Why does NHP advise on Case management?


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Case management ensures that the best and most cost effective treatment is provided to members of the Fund. This includes liaison with the medical personnel in respect of the patient’s progress, investigating alternative care and the validation of membership.

 

The Fund reserves the right to suggest an alternative treatment facility, provided that there is such a facility available and without compromising on the quality of care provided. In the case of the Fund being able to source an alternative treatment facility which is to the financial benefit of both the member and the Fund, the Fund reserves the right to impose a co-payment onto the member should the member decide not to make use of such a recommended facility.

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