Why don't you receive statements on the Value Care Plan?

If you are a member on the Value Care Plan, you might have asked yourself why members on the other plans receive statements and you don't. There is a very good reason for this. The structure of benefits and payments on the Value Care Plan are different to the other plans. Seeing as you have to obtain all medical services from a network provider such as general practitioners, pharmacies, laboratories for blood tests, etc. you will not pay for these services. The Scheme has contracted with Prime Cure to provide services as per the approved Value Care Plan Rules. If you don't need to pay and submit claims, you don't need to keep track of these by checking your statement.

There are certain exceptions when you could have seen a healthcare provider that is not on the network. In this case you would need to keep the records, i.e. the account of the provider and your proof of payment for tax purposes. If you submit these to Prime Cure, the transactions will then also be listed on your medical tax certificate.

Published: July 2021.