Services offered by Medi-COP

  1. Platinum Medi-COP Members:
    1. Registering as a Platinum Medi-COP Member. (This will only be available for people in Gauteng for the time being until the services are expanded to other areas. There will also be a notice on the Medi-COP website and Facebook when the services become available in other areas.)
    2. Register as a Platinum Medi-COP Member.
      1. Once-off administration fee payable.
      2. First 3 month’s premiums.
        1. Thereafter the member will pay monthly premiums by debit order.
    3. Have access to the following:
      1. Submitting an anonymous complaint.
      2. When admitted to hospital: (See notes about “waiting period”)
        1. Members admitted will be classified in three different groups according to their general health and the condition / procedure admitted for:
          1. ‘Red’ group (10% of hospital admissions): High risk patients.
          2. ‘Yellow’ group (30% of hospital admissions): Medium risk patients.
          3. ‘Green’ group (60% of hospital admissions): Low risk patients.
        2. Medi-COP appointed doctors will do “spot-check” hospital visits (the hospital or patient will not be notified beforehand of the intended visit). The classification of a patient admitted may change during admission.
          1. No fee applicable.
          2. ‘Red’ group: Medi-COP will strive to do “spot-check” hospital visits to all ‘red’ group members within the 1st 3 days and regular follow-up visits while classified in the 'RED' group.
          3. ‘Yellow’ & 'Green' groups: Medi-COP will strive to do “spot-check” hospital visits to all ‘YELLOW’ and ‘GREEN” group members within the 1st 3 days.
          4. It is very important to know that Medi-COP doctors and registered nurses do not treat or diagnose patients, but only aim to identify substandard service, lack of service and negligence to as soon as possible bring it to the attention of the nurse in charge or the treating doctor to try to prevent serious complications. Medi-COP also handles all complaints and facilitates between the patient/family and medical service provider.
        3. May “request a consultation” by a Medi-COP doctor or doctor contracted by Medi-COP.
          1. The first “request consultation” per admission will be free of charge.
          2. No further cost for follow-up visits for the same problem.
          3. Follow-up “request consultations” for different problems will have a fixed once-off consultation fee.
          4. See paragraph 1.3.2.2.4.
        4. In the case of an anonymous complaint (by staff of the SP or other medical colleagues) where a Platinum Medi-COP Member is the patient in question, this member will be included in the list for “spot-check” hospital visits.
          1. No fee for this “spot-check” hospital visit.
          2. If any indication of negligence or potential wrongdoing by a SP is found as a result of the anonymous complaint, the patient will be informed about it, without identifying that Medi-COP had received an anonymous complaint.
      3. Medical aid complaints in regards to a dispute of payment of medical aid claims.
        1. No initial cost.
        2. If Medi-COP is successful in recovering any fees, the cost for service will be equivalent to 20% of fees recovered.
      4. Medical Service Provider Complaints (like medical professionals & hospitals).
        1. No initial cost.
        2. Where a complaint of negligence is of a serious nature, Medi-COP will advise the complainant that it may require further investigation. Such an investigation will be at a fixed fee (incl. VAT) plus the cost for obtaining and copying of the files. (See fees)
  1. Premium Medi-COP Members:
    1. Registering as a Premium Medi-COP Member. (This will only be available for people in Gauteng only for the time being until the services are expanded to other areas. There will also be a notice on the Medi-COP website and Facebook when the services become available in other areas.)
    2. Register as a Premium Medi-COP Member.
      1. Once-off administration fee payable.
      2. First 3 months’ premiums.  Thereafter the member will pay monthly premiums by debit order.
    3. Have access to the following:
      1. Submit an anonymous complaint.
      2. When admitted to hospital: (See notes about “waiting period”)
        1. Members admitted will be classified in three different groups according to their general health and the condition / procedure admitted for:
          1. ‘Red’ group (10% of hospital admissions): High risk patients.
          2. ‘Yellow’ group (30% of hospital admissions): Medium risk patients.
          3. ‘Green’ group (60% of hospital admissions): Low risk patients.
        2. Medi-COP appointed doctors will do “spot-check” hospital visits (the hospital or patient will not be notified beforehand of the intended visit. The classification of a patient admitted may change during admission.
          1. No fee applicable.
          2. ‘Red’ group: Medi-COP will strive to do “spot-check” hospital visits to all ‘red’ group members within the 1st 3 days.
          3. ‘Yellow’ & 'Green' groups: Medi-COP will strive to do a “random spot-check” hospital visit to this group of members within the 1st 3 days. The balance of members from these groups will be followed up telephonically by contacting the hospital, as well as a contact person (friend / family member) given.
