Terms & Conditions
Informed Consent – Fedhealth Terms and Conditions
Fedhealth wants to empower all of its members to make the best possible
healthcare decisions and optimise their medical scheme benefits, to ensure
that each beneficiary has a rounded healthcare solution.
In order to ensure we provide all of our beneficiaries with a rounded
healthcare solution, we have developed managed healthcare programmes and
healthcare initiatives that will facilitate the enhanced management of each
beneficiaries’ healthcare needs, with us, healthcare providers, healthcare
facilities and all third parties involved on the management of a member’s
healthcare solution.
The consent that is provided to us given on behalf of yourself, your minor
dependants, your adult dependants who are unable to provide their own
consent, and your any other dependant registered on your membership, where
you acknowledge and warrant that you have their permission to give such
consent
Terms and Conditions of Processing Personal Information:
Definitions:
‘We’, ‘us’, ‘our’ means {medical scheme}
‘you’ and ‘your’ means the user of healthcare services provided and/or your
legal guardian
‘Personal Information’ means information that identifies or relates
specifically to you, which shall include all health and medical
information, personal identification information and benefit information.
‘selected healthcare providers’ means all healthcare providers, with a
valid practice number, who have treated you or your dependant in the last
12 months preceding the date of your EHR being activated and uploaded to
your EHR.
‘beneficiary’ means a registered member or dependent of Fedhealth entitled
to benefits
‘POPI’ means Protection to Personal Act, 4 of 2013.
3. Conditions of access:
Your consent applies to your use of:
The Family Room,
any Scheme apps
any third party website or mobile application licensed to us,
managed healthcare programmes,
marketing of medical scheme products.
Maintenance of Consent
Changes by Fedhealth
In the event of there being any changes to these terms and conditions,
Fedhealth will advise you with 30 days of these changes being made. It is
the member’s responsibility to ensure that these terms and conditions are
regularly review so all changes are acknowledged.
Correction of personal information
3.2.1 You confirm that all information provided to Fedhealth at the time of
enrolment is true and correct, including all information provided on behalf
of any beneficiary registered on Fedhealth who is unable to provide their
independent consent.
3.2.2 You acknowledge that any changes to your personal information must be
communicated to Fedhealth immediately so these changes can be updated on
our systems.
Fedhealth will not be liable for inaccurate information on our systems
as a result of your failure to update your personal information.
3.2.3 In order to
update or manage your consent to view, share, access or the processing
of your personal information,
you are required to contact Fedhealth to manage the process or you may
access information and manage it yourself from the Fedhealth Family Room.
Fedhealth will not be liable for inaccurate information on our systems as a
result of your failure to update your personal information.
Consent and Compliance in terms of POPI
Your consent is provided to Fedhealth with the acknowledgement and
acceptance of the following conditions of personal information usage:
Fedhealth,
upon your consent will share your personal information with your
selected healthcare providers, Fedhealths partners, service providers
and contracted third parties.
The consent provided to Fedhealth will be used to:
share your personal health information electronically with your chosen
healthcare providers, third parties, your medical schemes administrator and
managed healthcare organisation, partners of Fedhealth, service providers
of Fedhealth
store your personal health information in a secure cloud based storage
facility
process your personal health information for the purpose of maintaining
your information, providing your medical scheme services, providing the
additional services and sharing your information
use your personal health information for medical research purposes
use your personal health information to optimize your medical scheme
benefits
use your personal health information to facilitate Fedhealth benefits in
emergency medical situations.
Retain your personal information in terms of the statutory limits
Consequence of consent to sharing of your personal health information
Your personal health information will be electronically transferred and
shared with your selected healthcare providers who will be able to access,
view and store your personal health information. All reasonable steps are
taken by Fedhealth to protect your personal information and maintain your
confidentiality. We cannot however, guarantee the security or integrity of
any information you transmit to us online and you agree that you do this at
your own risk.
You acknowledge that once your personal information is shared by Fedhealth
with your selected healthcare providers
, Fedhealth will not have any control on your personal information once
it has been shared and we will not be responsible for the security of
your personal information
. Fedhealth complies with the relevant and necessary data protection laws,
so while your personal information is under our control we will apply the
safety and security measures necessary.
Intended Recipients
The intended recipients of your personal health information are yourself,
your selected healthcare providers, specialists and pathologists (including
their practice staff in some cases) as well as your appointed broker (in
any), Fedhealth, its administrative, clinical service providers, medical
care facilities, their relevant affiliates and researchers. Where
appropriate emergency medical service providers will have access to your
personal health information.
Your personal information can only be provided on your consent and no
unauthorised person will have access to your personal information, from
Fedhealth, without your consent.
Right to withdraw Consent
The consent provided to the medical for the purpose of accessing, using,
transferring, sharing, storing and collecting the personal information of
you or your beneficiaries can be revoked at any time.
