Claim statements and notifications made easy

You have access to monitor your statements and medical aid finances.  TFG Medical Aid Scheme will send you claim statements and claim notifications so you can keep track of how you use your benefits. Please read your statements and notifications carefully.

Checking how we pay claims:

• Allows you to check if there was a problem with a claim and if you need to do something for us to pay the claim
• Allows you to keep track of your medical expenditure so you’re not caught by surprise when you reach your limit for benefits
• Provides you with the reason should the claim not be paid in full.

If you notice a claim you don’t recognise or see the claim amount is wrong, or if you have any questions, contact us on 0860 123 077.

Claim notification

A claim notification is an email to let you know we’ve received your claim and that we’ve processed it. Like a transaction notification for a bank account, your claim notification lets you know about activity on your membership. Your claim statement gives you the details of your claims. Note that there is a reference number on the email you have received. Always use this number when you contact us in terms of the specific claim.

Claim statement

Our claim statement gives details of every claim submitted by hospitals and healthcare providers, the cost of the claim, and your remaining benefits. We only send claim statements if you claim.

Our claim statement is printer friendly. You won’t lose any information or get odd formatting when you print it out. Please don’t print the claim notification; it is not formatted for printing.