FIDELITY Life Medical Aid Society (FLIMAS) was established 45 years ago as a closed society and opened to the public in 2002 in a move to provide solutions to clients’ needs in managing health care provisions. Flimas is a committed and responsible player in the health insurance sector and offers excellent, highly personalised services to clients and delivers value for money.
Flimas’ packages have superior benefits, no shortfalls, no co-payments, are affordable and are accepted nationwide. The Society has also introduced unique packages and schemes that are tailor-made to tackle the prevailing economic challenges.
The packages are designed to ensure equity by providing relevant benefits that commensurate with one’s earnings. The “one size fits all concept” in the provision of private hospital medical aid has been eliminated by ensuring that different packages allow private hospital treatment at institutions closest to the members’ residents at subscriptions that are reflective of the respective institutions’ charges. This has been welcomed by both employers and employees as all employees can now get some form of private hospital cover at affordable rates.
To compliment the “relevant packages” Flimas has introduced new medical aid schemes which include the Flimas Elite, Flimas Health partner and the Self managed schemes which further assist members and corporate bodies in maintaining free will and managing cash flows in these times when recapitalization and renovation prevails.
Flimas Health Partner members are obliged to use service providers that are on the medical aid’s expanding provider network or any service provider whose charges are within the Society’s Network tariffs. The Society will pay 100% of the costs from the provider networks or up to the tariff should the member seek treatment from service providers outside the network. In all cases, the maximum is the amount stated in the benefit limits.
On the other Hand, the Flimas Elite members have a choice to use any provider and the Society will pay up to 100% of the fees charged up to the benefit limits. In this instance, there are no restrictions and members are not guided by the Society’s tariffs but by the Provider Association tariffs.
The Managed Healthcare Scheme – This package is designed to cater for those organizations that prefer to administer their funds and retain ownership of such funds. It allows organization to pay their claims as they go as opposed to paying subscriptions that they have no access to. This new scheme allows enormous flexibility and control of funds at the same time ensuring the much needed health care is provided to employees and their loved ones. Other than the medical bills and pharmaceutical bills the scheme also allows for usage on shortfalls which accrue when one is admitted in hospital for procedures that exceed stated benefits. In all cases, the fund owners have the final say and much needed free will.
HEALTH SAVINGS SCHEMES
There has been a trend in the developing countries for members to join health savings schemes or medical savings accounts plans. These schemes are segregated schemes that apply to the individual account holder. For members who are healthy, the schemes allow members to enjoy medical cover at the same time accumulating funds yearly for use during times of ill health. Funds are credited into the member’s account monthly and the member retains ownership of such funds. Members utilize their account balance for selected procedures and drugs purchases