Keep the price of healthcare down - say no to fraud!
Medical aid fraud is a major, growing issue in South Africa. It contributes to the overall high cost of healthcare and occurs at every level.
Remedi pays millions of rands in member claims every year. These claims are funded by the contribution income the Scheme gets, which it uses to pay for your valid and true claims. It should not end up being used for fraudulent and inappropriate claims. When these funds are used to pay for inappropriate claims, it also causes your contributions to be higher to cover any losses. It also increases the Scheme's costs for maintaining fraud management processes.
People who commit fraud don't just steal from the Scheme, they also steal from you and other members. For details on how to report fraud, please refer to page 5 of our benefit brochure.
Remedi subscribes to a whistle-blowing approach, which advocates the principles of South Africa's Protected Disclosures Act 26 of 2000. Therefore, in terms of this approach, all whistle-blowing reports are treated as confidential. Remedi has a zero-tolerance approach to fraud. You play a vital role in ensuring that the funds in your medical scheme are not subject to fraud.
Help make medical cover more affordable by reporting fraud. You don't have to give your name; you just have to tell us if you suspect fraud.
If you suspect any fraudulent behaviour relating to your healthcare cover, you can remain anonymous and use the following details to contact us:
- Toll-free phone number: 0800 00 45 00
- SMS number: 43477
- Toll-free fax number: 0800 00 77 88
- Email: discovery@tip-offs.com
- Post: Freepost DN298, Umhlanga Rocks 4320
- Email forensics@discovery.co.za directly for an investigation into the matter