The Impact of Members' Claims on the Future of Medical Aid Fund Benefits
Knowing Your Rights and Responsibilities as a ConsumerMedical Aid Funds operate on the principle of solidarity, where members pool their contributions to cover healthcare expenses that may be unaffordable individually.
When claims consistently exceed what the fund collects, the reserve levels—which must legally be maintained at 25% of annual contributions—are depleted.
If this continues, the fund may be forced to take drastic steps:
When claims consistently exceed what the fund collects, the reserve levels—which must legally be maintained at 25% of annual contributions—are depleted.
If this continues, the fund may be forced to take drastic steps:
What Fund Trustees Can Do
To protect the fund's sustainability, trustees implement several strategies:
What Members Can Do
As co-owners of the fund, members play a crucial role in controlling claims. Here’s how you can help:
Every claim made today affects the future of your medical aid fund.
Be mindful. Responsible claiming ensures that your fund remains sustainable, affordable, and available for when you truly need it.
