{"id":23001,"date":"2025-11-18T12:10:50","date_gmt":"2025-11-18T10:10:50","guid":{"rendered":"https:\/\/newmediacreative.co.za\/afrocentric\/?p=23001"},"modified":"2025-11-21T11:04:01","modified_gmt":"2025-11-21T09:04:01","slug":"protect-your-medical-aid","status":"publish","type":"post","link":"https:\/\/newmediacreative.co.za\/afrocentric\/archives\/23001","title":{"rendered":"Protect your medical aid\u00a0"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"23001\" class=\"elementor elementor-23001\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6d0fd69 e-flex e-con-boxed e-con e-parent\" data-id=\"6d0fd69\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-66d6cb1 elementor-widget elementor-widget-heading\" data-id=\"66d6cb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Fraud, waste, abuse and error (FWAE) drain billions from medical aid schemes every year, undermining healthcare access and driving up member contributions significantly.  <\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37d6633 elementor-widget elementor-widget-text-editor\" data-id=\"37d6633\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Understanding and preventing FWAE is crucial to maintaining the sustainability and integrity of medical aid schemes. As members, we each have a responsibility to be vigilant about potential FWAE activities, properly manage our personal membership details, avoid misuse of our benefits, report fraud through secure channels, and maintain ethical healthcare practices. We need to stay alert and be accountable.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3215a4f elementor-widget elementor-widget-heading\" data-id=\"3215a4f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">FWAE takes many forms <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa86c48 elementor-widget elementor-widget-text-editor\" data-id=\"aa86c48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>FWAE are actions or mistakes that deplete resources from your medical aid scheme, undermining the scheme\u2019s financial health. It ultimately affects all its members because it reduces the shared pool of member contributions, resulting in higher premiums and fewer benefits (coverage) for everyone.<\/p><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Fraud<\/span><\/b><span data-contrast=\"auto\">\u00a0\u2013 deliberate deception intended to secure unfair or unlawful gain.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Waste\u00a0\u2013<\/span><\/b><span data-contrast=\"auto\">\u00a0unnecessary use of benefits that drains medical aid resources.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Abuse\u00a0\u2013<\/span><\/b><span data-contrast=\"auto\">\u00a0misuse of resources or benefits beyond their intended purpose.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Error\u00a0\u2013<\/span><\/b><span data-contrast=\"auto\">\u00a0mistakes or inaccuracies that result in incorrect claims or payments.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5b42f4 elementor-widget elementor-widget-image\" data-id=\"c5b42f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"667\" src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/AdobeStock_656131127.jpg\" class=\"attachment-large size-large wp-image-23046\" alt=\"\" srcset=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/AdobeStock_656131127.jpg 1000w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/AdobeStock_656131127-300x200.jpg 300w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/AdobeStock_656131127-768x512.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-89541f9 elementor-widget elementor-widget-text-editor\" data-id=\"89541f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Remember, even if you\u2019re entitled to certain benefits, using them when it\u2019s not medically necessary constitutes waste and affects the scheme\u2019s sustainability.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15ba3a3 elementor-widget elementor-widget-heading\" data-id=\"15ba3a3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">What happens if someone is caught committing fraud? <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e765920 elementor-widget elementor-widget-text-editor\" data-id=\"e765920\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Medical aid schemes adopt a zero-tolerance approach to FWAE. Consequences include:<\/p><ul><li>Membership termination<\/li><li>Potential impact on employment<\/li><li>Criminal charges<\/li><li>Legal prosecution<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71383d9 elementor-widget elementor-widget-image\" data-id=\"71383d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1000\" height=\"667\" src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/AdobeStock_309900017.jpg\" class=\"attachment-large size-large wp-image-23073\" alt=\"\" srcset=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/AdobeStock_309900017.jpg 1000w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/AdobeStock_309900017-300x200.jpg 300w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/AdobeStock_309900017-768x512.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7fa21ae elementor-widget elementor-widget-heading\" data-id=\"7fa21ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">You can help prevent it <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e4985e4 elementor-widget elementor-widget-text-editor\" data-id=\"e4985e4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>There are proactive steps you can take to help prevent FWAE and ensure your medical aid remains sustainable while safeguarding your benefits.<\/p><ul><li><strong>Check all claims for accuracy<\/strong> \u2013 review your statements and claims carefully.<\/li><li><strong>Protect your membership details<\/strong> \u2013 don\u2019t share your personal information and keep your card safe.<\/li><li><strong>Refuse to collude in fraudulent arrangements<\/strong> \u2013 don\u2019t accept cash for claims of services you did not receive.<\/li><li><strong>B<\/strong>e vigilant about your benefit usage.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-77eb07d elementor-widget elementor-widget-heading\" data-id=\"77eb07d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Blow the whistle on FWAE <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4457837 elementor-widget elementor-widget-image\" data-id=\"4457837\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"744\" height=\"403\" src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/Reporting-channels.jpg\" class=\"attachment-large size-large wp-image-23807\" alt=\"\" srcset=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/Reporting-channels.jpg 744w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/11\/Reporting-channels-300x163.jpg 300w\" sizes=\"(max-width: 744px) 100vw, 744px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div style=\"display:flex; gap:10px;justify-content:center\" class=\"wps-pgfw-pdf-generate-icon__wrapper-frontend\">\n\t\t<a  href=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/23001?action=genpdf&amp;id=23001\" class=\"pgfw-single-pdf-download-button\" ><img src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/plugins\/pdf-generator-for-wp\/admin\/src\/images\/PDF_Tray.svg\" title=\"Generate PDF\" style=\"width:auto; height:45px;\"><\/a>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Fraud, waste, abuse and error (FWAE) drain billions from medical aid schemes every year, undermining healthcare access and driving up member contributions significantly. Understanding and preventing FWAE is crucial to maintaining the sustainability and integrity of medical aid schemes. As members, we each have a responsibility to be vigilant about potential FWAE activities, properly manage [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":23002,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[367],"tags":[362],"class_list":["post-23001","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-our-knowledge-centre-afrocentric16","tag-afrocentric16"],"acf":[],"_links":{"self":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/23001","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/comments?post=23001"}],"version-history":[{"count":100,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/23001\/revisions"}],"predecessor-version":[{"id":23810,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/23001\/revisions\/23810"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/media\/23002"}],"wp:attachment":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/media?parent=23001"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/categories?post=23001"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/tags?post=23001"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}