          4. It is very important to know that Medi-COP doctors and registered nurses do not treat or diagnose patients, but only aim to identify substandard service, lack of service and negligence to as soon as possible bring it to the attention of the nurse in charge or the treating doctor to try to prevent serious complications. Medi-COP also handles all complaints and facilitates between the patient/family and medical service provider.
        3. May “request a consultation” by a Medi-COP doctor.
          1. Fixed once-off consultation fee.
          2. No further cost for follow-up visits for the same problem.
          3. See paragraph 2.3.2.2.4.
        4. In the case of an anonymous complaint (by staff of the SP or other medical colleagues) where a Premium Medi-COP Member is the patient in question, this member will be included in the ‘red’ group list of “spot-check” hospital visits.
          1. No fee for this “spot-check” hospital visit.
          2. If any indication of negligence or potential wrongdoing by a SP is found as a result of the anonymous complaint, the patient will be informed about it, without identifying that Medi-COP had received an anonymous complaint.
      3. Medical aid complaints in regards with a dispute of payment of medical aid claims.
        1. Initial cost. (See fees)
        2. If Medi-COP is successful in recovering any fees, the cost for service will be equivalent to 20% of the fees recovered, minus the initial fee.
      4. Medical Service Providers Complaints (like medical professionals & hospitals).
        1. No initial cost.
        2. Where a complaint of negligence is of a serious nature, Medi-COP will advise the complainant that it may require further investigation. Such an investigation will at a fixed fee (incl. VAT) plus the cost for obtaining and copying of the files. (See fees)
  1. Core Medi-COP Members:
    1. Registering as a Core Medi-COP Member. (This will only be available for people in Gauteng only for the time being until the services are expanded to other areas. There will be a notice on the Medi-COP website and Facebook when the services become available in other areas.)
    2. Register as a Core Medi-COP Member:
      1. Once-off administration fee payable.
      2. First 3 months’ premiums.
        1. Thereafter the member will pay premiums in advance in 6 month intervals by debit order.
    3. Have access to the following:
      1. Submit an anonymous complaint.
      2. When admitted to hospital: (See notes about “waiting period”)
        1. Members admitted will be classified in three different groups according to their general health and the condition / procedure admitted for:
          1. ‘Red’ group (10% of hospital admissions): High risk patients.
          2. ‘Yellow’ group (30% of hospital admissions): Medium risk patients.
          3. ‘Green’ group (60% of hospital admissions): Low risk patients.
        2. Core Medi-COP Members will not receive automatic “spot-check” hospital visits.
          1. It is very important to know that Medi-COP doctors and registered nurses do not treat or diagnose patients, but only aim to identify substandard service, lack of service and negligence to as soon as possible bring it to the attention of the nurse in charge or the treating doctor to try to prevent serious complications. Medi-COP also handles all complaints and facilitates between the patient/family and medical service provider.
        3. May “request a consultation” by a Medi-COP doctor or doctor contracted by Medi-COP.
          1. Fixed once-off consultation fee.
          2. No further cost for follow-up visits for the same problem.
        4. In the case of an anonymous complaint (by staff of the SP or other medical colleagues) where a Premium Medi-COP Member and Core Medi-COP Member is the patient in question, this member will be included in the ‘red’ group list of “spot-check” (exception to the rule) hospital visits.
          1. No fee for this “spot-check” hospital visit.
          2. If any indication of negligence or potential wrongdoing by a SP is found as a result of the anonymous complaint, the patient will be informed about it, without identifying that Medi-COP had received an anonymous complaint.
      3. Medical aid complaints in regards with a dispute of payment of medical aid claims.
        1. Initial cost. (See fees)
        2. If Medi-COP is successful in recovering any fees, the cost for service will be equivalent to 20% of fees recovered minus the initial fee.
      4. Medical Service Providers Complaints (like medical professionals & hospitals).
        1. No initial cost.
        2. Where a complaint of negligence is of a serious nature, Medi-COP will advise the complainant that it may require further investigation. Such an investigation will at a fixed fee (incl. VAT) plus the cost for obtaining and copying of the files. (See fees)
  1. Non-Medi-COP Members.
    1. Request Consultation.
      1. See fees.
    2. Medical aid complaints in regards with a dispute of payment of medical aid claims.
      1. See fees.
    3. Medical Service Providers Complaints (like medical professionals & hospitals).
      1. See fees.
  1. Submit an anonymous complaint.
    1. This option is for employees of medical service providers and medical professional colleagues who fear submitting a report about BAD SERVICE or MEDICAL NEGLIGENCE.
