Medical Schemes
Transforming the way medical scheme members interact with the healthcare system through intuitive, accessible experiences supported by comprehensive tools and world-class customer service.
Imagine Health is committed to fundamentally transforming the way medical scheme members interact with the healthcare system
We aim to create an experience that is not only intuitive and accessible but also fully supported by a comprehensive suite of tools and world-class customer service.
Our holistic approach to health management is underpinned by a robust and flexible systems infrastructure, which we are continually enhancing to ensure that our services are both value-adding and efficient. We recognise that many healthcare systems are burdened by escalating costs that outpace general inflation, making it increasingly difficult to provide the high-quality healthcare that our society demands.
Key Features of Our Medical Scheme Solutions
Comprehensive tools and services designed to enhance member experience and scheme efficiency.
Digital
Membership
Access your benefits instantly through our mobile app with digital membership cards and real-time benefit tracking.
24/7
Support
Round-the-clock customer service ensures members receive assistance whenever they need it, including emergencies.
Claims
Management
Making your healthcare experience smooth and straightforward with intuitive tools, digital membership cards, and exceptional customer service support every step of the way.
Provider
Network
Extensive network of quality healthcare providers with negotiated rates to ensure value for money.
Fraud
Prevention
Advanced analytics and monitoring systems to detect and prevent fraudulent claims, protecting scheme resources.
Wellness
Programs
Proactive health management initiatives that promote preventive care and improve overall member wellness.
Our Medical Scheme Services
End-to-end solutions for medical scheme administration and management.
Scheme
Administration*
Complete administrative services including member enrollment, contribution management, and regulatory compliance to ensure smooth scheme operations.
Managed
Care*
Clinical risk management programs that optimise healthcare outcomes while controlling costs through evidence-based protocols.
Actuarial
Services*
World-class actuarial and analytical capabilities for benefit design, pricing, and financial sustainability of medical schemes.
*Disclaimer: Services provided are subject to accreditation by the Council for Medical Schemes (CMS).
Benefits for Medical Schemes
Partner with us to deliver exceptional value to your members.
- Reduced administrative costs through efficient processes and automation
- Improved member satisfaction with intuitive digital tools and superior service
- Enhanced fraud detection and prevention capabilities
- Data-driven insights for better decision-making and scheme management
- Regulatory compliance and risk management expertise
- Scalable solutions that grow with your scheme's needs