheduling portal.

Thank you for trusting us with your care. Together, we can ensure you stay healthy and supported all year round.

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