Contribution audit

Dependant status contribution check

A targeted review of adult, child and student dependant categories where a status change appears to have altered the medical aid contribution.

Family members discussing contribution documents at a table

A focused category review

This check is appropriate when the quoted amount changed after a child reached a scheme age threshold, a student certificate was submitted, a spouse was added, or an effective date was captured differently from the request.

We inspect the relevant application amendment, acknowledgement, dependant category and contribution line. You receive a two-page finding that separates confirmed facts from questions requiring the administrator’s answer.

The scope covers one dependant and two contribution periods. Clinical eligibility, relationship disputes and retrospective legal claims are outside the review. Fees start at R1,250 including VAT, with any broader scope agreed first.