This is how your medical aid spent your money ...

2014-09-02 16:51

Medical aid holders want value for money and want to know exactly how their monthly contributions are spent by their respective schemes.

The Council for Medical Schemes today released the latest figures on how your contributions were spent last year.

There isn’t much difference in how contributions were spent last year compared with 2012. On average there was a slight increase in the amount of money paid towards doctor and administration fees. However, private hospital fees decreased compared with 2012.

In total, schemes paid R112.5 billion towards doctors and private hospital fees. This was an 8.9% increase from R103.3 billion in 2012.

The hospital-related expenses – ward fees, theatre fees, consumables, medicines and per diem arrangement – took 35% of the total healthcare expenditure and it amounted to R39.7 billion. This was an increase of 4% from R37.5 billion in 2012.

Here is what the rest of your money went to:

» Medical specialists – pathologists, radiologists, gynaecologists and others were paid R27.5 billion;

» Medicines dispensed by pharmacists or hospitals cost R18 billion;

» General practitioners or ordinary medical doctors were paid R7.8 billion;

» Allied health professionals, which include physiotherapist and psychiatrists, were paid R9.4 billion;

» Dentists were paid R2.6 billion; and

» Dental specialists were paid about R800 000

The council also noted a worrying trend in the increasing amount of money spent on nonhealthcare expenditure – administration and trustee fees. The administration for all 93 schemes increased from R8.8 billion in 2012 to R9.4 billion last year.

The money paid to trustees also increased significantly. Topping the list of schemes with highest trustee fees was the Government Employees Medical Scheme paying their trustees on average R568 000 a year. In total, the schemes spent R7.9 million on trustees. The council believes trustees should be volunteering their services.

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