A self-administered medical aid scheme is set up by the employer or a group and gives complete control over benefits, claims and bonus allocations. CellMed provides the expertise in setting up the fund, administrative services and ensures compliance with statutory requirements.
Take Control over the structure and funding of your healthcare scheme
The CellMed Segregated Funds provide organisations with full ownership and control of their medical aid scheme design and management, while we provide the administration services. Under this arrangement, employers set aside dedicated funds for their medical aid scheme within a regulated structure, maintaining transparency and financial oversight. This model gives our customers the flexibility to design benefits that match their organisational needs while we handle compliance, claims processing, and provider network management.
Achieving Efficiency through Cost and Financial Management
With the CellMed Segregated Funds model, the client creates significant cost savings and financial efficiency through involvement in the management of claims and administration of the fund. Surpluses from the fund can be reinvested into the fund or used to enhance healthcare benefits.
Ensuring Fund Regulatory Compliance
CellMed’s experienced team deals with all the complexities of healthcare administration to ensure your fund or scheme remains compliant with regulatory standards. All this, plus support services for reporting and analytics, help the client make informed decisions about their healthcare strategy.
Why Choose CellMed?
- Customisation – There is complete freedom to structure benefits and conditions of service according to the employer or funder’s needs
- Informed decision-making – Reports generated assists the employer understand and make informed decisions about their fund.
- Financial control – Claims are paid in arrears and not in advance.
- Cost savings – Plan design flexibility and an ongoing analysis of plan expenses allow employers/funders to make customisations needed to manage costs.
- Enhanced benefits – There is freedom to include product add-ons.
- Investment returns – It allows for surplus in the event of good claims performance. The surplus can be rolled over to the next year.
- Customized service provider network – Members will have access to quality healthcare services through the fund’s preferred service provider network
- Flexible premiums – Monthly premiums are actuarial determined in relation to the organization’s budget.
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