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Platinum Health Facilities

The Platinum Health vision is to provide appropriate healthcare of high quality, cost efficiently that meets the approval of all stakeholders.
Platinum Health offers the best benefits in the Medical Scheme industry at affordable contributions. The reason for this is because Platinum Health operates a Staff Model Health Maintenance Organisation (HMO) which means that where economically viable the Scheme appoints its own health service providers such as specialists, general practitioners (GPs), dentist, psychologists, optometrists, radiographers, physiotherapists and audiologists. Where it is not economically viable Platinum Health has appointed designated service providers (DSPs) to provide services to its members. For this reason, PlatComprehensive and PlatCap members located within a 50km radius of Platinum Health facilities and DSPs, are obliged to utilise the abovementioned healthcare service providers. PlatFreedom members may utilise any healthcare providers of their choice.
Platinum Health also manages its own pharmacies. All members that have chronic medical conditions must obtain chronic medicine from the Platinum Health Pharmacy in Rustenburg, which will courier medicine nationally to members. Members located within a 50km radius from Scheme-owned pharmacies, and/or DSPs, also have to make use of such pharmacies. In order to optimize cost efficiency, Platinum Health is a self-administered Medical Scheme, which provides managed care through its Case Management Department. All members have to obtain authorisation for specialist referrals (excluding PlatFreedom), hospitalisation, managed care programmes and specialised radiological investigations (MRI, CT and PET scans). If authorisation is not obtained, Platinum Health will not accept liability for payment of the accounts.

HMO PROFILE

OUR VISION

 

To provide appropriate healthcare of high quality, cost-efficiently, which will obtain the approval of all stakeholders.

OUR MISSION

 

To satisfy member and patient expectations on access, care, and outcomes.

To fulfil participating employer, member, employee and statutory requirements on affordability and profitability.

To distinguish PHMS as an industry and sector centre of excellence.

To leave no room for abuse, misuse, or fraud.

OUR VALUES

 

Accessibility

Equity

Efficiency

Affordability

Accountability

Ethical

Agility

Care

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