We are a privately black owned medical aid Administration and Managed Care company that has a long service history in the business since establishment in 1978. The recent restructuring has significantly increase the percentage of black ownership to 80%. That further improved Allcare’s Broad Black Based Economic Empowerment status to level 2.
Allcare Administrators (Pty) Ltd is accredited by the Council for Medical Schemes (CMS) as a Third Party Medical Scheme Administrator and Managed Health Care Organisation. Allcare is an accredited by the Financial Services Board (FSB) as a Financial Services Organisation. As such, it can set values and pursue goals and objectives that serve the real interests of all the stakeholders. Our success has been due to the quality of service to members, guidance to trustees and the financial acumen to ensure successful schemes that provide outstanding value for money.
Allcare is proud of its nature and history of having a national footprint and by being an outstanding administrator that won PMR Diamond Arrow Awards for five consecutive years. It provides a highly personal level of service that recognises members as individuals, with healthcare requirements that have to be satisfied promptly, effectively and economically. Allcare has the expertise to develop new generation schemes suited to members who want to manage their out-of-hospital costs and require the security of comprehensive benefits.
We are focused on our core business of assisting medical aid schemes to provide the highest quality of service, best value for money and respecting their members as individuals. It is our aim to be the best administrator in South Africa by being efficient and cost effective. It is our philosophy to be responsive to members' needs at all times, with speed and efficiency in handling claims, with clarity in eliminating confusion and with promptness in dealing with frustrations.
The management approach of Allcare is based on the ideals of accessibility, accountability and flexibility. Members of the management team are always accessible to schemes’ members who wish to escalate their contact level. Management also maintains ease of access for Trustees, corporate clients and employees. Accessibility also includes appropriate ongoing communication with members in easily understandable language.
Allcare does not believe in imported or "one size fits all" solutions. The administration of each individual scheme is approached as a unique exercise in partnership between all the stakeholders. The optimum result, in terms of benefits and value for money, will be designed around the specifics of our country, the nature of the business and the needs of the members.
The executive leadership of Allcare is focused on delivering superior quality service at an optimum benefit-to-contribution ratio. This is achieved through streamlining processes and installing cost-effective administration procedures. The management is enthusiastic, results-orientated and focused on healthcare without incentive schemes or lifestyle enhancements becoming more important than the core business.
Apart from all the administrative and financial skills expected of an administrator, Allcare has specific strengths in medical resources. In-house pre-authorisation for procedures is handled by our own medically qualified staff. The efficient call centre provides fast, high quality response to member queries and problems.
Allcare utilises the Medstar medical aid administration system. The system is extremely dynamic at the same time as being very stable and robust. Data structures can be altered at a single point at the data dictionary level, making conversions and upgrades easier. The system is compatible with a wide range of hardware and operating systems and has the power, throughput and storage to integrate the entire administration system as well as full disaster recovery compatibility.
Without stressing the structure as it exists, Allcare is geared to expand its capacity to well in excess of 100 000 principal members. Any growth that is anticipated will be organic and will be accommodated comfortably within the existing framework. Whatever expansion plans are considered, they will fall within Allcare's fundamental philosophy of individual attention and personal service.
It is essential to member satisfaction that everybody understands exactly what they can and cannot expect and where their contributions go. Allcare pays particular attention to keeping members informed and to making all documentation as understandable and clear as possible.
Stakeholder education programmes are undertaken with workshops and training for members and for authority figures such as shop stewards. Regular member communications inform them of changes, additions or adjustments to the benefits and contributions. Our philosophy is to be as user-friendly as possible.
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