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JOHANNESBURG - The tough economic climate is a challenge for many South Africans and making ends meet is a constant juggling act. Access to quality healthcare is an important budgetary factor and with the medical scheme change over period just around the corner many people are considering their options.

The question then arises: How does one go about selecting medical aid cover that addresses our specific healthcare needs, while remaining within budget? "Finding the right balance between adequate cover and affordability can be complicated and the key to making the right decision is thorough research," comments Bestmed's Alan Fritz.

There are several factors that you should consider before making a decision. First and foremost, a medical scheme should be financially secure and meet the legal reserve ratio minimum of 25 per cent. A healthy reserve ratio is an indication that the medical scheme will be able to pay a member's claims and members can enjoy peace of mind knoWing that their benefits are guaranteed. "It is not uncommon for medical schemes, large established ones too, to dip below this level, while others might boast a reserve ratio much higher than the legal minimum, but this leads one to question whether the excessive reserves are an indication of poor investment practices," adds Fritz. A solid track record and sizable membership base are further indicators of how healthy a medical scheme is. "For example, Bestmed has a 48-year track record with a solid member base of 155 000, which includes many second-generation dependents who have opted to become principal members," says Fritz.

Other considerations are mutual trust, integrity, accessibility, personalised advice and flexibility, as well as easy and convenient internal procedures and processes given the complex nature of medical schemes, as well as the legislative requirements that govern them. Another key factor is the variety of options available as medical cover needs vary according to one's stage in life, as well as personal and financial circumstances. This is a guiding principle that has assisted Bestmed in developing its range of options. Furthermore, one needs to consider whether a medical scheme is innovative and continuously enhances and improves its product offer to meet the changing needs of its members. Bestmed firmly believes that prevention is better than cure, which over the last few years has resulted in the implementation of various preventative healthcare activities and benefits. In 2013, preventative care benefits such as flu vaccines, paediatric immunisations, preventative dentistry, as well as glucose, cholesterol blood pressure and BMI biometric screenings, will be standard on all Bestmed options.

Communication is also a key focus for Bestmed going forward and they have invested in improved digital platforms. These include a dedicated communication portal for all members and other stakeholders and the webmail service provides members with a summary of their registered chronic medication and conditions, as well as recent claim information. Intensive investigation and gathering of all the necessary information are integral steps you should take in making a well informed choice about which medical scheme is best for you and your family. To find out more visit www.bestmed.co.za