Delayed Preventative Healthcare and its Cancer Aftermath
Gap claims related to cancer diagnoses dramatically increase in 2023; late diagnoses on the rise as preventative health checks remain deferred due to affordability challenges An analysis of its gap claims related to cancer diagnosis and treatment by Sirago Underwriting Managers from 2020 to 2024 shows that the number of gap claims paid in 2023 […]
Gap cover a critical financial essential as medical scheme buydown accelerates
An analysis of gap cover claims paid by Sirago Underwriting Managers shows that the quantum of medical scheme payment shortfalls for in-hospital treatment is increasing as financial pressure in relation to premiums is forcing consumers to buy down on their medical scheme benefits. The growing quantum of gap claims volumes and values indicates a marked […]
The A-Z of gap cover and building a resilient healthcare financial plan with Hykie Berg and Sirago CEO Martin Rimmer
Will my medical scheme benefit pay for everything if I get sick and need to go hospital? What is gap cover? Why do I need it? Why is there a difference between what doctors charge and what my medical scheme pays? What is a hospital co-payment and will my gap cover pay for this? These […]
Medical aid renewal season – planning your healthcare finances for 2023
Medical scheme members find themselves under massive pressure to cut costs, while ensuring access to quality private healthcare in a crisis If you’re a member of a medical scheme, you will by now have received notification of the increases to your contributions and benefit changes for 2023. Some schemes have announced that increases will […]
Gap Cover: Protecting your pocket from penalty fees and co-payments on your medical scheme benefit
Martin Rimmer, CEO of Sirago Underwriting Managers, provides some insights on what co-payments and penalties are, why and when they are levied and how gap cover can protect your pocket from these unforeseen costs. One of the ways that medical schemes are able to manage the costs of medical scheme contributions is through negotiation […]
Mega Gap Cover claims show twofold increase in 2021
Musculoskeletal, connective tissue conditions were key drivers of Sirago’s mega gap claims in 2021. An analysis of gap insurance claims paid by Sirago Underwriting Managers during 2021 shows that the volume of large or ‘mega’ gap claims paid, had more than doubled in cost and volume when compared with mega claims paid by Sirago in […]
Spiralling healthcare costs leave consumers exposed to out-of-pocket hospitalisation expenses not covered by medical aid
010 599 1163 info@sirago.co.za Mon – Fri, 7.30am to 4.30pm Submit a Claim Or Get a Quote Spiralling healthcare costs leave consumers exposed to out-of-pocket hospitalisation expenses not covered by medical aid With healthcare costs growing at around 10% – levels well-beyond inflation – and with most medical schemes announcing annual plan increases of between […]