You can revoke consent for any specific healthcare provide, or any
other person or provider that has access to your personal information,
at any time
by contacting Fedhealth. Once this information is captured and updated your
personal information will no longer be shared.
Storage of personal information
The personal information of each member will be
stored in a “cloud-based” web platform, in a safe and secure
environment
and the wed-based platform meets the security requirements for POPI and
international data protection laws.
Retention of personal information
The personal information of each member will be
retained by Fedhealth, administrator and managed healthcare
organisation, for the duration of your membership with Fedhealth
and after you have left Fedhealth, our personal information will be
retained with the allowable statutory limits.
Member Consent
5.1 I agree that by making this information available my medical scheme is
not responsible for any loss (whether direct or indirect) that may arise
from the use of this information.
5.2 I agree that I may not hold my medical scheme responsible for any loss
that may result from the incorrect use or disclosure of the information by
my healthcare professional.
5.3 I give permission for my doctor to give my medical scheme my diagnosis
and other relevant clinical information required in terms of my medical
scheme membership and benefit services.
5.4 I confirm that I have had an opportunity to receive and read (or have
read to me) and I fully comprehend the terms, conditions and consequences
of these terms and conditions.
5.5 I have been made aware of all the terms printed in bold by Fedhealth
and I have had sufficient opportunity to ask questions about this consent
form and have had these questions, if any, answered to my satisfaction by
Fedhealth.
5.6 My consent to the terms of this consent form is provided of my own free
will without any undue influence from any person whatsoever.
5.7 I confirm that I have permission of my dependant(s) to give their
consent, where such consent has been provide and I indemnify Fedhealth
against this.
The Fedhealth Family Room website: Terms of use
These terms of use will apply to you if you use the any of our self-service
channels: Web-based platform, mobi-site, or our app from any electronic
device, i.e laptop, cellphone, and tablet.
These terms of use applies along with the other terms & conditions of
your medical scheme that governs our services and our relationship with
you. If you do not understand any part of this document, please contact us
on 0860 002 153 or consult our full website on www.fedhealth.co.za
for the more information.
The full range of the self – service channels are available to every member
or dependent over the age of 18 years or where your parent or legal
guardian’s consent to use the service channels if you are younger than 18
years old*.
This is an important document that sets out the rights and duties between
members and your medical scheme who access the medical scheme self -
service channels through electronic devices.
1.
You are responsible for making sure you have the necessary equipment
and software to use the self-service channels
1.1 To be able to access the service channels you must have the
necessary hardware, software and access to third-party
communication services. You will be responsible for paying the
cost of this and the cost of any upgrades that you require. To
access your membership profile or medical scheme service online
you need to have access to a computer that has an active
account with an Internet Service Provider (ISP) and an Internet
browser software program.
1.2 To access the app or the mobi-site you need to be activated via
your cellphone and cellphone network service provider. You will
be responsible for paying the relevant cellphone network
service provider charges that you incur when using the service
channel. You are responsible for the equipment you use to
access the service channels. We have no control over the
equipment, software or service providers. It is your
responsibility to ensure that you have the necessary anti virus
or anti-malware software on your device. We are not responsible
for any error or delay that may arise as a result and are also
not responsible if you are unable to access the service
channels because of your equipment, software or services
provided to you by third parties.
2. For your protection and security you must enter the correct access
information to identify yourself whenever you use or logon to the
service channels
2.1 For your security you will need to enter the correct access information
or take any other steps acceptable to us for us to verify your identity and
the electronic communications you send us using the self –service channels
each time you logon to the service channels.
2.2 You should never reveal your access details to anyone under any
circumstances. This includes when you use third party applications and
sites. Take note that if you do so you put yourself at risk. In addition
third parties will be able to access your confidential information, which
include medical and health information. If you information is accessing by
any third party app or site, we cannot be held liable for your personal and
confidential information being accessed and we will not be liable to you or
any other person for any loss or damages, suffer.
3
. Authorised Users act on your behalf as your agent
If you allow an authorised user to access your membership profile using the
self-services channel, you give that person the authority to act as your
agent and this means that anything the authorised user does or doesn’t do
will be attributed to you.
4. Security Recommendations:
4.1 We recommend that you always keep your personal access information
secure and do not provide your login details to any person, including
employees of the medical scheme.
4.2 Do not leave your devise unattended while accessing your membership
profile and always close the site or application when you are not using it
4.3 only download our application from the device application store and
verify that it is the original application
4.4 ensure that all networks used to access your application or the
website, is a secure network.
4.5 Your medical scheme cannot be held liable or responsible for an
unauthorized access to your information that may occur from your electronic
device, from your use of the app or other self-service channels where you
have been negligent and failed to secure your personal information and
access information.
4.6 it remains your responsibility to ensure that all of your personal and
medical information stored in the app or on your electronic device from the
self-service channels is protected.