Is Your Employee Health Fund Working as Hard as It Should?
Most employers have no visibility into how their health benefit budget is being spent. Medvex gives you the controls, the data, and the clinical oversight to run your fund properly.
The Challenge With Self-Funded Health Benefits
Funding your employees' health benefits directly rather than buying a packaged insurance policy gives you flexibility and cost-effective care (It saves you 20% of Insurance premium). But without a professional administrator behind it, the costs quickly become uncontrollable. Providers bill without pre-authorisation. Employees use the benefit in ways the fund was not designed for. There is no monthly report telling you what was claimed, by whom, for what, and at which facility. By the time you realise the fund is running low, it is too late to act.
Medvex manages the administration so that your fund operates within its designed parameters, your employees get a professional and responsive benefit experience, and you have the data to make informed decisions every month.
What Medvex Delivers
Full Visibility of Your Spend
Monthly fund performance reports showing utilisation by benefit type, top diagnoses, provider league tables, and projected fund run-rate. Most employers currently receive none of this.
Clinical Controls That Keep Costs in Check
Without pre-authorisation and utilisation management, employer health funds typically exceed budget by 20 to 40%. Medvex's clinical team reviews every admission request, applies evidence-based approval criteria, and manages high-cost cases actively.
Stop-Loss Protection
A single catastrophic claim can wipe out a health fund. Medvex can arrange stop-loss reinsurance that caps your exposure on any individual claim, protecting your operating budget from unpredictable shocks.
A Professional Experience for Your Employees
Dedicated member helpline, digital member card, mobile app, and a contracted provider network across Uganda. Your employees know who to call, where to go, and what is covered.
How the Service Works
We design the benefit structure with you, aligned to your budget and employee profile.
We contract the provider network and onboard your employees to the Medvex platform.
We manage pre-authorisation, claims, and provider payments on your behalf.
You receive a monthly fund performance report. We flag any emerging cost trends before they become problems.