Medical Scheme Advisors and Brokers | Bestmed

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Advisor Handbook

The Advisor Handbook is your go-to guide for everything you need as an advisor, including benefit option contribution comparisons, important benefit information, Bestmed contact details, a member application checklist, an individual member underwriting flow chart, and information regarding employer group underwriting and propositions.

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At Bestmed, we recognise the importance of our Advisors in ensuring that our members receive the best possible service and advice. We offer support, training, co-branded material, wellness initiatives, Key Account support, etc. to ensure that your sales process is seamless and professional.

Contact us today at anni.wolf@bestmed.co.za to arrange an information session or discussion about the benefits of including the Bestmed range of products in your portfolio.

Join us today.

How To

Become a Bestmed Advisor

Thank you for your interest in partnering with Bestmed Medical Scheme. To become a Bestmed Advisor, please email our New Business Development Specialist, Anni Wolf (anni.wolf@bestmed.co.za).

Advisor Accreditation

We live our values. One of Bestmed’s four values is mutuality. This means that we interact with all stakeholders in a mutual spirit of partnership. As our partner, your growth and development are important to us. That is why we offer several platforms and tools that are designed to empower you to take the next step in your professional journey.
As you are aware, Fit and Proper Requirements state that all advisors must receive Product Specific Training prior to giving advice or rendering intermediary services. Advisors must also receive training on changes in the market, to financial products, financial services and legislation annually.

At Bestmed, we offer:

  • Face-to-face training
  • Virtual training
  • An online test

These tools incorporate both the Accreditation and the Product Specific Test with certification in an effort to make this mandatory training a little more convenient for you. For enquiries, please contact Ancin Botes (ancin.botes@bestmed.co.za) our Bestmed FAIS Compliance Specialist or your Business Consultant (BC). 

 

 

FAQs

What makes Bestmed different from other medical schemes?

  • Extensive provider network (22,000+ providers)
  • Tempo wellness programme
  • International travel cover
  • Eight comprehensive managed care programmes (e.g., oncology, HIV/AIDS, maternity) 
  • Extensive list of preventative care benefits including female contraceptives, paediatric immunisations, and various cancer screening benefits that don’t pay from the members savings account or out-of-pocket.

How does Bestmed underwrite individual members?

Bestmed categorises individual applicants into three underwriting categories applicable for main member, spouse/partner and children (immediate family), extended family members are fully underwritten.

The following applies to immediate family only:

  • New entry: 12-month condition specific waiting periods (No PMBs) with a 12-month monitoring period for non-disclosure. Late joiner penalties (LJPs) only applied from 46 years of age.
  • Not continuous: 12-month condition specific waiting periods (with PMBs) with a 12-month monitoring period for non-disclosure. LJPs only applied from 46 years of age.
  • Continuous: No waiting periods. LJPs only applied from 46 years of age.

NB: Although LJPs are only applied from 46 years of age, once applied the calculation for the LJP is done from age 35.

 

What are the underwriting rules for employer groups?

New Corporate Groups may qualify for a once-off underwriting concession based on the concession application and existing employer groups are offered an Open Window Period during the year-end period of (1 Oct – 31 Dec).

Contact a Business Consultant or our New Business Development Specialist to better understand our underwriting for employer groups.

 

How many members are required to form an employer group with Bestmed?

  • Micro Group: Minimum of 2 employees
  • Corporate Group: Minimum of 15 employees 

Apply for an Underwriting Concession for a new Corporate Group by submitting the Demographics, Industry Type, Compulsory or Voluntary status, and details regarding Current Cover, Subsidies, Interested Options and whether the request is a Split-Risk.

 

What support does Bestmed offer to Advisors?

Advisors have access to:

  • A dedicated BrokerSupport team for telephonic or e-mail enquiries
  • Regional Business Consultants to assist with training, new business enquiries, escalations and year-end sessions
  • An Advisor Portal for member management, claims, and individual applications
  • Personally Yours channels for escalations, chronic medicine, authorisations, and more.

How can Advisors use the Bestmed Advisor Portal?

Advisors can:

  • View employer and member details
  • Submit online individual applications
  • Access claims, authorisations, and benefit information per client
  • Search for network providers and chronic medicine formularies.

What is the Tempo wellness programme and how can members access it?

Tempo offers a Lifestyle Screening, biokineticist and dietitian consultations, and wellness webinars available to all Bestmed beneficiaries aged 16+ via our partner pharmacies and specialists.

Contacts

Contact a Business Consultant

To cater to our growing number of members and advisors nationwide, we have a large and capable team of dedicated business consultants. Please feel free to  contact a business consultant near you to assist you with queries.

National:

Gauteng:

Mpumalanga and Limpopo:

Free State and North West:

KwaZulu-Natal:

Western Cape:

Eastern Cape:

Northern Cape:


Report Fraud:

Bestmed is committed to eradicating fraud. Should you be aware of any fraudulent, corrupt or unethical practices involving Bestmed, members, service providers or employees, we encourage you to report this directly to us. Alternatively, you can report fraudulent activities anonymously to KPMG by phoning our 24- hour ethics hotline on the contact details below:

Report Fraud

Toll-free from any Telkom line

+27 (0)80 011 1627

Postal: BNT 165
Brooklyn Square
0075
South Africa

Disputes

Dispute Resolution


Bestmed strives to create open lines of communication with all stakeholders. Should you feel that your dispute has not been resolved with your Business Consultant, you can escalate the dispute to Babalwa Sihele, the Advisor Sales Manager.

In the event that the dispute is still unresolved, you can escalate the matter to Madelein O'Connell, Executive: Marketing Sales And Corporate Relations.

Should the dispute be on behalf of a client, you can escalate your complaint to the Council
for Medical Schemes (CMS) Complaints Unit.

Who can complain to the Registrar’s Office?
Any beneficiary or any person who is aggrieved with the conduct of a medical scheme can
submit a complaint. It is, however, very important to note that a prospective complainant should always first seek to resolve complaints through the complaints mechanisms in place at the respective medical scheme before approaching the Council for assistance.

 

Complaints

Complaints can be submitted by any reasonable means such as a letter, fax, email or in person at the CMS offices

+27 (0)86 673 2466

Postal: Private Bag X34
Hatfield
0028