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Managed Care Explained: A Triage Approach

Health

Navigating your health insurance benefits can help you and your family get the most out of your cover. Adopting a triage approach can be your secret weapon.

This involves selecting the most suitable medical benefit for a specific health requirement.

Cracking the Code on Managed Care

Ever wondered about that "managed care" jargon in your policy? It's a system designed to streamline healthcare services, providing you with the best value for your investment. The key lies in using the appropriate benefits to achieve cost-effectiveness without compromising on the quality of care.

When it comes to using your health insurance benefits, it's helpful to take a triage approach. This means using the correct medical benefit for a specific health need.

This approach is in your best interest as it helps extend your cover, especially if there are certain limits to your benefits. This way you’ll be assured of having access to the major benefits when you really need them.

Now, let's break down how you can level up your health insurance game by taking a triage approach when using your benefits:

1 Health Advice Needed?

Benefit: 24-hour Health Advisor
For instant guidance, medical advice, counselling or management of first aid, day-to-day symptoms, drugs, poisoning, stress, trauma, and any other health issues, making sure you're on the right track.

2 Life Tips and Support

Benefits: Member Wellness Programme and WHISPA
Feeling a bit down or stressed? These benefits cover counselling, support and advice for gender-based violence (GBV), personal issues, relationship problems, trauma/PTSD, financial counselling, legal advice, fitness advice, diet and nutrition, HIV/Aids, and more. You’ll be sure to get the support and advice you need.

3 Quick Fixes for Minor Issues

Benefit: Pharmacy Consultations
Skip the whole GP trip for minor problems and head to the pharmacy for fast solutions. Everything from flu symptoms, stomach issues, fever, screenings, vaccinations and more, pop in at a GetSavvi Health network pharmacy.

4 Everyday Health Trips

Benefit: Day-to-day Benefits (Doctors' Visits)
For regular stuff like a bad cold, small injury, minor procedure, screenings or vaccinations, cash in on your day-to-day benefits for doctors' visits.

5 Medical Emergency

Benefit: Emergency Services and Accident Cover
Accidents happen. When they do, these benefits have your back, making sure you get the urgent medical attention you need.

6 Specialist Treatment for a Special Baby-to-be

Benefit: Maternity Benefits
If you’re expecting, then use our Maternity Benefits for that special care tailored to your unique needs during this time. From gynaecologists’ visits to ultrasound scans and in-hospital birth.

By following this triage approach, you not only make your life simpler, but also make your health benefits go the extra mile. It's like having a cheat code for healthcare – keeping you covered without unnecessary hassle.