    2. Only Core Medi-COP Members can submit an anonymous report.
    3. Anonymous reports will not be published.
    4. The identity of members, who make an anonymous report or the fact that an anonymous report had been received, will be kept confidential at all times.
    5. These reports will be used to look for trends on which Medi-COP can react to improve medical services.
    6. In the case of medical negligence where the patient involved is a Premium Medi-COP Member, the patient will automatically be put on the “spot-check” hospital visit list.
      1. If Medi-COP can find any evidence of the alleged negligence, the patient / family will be informed about it without compromising the identity of the complainant or the fact that Medi-COP had received an anonymous complaint.
  1. “Spot-check” hospital visits.
    1. Medi-COP will do “spot-check” hospital visits on Premium Medi-COP Members who are admitted to hospital and in the ‘red’ group, as well as “random spot-check” hospital visits to members in the ‘yellow’ and 'green' groups. No fee for these visits. (All other admitted members will receive a telephonically follow up, where the nursing staff / patient and/or family member will be contacted for info)
      1. Premium Medi-COP Members can inform Medi-COP when admitted to hospital on the medi-cop.co.za website after logging in or by phoning the Medi-COP office (see correct contact number on CONTACT PAGE). (This service will be available on your cell phone in the near future)
        1. These patients will have a chance to receive a “spot-check hospital visit. The hospital will not be notified beforehand of the intended visit.
        2. By informing Medi-COP about the admission, you will automatically grant Medi-COP permission to send a Medi-COP doctor or doctor who represents Medi-COP to visit you as patient in the hospital as a non-treating doctor.
        3. When you as patient are being visited by the doctor, you will be asked to sign a written document or in the case of a minor, to be signed by a parent or guardian.
          1. This will give the doctor permission to obtain your file and other relevant reports and laboratory results, etc.
        4. Medi-COP doctors will check for bad service or lack of service, as well as negligence. Medi-COP doctors will not primarily provide opinions on treatment and procedures, except in circumstances of potential negligence in the treatment of the patient. Where a patient requires a second opinion on diagnosis and treatment, the necessary additional arrangements can be made for the patient (the cost of this will be for the patient).
        5. Medi-COP will act as facilitator between the patient / next of kin and the hospital management and doctors to see that you get the quality care you deserve.
  1. Request Consultation.
    1. Due to the fact that “spot-check” hospital visits are for members in the ‘red’ group and randomly for members in the ‘yellow’ and 'green' groups and the patient may not know if or when a “spot-check” will be done, the patient / next of kin can request a consultation by a Medi-COP doctor (or doctor contracted by Medi-COP) to visit the patient where there is a concern.
    2. Except in exceptional circumstances in the discretion of Medi-COP, request consultations will be done from Monday to Friday during working hours. Depending on the time and day such request is lodged, it will take place the same day or the next working day.
    3. At present, except in exceptional circumstances in the discretion of Medi-COP, no request consulation visits will take place after hours, on public holidays and during weekends.  This additional service will become available in the near future.
    4. Medi-COP doctors do not treat or diagnose, but advise on the care and facilitate / mediate between the patient / family and the medical service provider.  If necessary, Medi-COP will assist the patient in obtaining a second opinion from an appropriate medical specialist, always with the knowledge of the treating doctor.
    5. If you are concerned about any of the following and you would like one of our doctors to visit you with relevant advice  as a non-treating doctor, please login as a Core Medi-COP Member and go to the 'request consultation' button (fix fee applicable):
      1. Substandard care and / or lack of treatment by hospitals and or doctors.
      2. Unresolved questions.
      3. Quality issues
      4. Lack of feedback.
      5. Inappropriate treatment.
      6. Suspected negligence.
      7. Etc.
    6. There will be a once off consultation fee for such a visit for a Premium Medi-COP Member and Core Medi-COP Member. No further fees for follow-up visits for the same reason if considered necessary by Medi-COP.
    7. Medi-COP may have an arrangement with employers, medical aids, loyalty programs, etc., to give their employees or members Group Medi-COP Membership with restricted membership. These members with “restricted” membership may ask for a “request consultation”, but there is a difference in the fee structure:
      1. A fee for the 1st consultation as well as a fee for every follow-up consultation for the same problem.
  1. Waiting period.
    1. There will be a three (3) month waiting period applicable after registration before you will receive a “spot-check” hospital visit; telephonically follow up or be able to request a consultation.   
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