balance cost and quality cover
Our solutions approach
At Simeka Health we will help you execute your employee wellness strategy through implementing cost-effective healthcare solutions that work for your employees. Or, if you already have a programme in place, we can enhance the value to your team’s healthcare benefits, which ultimately generate bottom-line-friendly results.
Medical Schemes
Attract and retain top talent with an attractive healthcare package
Get the competitive edge. Cement your position as an employer of choice by offering your workforce a cost-effective healthcare compensation package without compromising on meaningful benefits. As one of the leading healthcare consulting firms in South Africa, Simeka Health has established partnerships with the lion’s share of open medical schemes across the country. This way we can identify optimal integrated healthcare solutions tailored to your budget sheet and employee needs.
Primary Healthcare
No frills. No unwanted extras. Just the cover you need
Escalating premiums forcing you to rethink healthcare subsidies? Simeka will source an affordable primary healthcare solution that works hard for your team without compromising on the services’ value. Think reduced absenteeism and increased productivity.
Gap Cover
Bridging the divide between quality care and being out-of-pocket
With full-cover medical becoming increasingly expensive, it is not uncommon to see members scaling back on the breadth of their cover. Couple this with in-hospital medical service providers charging out-of-medical aid rates and the resulting gap between the final bill and what is paid by medical aid, can be a large one.
Because a one-size-fits-all approach doesn’t always work, Simeka Health identifies the most suitable customised solution for your employees. This may involve offering a gap cover product or implementing an educational initiative to help employees leverage a full cover option.
Holistic wellness
Prevention is always better than cure
Well-rounded health solutions play a key role in promoting overall employee wellness:
- They reduce absenteeism, increase productivity and boost employee morale.
- Preventive care can reduce the healthcare costs associated with chronic diseases and illnesses, resulting in cost savings for the business and a better quality of life for everyone.
- They help companies attract and retain top talent. They contribute to a positive workplace culture and demonstrate that you value and care about your team.
By leveraging economies of scale, it is possible to create a healthier, more engaged workforce, ultimately leading to improved business outcomes and a more competitive position in the market.
Furthermore, some industries or jurisdictions may be subject to specific regulations or incentives related to employee wellness programmes. Staying ahead of regulatory requirements minimises risk, avoids penalties and demonstrates compliance. Simeka Health has extensive industry knowledge and practical experience to strategise, conceptualise and implement an integrated wellness solution that is informed by your employee healthcare data analytics and geared to elevate your employee’s health and wellness. Through intellectual and strategic reporting, Simeka Health enables you to deliver on your employee value proposition promise.
Employer outcomes
Industry intelligence
We share knowledge and insights around best practice, regulations, and innovations within the healthcare industry to empower you to make informed decisions.
Healthcare strategy
We develop tailored plans and approaches for each employer group to optimise their healthcare benefits and services.
Policies
We help groups establish and implement effective healthcare policies that align with their organisational objectives and comply with regulatory requirements.
Product evaluation
Part and parcel of our ongoing service is to conduct thorough evaluations of various healthcare products offered by different providers in the market. By assessing the quality, cost-effectiveness and suitability of these products, we help our clients make informed decisions when selecting offerings for their team.
Communication
We inform our clients of relevant key insights, regulations and industry changes that may impact their business. It is our job to demystify the healthcare sector so that the clients can focus on their core business.
Reporting
We deliver comprehensive and customised reporting to provide you with clear insights into your health benefit programmes and employee health outcomes.
Empowering employees
Induction sessions
We help staff understand and optimise the healthcare benefits available to them.
Option selections
Whether buying up or down, we consider the employee’s health status and life cycle and guide individuals on how to select the correct healthcare plan for their needs.
Query assist
We can assist your employees answer questions they may have when submitting a complicated individual claim.
Communication and wellness tips
We share general healthcare insights and wellness tips with employees. Knowledge is empowering.