FAQs from the annual member presentations
Anglo Medical Scheme is very fortunate to have members that actively participate in their Scheme. We would like to thank the members who attended our annual employee and pensioner presentations, where we discussed all benefits and contributions for 2017. We have uploaded the presentation for you to view or download. These sessions also provided the opportunity to address our members’ general questions and for the members to talk to their Client Liaison Officer about any personal or specific questions they had about their membership.
Below are two examples of questions asked at the presentations. For more FAQs please visit Info Centre >
Frequently Asked Questions.
Why do contributions depend on the claims experience?
As you know, Anglo Medical Scheme, like any other medical scheme in South Africa, is a not-for-profit organisation and works like a trust fund, belonging to its members. The contributions are collected and pooled for the benefit of the members and used to reimburse all relevant medical services purchased by members and to pay administration costs. Any surplus remains in the Scheme. To sum it up in one sentence – what members spend on healthcare over the year, should be covered by contributions.
Obviously there are many more factors influencing how high or low contributions should be and some of them were addressed in the September and October issue of MediBrief.
What role does my employer play in the relationship with the Scheme?
The Scheme and employer groups are completely separate legal entities. However, the employers appoint 50% of the Trustees to our Board of Trustees, who governs the Scheme.
Employees and pensioners are eligible for membership when they are, or have been, employed by a participating employer who will also determine the level of subsidy of their contributions. Lastly, employers (or pension funds) might pay scheme contributions on their employees’ behalf by deducting it directly from their salary (or pension).