CONTENT: PDF
Prepared by The Institute of Health Risk Managers, an independent training provider specialising in the healthcare industry.
Course Description:
The programme provides an overview of how medical schemes function, how they are different to health insurance products and the responsibilities of the different role players in managing a medical scheme.
Learning outcomes
• The need for healthcare cover
• The differences between health insurance and medical scheme
• The definition of ''business of a medical scheme"
• What is a medical scheme?
• Requirements for registration
• Scheme rules
• Types of schemes
• Number of schemes and beneficiaries
• Benefit options
• Contribution calculation
• Capital requirement
• Benefit design
• Roles and responsibilities of
- Medical scheme beneficiaries
- Trustees and principal officers
- Administrators
- Managed care companies
- Brokers
CPD Points
- Total CPD points on successful completion: 2
- 60% pass rate with 3 attempts
- Approval number: FPI20030095
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