Discovery Health Medical Scheme must recruit between 280,000 and 290,000 new members each year to maintain its current membership base. Discovery Health CEO Dr Ron Whelan disclosed the target at the scheme’s recent annual general meeting. He said the high recruitment requirement was necessary because of significant annual membership churn. DHMS is South Africa’s largest open medical scheme. At the…
Tag: DHMS
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DHMS AI Prompts Drive Higher Screening Rates Among Members
Discovery Health Medical Scheme members who have opted into an AI-driven health guidance programme are significantly more likely to complete routine health checks and cancer screenings than members who have not enrolled. This is according to preliminary findings from Discovery Health. These results may be influenced by the effective use of DHMS AI Prompts within the programme. The results support…
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Discovery Health Claims Reversal follows member outcry
Discovery Health Medical Scheme (DHMS) has reversed its controversial decision regarding claims overpayments. The administrator will now cover the costs after sustained member outcry and mounting public pressure. This marks a significant shift in strategy. The provision protects members on the scheme’s high-end plans Impact of Discovery Health Claims Processing Errors The issue centres on a processing mistake. This error…
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Discovery Health’s Top Claims of 2024 Revealed
Discovery Health Medical Scheme (DHMS) has revealed the immense scale of its 2024 claims. It paid out a total of R83 billion last year. The scheme highlighted its ten highest individual claims, which alone amounted to R70.5 million. This underscores the critical role of medical cover in managing catastrophic health events. Presenting at the scheme’s Annual General Meeting (AGM), DHMS…
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Discovery Health Sees Membership Decline in 2024
Discovery Health Medical Scheme (DHMS) is navigating a challenging landscape. A recent annual report, released ahead of its AGM, reveals a notable decline in membership across several of its core medical plan options in 2024 compared with 2023. Nine out of the 16 core DHMS medical plan options experienced a drop in members. Seven plans saw increases. One of these…