The Ministry of Finance says strong verification and monitoring processes are in place to ensure there is no overcharging or abuse under the Government’s Free Medical Scheme.
In a statement, the Ministry said the Public-Private Partnership (PPP) Free Medical Scheme continues to provide essential health services to eligible Fijians through 49 general practitioners, dental practitioners, and medical laboratories with 64 branches nationwide.
“As part of the PPP agreement, payments to medical service providers are made only after independent verification by FijiCare Insurance Limited to confirm that claims are accurate and only for services rendered under the scheme,” the Ministry said.
It added that the Ministry of Finance also monitors payment claims to prevent overcharging.
“While the scheme has worked well and most general practitioners are paid in a timely manner, anomalies and overcharging have been identified in some cases. Where such issues arise, payments are held until claims are reconciled.”
The Ministry explained that when claims are free of discrepancies, payments are typically processed within 10 to 14 days. However, delays occur when service providers do not respond promptly to clarification requests.
“This verification process is vital to safeguard public funds, uphold the integrity of the scheme, and ensure services to patients are consistent with agreed terms and conditions.”
Payments for August have been released, with further disbursements for September being expedited. The Ministry is also meeting with participating doctors and clinics to reinforce the terms of the PPP agreement and payment timelines.
The Government has also warned against any medical practitioners refusing patients under the scheme.
“Turning away patients is not acceptable. If this is happening, the Ministry will take necessary action under the PPP agreement.”
“We acknowledge and appreciate the continued partnership of participating practitioners in maintaining transparency and accountability under the scheme.”
