Lidwala Medical Aid strikes mega deal in SA
Lidwala Medical Aid signs agreement with one of SA’S largest healthcare administrators, Universal No-claims Low Claims Bonus payment next month Improved systems and now paying weekly claims
THE future of health care, Lidwala Medical Aid is set to continue its mantra of delivering value for Emaswati after striking a mega deal with one of South Africa’s largest healthcare administrators, Universal Care.
The ground-breaking deal will see
Lidwala Medical Aid join the administration of one of the largest individually contracted healthcare provider networks in South Africa with over 10,000 participating providers.
Universal Care prides itself on personalised, cost-effective, evidence-based quality care, ensuring optimal healthcare outcomes for each patient.
Lidwala Health General Manager, Ntokozo Ndzabukelwako confirmed to the Eswatini Sunday of the mega deal between the two entities which will be beneficial to their patients.
“Well, basically, we are going to be part of the administration with Universal health care which is the third largest in South Africa and we are looking forward to provide the best for our patients,” Ndzabukelwako said.
He said some of the services to be provided by Universal to Lidwala Health include:
Hospital Benefit Management Services
Disease Risk Management Support
Services
Active Disease Risk Management Services
for Oncology
Active Disease Risk Management Services
for HIV
Active Disease Risk Management Services
for Other Chronic Conditions and
Managed Care Provider Network
Management Services
Funiversal Care Hospital Network Funiversal Care Specialist Network Funiversal Care Pharmacy Network Funiversal Care General Practitioner
Network
Funiversal Care Optometrist Network Funiversal Care Dentist Network
Ndzabukelwako also highlighted good news for Lidwala Health customers as the No-claim bonus will be paid from next month – May.
“If you are with Lidwala, look out for immediate pay on the No-claims Low Claims Bonus and unlike other insurances, with us you don’t even need to apply. We pay the No-claim Bonus in May every year,” he said. Ndzabukelwako said they had improved their systems which has seen the company even paying weekly claims seamlessly.
“Late last year we changed the system in October, it came with a lot of challenges which caused some delayed claim payment but we have managed to achieve a 90 per cent success now as we can pay claims every week,” he said.
When quizzed about what set Lidwala
Health apart, Ndzabukelwako listed four factors which set them apart.
Zero Co-payments: On Pharmacy
Medication and through using our network of Service Providers
Inclusion of Supplements: Over-thecounter medication shall allow the purchase of certain supplements and probiotics
Automatic No Claims Low Claims Bonus payments: Reduced administration for payment of NCLCB through an automated process linked to yearly wellness tests. Courier Medication: Delivery of Chronic Medication to the doorsteps. Chronic Members will be required to register with the Chronic Benefit Management Program, and submit long-term scripts and Lidwala Health will source and deliver the medication and refills.