|
| | | |  |  |  | What a pleasure it
is to welcome you to our new-look Elixir. It's bigger and better,
allowing for the inclusion of important permanent fixtures like a full
set of CMP contact details, which will appear in every edition from now
on.
The re-design of the newsletter is inspired by
some very exciting developments about to take place: soon we'll be
launching a brand-new website, packed full of additional features and
resources to enhance your member experience. This is a mere taste of
what's to come; enjoy it, and watch this space for further
developments.
Last month we mentioned the matter
concerning the payment of Prescribed Minimum Benefits (PMBs). If it
piqued your interest, this month we take a more in-depth look at what
brought about the upset in the
industry. |
| While we're on industry topics, we debate the
difference between private and public healthcare in terms of maternity
experiences. And it doesn't come from us! Let's just thank our lucky
stars for access to private healthcare facilities. Speaking about
private healthcare, we also give you a heads-up about anaesthetists'
pricing - you'll want to read this, awake.
Administratively, we cover quite a few topics. We
explain, in detail, how and why we sometimes impose waiting periods and
exclusions on new members. In the same article we discuss why full
disclosure on membership applications is so important. Let's not forget
about our series on medical practitioner consultation fees at the
NHRPL/CMP tariff - this month, we bring you three more. We also
introduce you to members of our finance division.
Finally, before we run out of breath, we're very proud to introduce you
to our new Principal Officer (PO) on page 4. Derek Shardlow took over
the PO reins in June. We wish him well in his new
position.
Here's to your
health!
Warm regards,
Charlene
Schoeman
General
Manager |
|
| | | | | |  | | | In last
month's Elixir, we touched briefly on the topic of Prescribed Minimum
Benefits (PMBs). More specifically, we alluded to the conflict
currently being experienced in the industry. Because we're
self-administered, and you (our members) actually own the Scheme, we
try to ensure that your rights are protected at all times. What follows
is an introduction to the confusion surrounding PMBs, and a warning to
know your rights as a medical scheme member. Read
more>> |
|  |
|  | | Are you booked for
surgery or a procedure requiring general anaesthetic? Before succumbing
to the sleeping gas, there are a few things you ought to know if you'd
prefer not waking up to an unexpected co-payment.
Read
more>> |
| |
|  | | Medical practitioners
are unfortunately not bound by any regulations regarding their tariffs.
They can charge whatever fee they feel is representative of their
services. At CMP, however, we only pay up to the National Health
Reference Price List (NHRPL) tariff, which is why it's worth
negotiating with your medical practitioner. Read
more>> |
| |
|  | | We've all read the
headlines and disturbing statistics in recent months. In May, it was
reported that one Eastern Cape hospital had already recorded 180
premature-baby deaths for 2010. In the same month, a Gauteng hospital
was investigated after 11 babies died, while 35 more were removed from
an overcrowded neo-natal ward. Is it just coincidence, perhaps, that
there are fewer private hospital incidences reported? Unfortunately
not. Read
more>> |
| |
|  | | | As harsh as it
may seem, restrictions imposed on new members is a medical
scheme-industry standard. When a new member applies for membership,
they're assessed in terms of risk and offered membership - with or
without restrictions, depending on their health. As an existing member,
you went through the same process. While this may sound like
discrimination, it's not that way at all. It's the law, and our way of
protecting the Scheme's funds - and existing members - from unforeseen
expenses. Read
more>> |
| |
|  | | | After 45 years
in the industry - partly as a partner in a healthcare practice and a
trustee on various boards - he knows medical schemes inside out. He's
also been a dedicated trustee, chairman and member of CMP for 15
years. All considered, it's a pleasure to welcome our new
Principal Officer (PO), Derek Shardlow. Read
more>> |
| |
|  | | | Our Designated
Service Provider (DSP) for the dispensing of approved chronic
medication, Clicks Pharmacy, has opened a few more doors around the
country. Read
more>> |
| |
| | | | | | | |  | Jill Schoeman
I am
the salaries and human resources administrator, but also perform
additional accounting functions. I started out as a membership clerk 13
years ago, and have worked my way up into this position.
Read
more>> | | |
|  | Adri van Huysteen
I have worked in CMP's finance division since April 2008. As their
bookkeeper, I am responsible for paying our creditors and performing
other daily and month-end accounting functions. Read
more>> | | |
|  | Wasiela Shaik
My
responsibility within the finance division is to prepare a set of
management accounts at each month end. We all work closely together,
and I feel privileged to belong to this dynamic organisation. Read
more>> |
|
| |  | | | |  | | | Open
day reminder
Don't forget about our next two
open days, taking place on the 20th and 22nd of July at our offices.
Save money by getting a free health check between 09h00 and 16h00 (no
need to book). And don't forget to reserve your seat for our
industry-related presentation on both days - please RSVP to Charne
Gordon at 021 937 8300 by 14 July.
|
|  |
|  | | | | | Travelling
and need additional chronic meds?
Under normal
circumstances, CMP may legally only fund chronic medication for one
month at a time. If you ever require more than one month's supply for
travelling purposes, we recommend that you purchase the additional
medicine and submit a paper claim for reimbursement. Simply send us
your invoice and receipt within three months of the date of sale. Our
MCM division may also authorise up to two month's supply, provided you
supply us with proof of travel. | |
| |
| | | | | Other
chronic medication queries
In our April edition
of Elixir, we answered your questions about formularies, protocols and
chronic medication benefits. Should you still have unanswered questions
or queries, please don't hesitate to contact our Customer Care division
at 021 937 8300 or
email: customers@cmp.co.za.
| |
| |
| | | | | | Get screened
(for less) at Clicks
Did you know that you can
pop into your nearest Clicks Pharmacy clinic for a general health
check-up? These check-ups are far cheaper than going through your
doctor, and include testing your cholesterol, blood pressure, glucose,
weight and BMI.
| |
| |
|  |  | | | Tel:
021 937 8300
Fax: 021 937
8499
Email: mail@cmp.co.za
Website:
www.cmp.co.za Physical
address
De Tijger Park
Office Block
2
McIntyre Street
Parow
7500
Postal
address
PO Box 966
Parow
7499
Customer
Care
Tel: 0860 102
930
Fax: 021 937
8311
Email: customers@cmp.co.za Medical
Case Management
(MCM)
Tel: 0860
100 512
Fax: 021 937 8326
Email: mcm@cmp.co.za Sales
Tel:
0860 102 344
Fax: 021 937
8348
Email: telesales@cmp.co.za Claims
Fax: 021 937
8316
Email: claims@cmp.co.za
Distribution
Fax: 021 937
8498/9
Membership/Debtors
Tel:
021 937 8300
Fax: 021 937
8475
Email: debtors@cmp.co.za
| |
|  |
|
| | | | | | | | | | |
|