Resolution Health is a medium sized medical aid with about 42,000 lives covered. It was registered in 1998 and has a Global Credit Rating of A-, for claims paying ability with claims being processed within 14 days. Their range of products includes a hospital plan with the rest being traditional in structure. There is also n new generation plan.
All benefits are pro-rated depending on when in the year one joins the scheme.
A member has the option of changing their plan without medical underwriting once per year effective from the 1st of January the following year.
This hospital plan is very good value. For a premium of under R500 for a single member, it covers hospital at 100% of NHRPL with no annual limit, with emergency evacuation to a hospital included. Chronic medication for the Prescribed Minimum Benefit conditions could be a problem because the member has to pay for the medicine and claim back from the scheme.
The Millennium option combines the flexibility of a medical savings plan, with an above threshold benefit when your day-to-day expenses are particularly high. This option allows for unused savings to be carried over annually to the next year and includes comprehensive in-hospital chronic cover. Specialist fees are paid out at 150% of Scheme Rate at preferred providers for in and out of hospital and there is a savings account for day-to-day expenses.
The Supreme option provides comprehensive in-hospital benefits and generous day-to-day benefits which are designed for those in need of extensive cover. It is ideal for individuals and families who want complete peace of mind. Specialist fees are paid at 220% of the Scheme Rate at preferred providers for in and out of hospital services.
This independent cover will pay the additional amount charged by the surgeon and anaesthetist above the Scheme rate up to a maximum of 5 X NHRPL rate.