+263771 004 007

Benefits Management


Funders


  1. This is where the fundamental benefits which the system is capable of managing are configured. All schemes and plans are based on this feature.

  2. Male/female restriction.

  3. Minimum age restriction.

  4. Restriction to specific service provider disciplines.

    Inpatient/Outpatient Restriction

  1. Not Specific

  2. In-Patient Only

  3. Out-Patient Only

    Restriction to specific hospital units

  1. Maternity.

  2. Neonatal & Nursery.

  3. ICU/CCU.

  4. Accident & Emergency.

  5. Operation/Theatre.

  6. Renal.

  7. Rehab.

  8. Defining a benefit restricted to specific treatments, or which specifically excludes specific treatments.

  9. Hospital grade restriction.

  10. Tying a benefit to a specific fund only.

  11. Flexible definitions and modification of benefits.


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