Clicks, Discovery Health and Auto & General announce Flexicare

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Discovery Health, Clicks and Auto & General Insurance have partnered to create an innovative health insurance product for South Africans that provides reasonably priced private day-to-day healthcare cover through the Clicks retail network – Flexicare.

The Flexicare offering has been available since 2018 to the retail sector and corporate employers to provide affordable healthcare cover for staff. Over the past five years, Flexicare has been provided to almost 100 000 employees across 450 different employer groups.  From 16 February 2023, it will be easily available to consumers through Clicks’ extensive retail presence, allowing more individuals to purchase quality, affordable, healthcare cover – almost anywhere.

A unique feature of the product is a 10% premium cashback and loyalty benefit for Clicks Clubcard members who purchase Flexicare using a simple four-step Clicks digital purchasing process.

“We are pleased to partner with Discovery Health and Auto & General Insurance in making private healthcare cover easily available and affordable for everyone, with the added benefit of cashback in your pocket,” says Vikash Singh, Clicks Managing Executive. “This forms part of our continued commitment to providing great value, convenience and rewards for our customers.”

Clicks ClubCard members who purchase Flexicare can earn 10% cashback on their monthly premium as a loyalty benefit, simply for paying the premium and ensuring the cover remains uninterrupted. For an average family of four, this amounts to R129.30 in cashback monthly that can be used at any Clicks or The Body Shop nationwide.

Discovery Health’s research demonstrates that there are five to eight million South African residents in formal employment who do not have medical aid. Yet, they already utilise the private healthcare sector for their primary healthcare needs and are paying out-of-pocket for each consultation and for prescribed medication – for each point of entry.

Flexicare combines key traits from the partners involved. Discovery Health brings its experience and expertise in structuring excellent quality products with rich benefits at an affordable price, enabled by its insights into the South African healthcare terrain and data analytics capabilities (as administrator of 57% of the medical scheme market). This added to Auto & General’s underwriting expertise and wide adviser network, creates comprehensive primary care cover at the best possible price in the market.

Flexicare is administered by Discovery Health and underwritten by Auto & General Insurance and designed to provide access to private healthcare services from only R435 per month.  The benefits include unlimited GP consultations, medicine, dentistry, eye care, x-rays, flu vaccines, maternity, health checks, blood tests, procedures in GP rooms, HIV care and private ambulance, with an optional add-on of trauma cover at a private hospital (for an additional fee from R174). Trauma cover provides additional private emergency healthcare services for the individual and all registered beneficiaries for a range of serious events including burns, car accidents, and serious head or chest injuries to name a few.

“This partnership brings a truly innovative, integrated healthcare product to the public, and most importantly broadens availability and affordability of private healthcare to more South Africans,” says Ricardo Coetzee, Head of Auto & General.

An innovative health insurance product that combines access and affordability

“Our research and experience have proven the importance of creating easy-to-understand healthcare products. Having affordable cover also means ensuring that people never have to pay out-of-pocket or face hidden costs. Flexicare is provided through a suite of world-class digital tools so that people can manage their membership and retrieve their benefits on the go,” says Nonku Pitje, Chief Growth Officer at Discovery Health.

“Flexicare reflects our commitment to expand cover to millions more South Africans, and it’s made possible by the strengths of excellent partners who share this vision. We can’t wait to make a significant impact on people’s lives through Flexicare and through our network of dedicated healthcare providers,” she added.

How does Flexicare work?

For R435 a month members have access to:

  • Unlimited GP consultations: This includes online doctors’ consultations, with an allocated network doctor. Members are not required to make co-payments.
  • Medicine: Cover for prescribed, chronic and over-the-counter medicine.
  • Dentistry: Cover for dentist visits, fillings, and tooth removals at a network dentist.
  • Optometry: Cover for one eye test every year and one pair of glasses every 24 months through a healthcare provider in the optometry network.
  • Blood tests and X-rays are covered when accessed through a network provider.
  • Maternity cover: This includes unlimited GP consultations, medicine, blood and screening tests and ultrasound scans.
  • A world-class suite of digital tools giving members a gateway to benefits, service and support on the go.

Additional benefits allow members to access trauma cover at a private hospital:

An optional trauma benefit covers you for emergency private healthcare services at any hospital facility.

There are two cover options for this benefit:

  • Cover of R400,000 for each hospital admission: at an extra R174 a month.
  • Cover of R1 million for each hospital admission: at an extra R224 a month.

Accidents and emergencies that are covered by the optional trauma benefit include:

  • Burns
  • Head injuries
  • Chest injuries or severe fractures caused by a fall
  • The loss of an arm, hand, leg or foot
  • Near-drowning
  • Poisoning or a serious allergic reaction that may cause death
  • Injuries resulting from a crime, sexual assault or a car accident, or an injury at work.

All Flexicare members have access to ambulance services in the case of a medical emergency, only those with the trauma benefit will have the option of being transported to a private facility.

 To join Flexicare, individuals can visit https://www.discovery.co.za/more-health-cover/flexicare. Clicks ClubCard members can scan the QR code in-store or sign up on www.clicks.co.za.

Subscriber Terms and Conditions

  1. APPLICATION OF TERMS
    • These terms and conditions (“Subscriber Terms”) apply to the subscription by any qualifying member of the South African Underwriting Managers Association NPC (“SAUMA”) to the services and benefits offered by FIA Services (Pty) Ltd (“FIA Services”) under the SAUMA affiliation arrangement (“Subscription”).

  2. NATURE OF SUBSCRIPTION
    • A Subscription under this arrangement:
      • does not constitute membership of FIA NPC;
      • does not confer any voting rights or governance participation in FIA NPC; and
      • is governed solely by the contractual relationship between the Subscriber and FIA Services.

  1. ELIGIBILITY
    • To qualify for the Subscription, the applicant must, at the time of application, be a current paid-up member of SAUMA.
    • FIA Services will verify the applicant’s SAUMA membership status with SAUMA prior to activation, and may re-verify such status periodically.
    • If a Subscriber ceases to be a paid-up member of SAUMA, the Subscription will correspondingly be terminated.
    • Applicants are required to authorise FIA Services to confirm their SAUMA membership status with SAUMA as part of the application process.

  1. SERVICES
    • The Subscription entitles the Subscriber to the following benefits:
      • Complimentary access to the FIA CPD Platform;
      • Complimentary access to the FIA Insight Magazine (digital edition);
      • Advertising opportunities on FIA platforms at a discounted rate of 15% (fifteen percent) off the prevailing published rates; and
      • Invitations to attend FIA Technical Webinars annually.
    • FIA Services reserves the right to update, vary or substitute the Services from time to time, provided that the overall value and nature of the benefits remain materially the same.

  1. FEES AND PAYMENT
    • The monthly subscription fee is R260.00 (two hundred and sixty rand) for up to seven registered individuals (Key Individuals and Representatives), and R36.00 (thirty-six rand) per additional registered individual thereafter, excluding VAT.
    • The Subscriber shall provide FIA Services with the required details of each individual to be registered under the Subscription for the purposes of activation and billing.
    • All fees are exclusive of VAT, which shall be charged at the prevailing statutory rate.
    • Subscription fees are reviewed annually in March and may be adjusted with effect from 1 April.
    • Any changes to the Subscription, including but not limited to the number of Representatives and Key Individuals registered under the Subscription, may only be effected once annually during the annual review period in March of each year, with such changes taking effect from 1 April.
    • Subscription fees shall be billed monthly in arrears, unless the Subscriber elects an annual billing cycle at the time of application.
    • The Subscriber shall ensure that all billing information (including contact details, authorised signatories and bank account details) is kept accurate and up to date.
    • Non-payment of subscription fees may result in suspension of access to the Services until such fees are brought up to date.
    • The Subscriber acknowledges and agrees that all subscription fees payable under these Subscriber Terms may be collected by way of debit order, which shall be processed by the holding company, FIA NPC (The Financial Intermediary Association of South Africa), on behalf of FIA Services. Payment to FIA NPC shall be deemed to constitute valid and sufficient discharge of the Subscriber’s payment obligations to FIA Services under these Subscriber Terms.

  1. ONBOARDING
    • Onboarding will be conducted as a Subscription with FIA Services under the SAUMA affiliation arrangement.
    • Onboarding will not confer FIA NPC membership status or any associated rights.
    • Onboarding is conditional on confirmation of the Subscriber’s current SAUMA membership at the time of application

  1. DATA PROTECTION
    • FIA Services will process all personal information in accordance with the Protection of Personal Information Act 4 of 2013 (POPIA) as set out in our POPIA policies.
    • By subscribing, the Subscriber authorises FIA Services to confirm their SAUMA membership status with SAUMA and to process personal information for the purposes of fulfilling the Subscription.

  1. TERMINATION
    • The Subscriber may terminate the Subscription by giving FIA Services one calendar month’s written notice.
    • FIA Services may terminate the Subscription on one calendar month’s written notice, or immediately if the Subscriber breaches these Subscriber Terms and fails to remedy such breach within 14 (fourteen) days of receiving written notice.
    • Termination of the SAUMA–FIA Services affiliation agreement shall not automatically terminate these Subscriber Terms.
    • Termination by the Subscriber shall not relieve the Subscriber of liability for any subscription fees accrued up to the effective date of termination.
    • FIA Services may suspend or terminate the Subscription with immediate effect in the event of non-payment of fees by the Subscriber.

  1. GENERAL
    • These Subscriber Terms are governed by the laws of the Republic of South Africa.
    • Any disputes arising under these Subscriber Terms shall be dealt with in accordance with the dispute resolution provisions contained in the FIA NPC membership terms and conditions, as modified to reflect that the contractual relationship is with FIA Services.
    • Any notices required under these Subscriber Terms may be validly delivered by email to the addresses provided in the Subscriber’s application form, and such notices shall be deemed received on the day of transmission if sent during business hours.
    • The Subscriber may not assign, cede or transfer any of its rights or obligations under these Subscriber Terms without the prior written consent of FIA Services.
    • No variation of these Subscriber Terms shall be of any force or effect unless reduced to writing and signed by both FIA Services and the Subscriber.