Medical aids, HMOs and sponsors

Preventive care becomes valuable when it is measurable, fundable and governed.

Ambulant+ gives medical aids, HMOs, employers and corporate sponsors a governed Contactless Medicine infrastructure for earlier intervention, remote monitoring, medication adherence, claims preflight, diagnostics, pharmacy fulfilment, rewards and programme intelligence.

Prevent avoidable deterioration before it becomes hospital-level cost.

Fund consultations, diagnostics, devices, medication fulfilment and wellness programmes with evidence-linked governance.

Use consent-aware data to understand adherence, vitals, lifestyle activity and clinical-risk movement.

Give members easier access to care without depending on transport, clinic availability or fragmented pharmacy journeys.

Ambulant+ medical aid and sponsor programme dashboard
Client command layer

Programme utilisation, risk movement, adherence, claims posture, wallet funding, provider readiness and reward evidence in one governance-aware workspace.

The payer problem

The expensive member is usually not expensive at the beginning.

The commercial case for Ambulant+ is simple: complications cost more than prevention, but prevention only works when access, monitoring, adherence, diagnostics, pharmacy fulfilment and claims operations are joined up.

Late intervention

Members often become expensive only after risk has silently progressed. Ambulant+ supports earlier review through vitals, device signals, adherence trends and structured escalation.

Transport-dependent care

A funded consultation still fails if a member cannot reach the doctor, laboratory or pharmacy. Contactless Medicine reduces avoidable access friction across care, diagnostics and fulfilment.

Poor continuity

One-off claims do not show the full member journey. Ambulant+ links consultation context, device readings, medication adherence, diagnostics, fulfilment and follow-up.

Medication non-adherence

Missed doses, late doses and poor refill continuity quietly drive complications. Ambulant+ supports eRx sync, reminders, camera verification, adherence scoring and CarePort fulfilment.

Unclear programme ROI

Sponsors need to know whether benefits are changing behaviour. InsightCore gives programme-level visibility across utilisation, adherence, risk movement, rewards and claims posture.

Fragmented provider network

Medical aids need provider readiness across clinicians, pharmacies, labs, phlebotomists and riders. Ambulant+ supports network, DSP, claims and settlement readiness views.

Economic case

Pay earlier, intervene earlier, avoid paying catastrophically later.

Ambulant+ is not positioned as a cost-cutting gatekeeper. It is a preventive-care infrastructure that helps schemes and sponsors spend earlier on the right signals, the right care, the right fulfilment and the right escalation.

Avoid high-cost complications

The strongest payer value is not one cheaper consultation. It is preventing avoidable deterioration, hospitalisation, advanced procedures, amputations, dialysis escalation and other high-cost outcomes where earlier intervention was possible.

Turn benefits into behaviour

Medical aids already fund consultations, diagnostics, medicines, devices and wellness benefits. Ambulant+ helps connect those benefits to measurable behaviour, adherence and care-continuity signals.

Improve member lifetime value

Healthier members remain members for longer, engage more positively with the scheme, and avoid cost events that can exceed years of contribution value.

Make prevention visible

InsightCore can make preventive care operationally visible: who is engaging, who is regressing, who may regress next, and which interventions are changing member behaviour.

What clients can see

Permission-aware visibility across care, claims, behaviour and operations.

Ambulant+ can surface member and programme signals according to role, consent, legal basis, scheme rules and sponsor configuration.

Consultation funding and summaries

Medical aids and sponsors can fund consultations and receive governed session summaries for claims reconciliation, subject to member consent, policy rules and role permissions.

Vitals spot checks

Health Monitor workflows can support blood pressure, heart rate, oxygen saturation, temperature, glucose and ECG screening context where available and clinically appropriate.

Continuous monitoring

NexRing and wearable-linked signals can support longitudinal views of sleep, recovery, activity, readiness, heart-rate trends and temperature variation where the member grants permission.

Medication adherence score

The platform can surface reminder coverage, dose behaviour, verified-dose evidence and adherence risk posture to support chronic-care intervention and reward design.

Diagnostics visibility

MedReach connects home phlebotomy, specimen collection, laboratory coordination and result routing into a governed pathway for diagnostic access.

Pharmacy fulfilment

CarePort links eRx, pharmacy preparation, rider dispatch, proof-of-delivery and medicine-continuity visibility into one operational layer.

Client-app capability map

Built for payer operations, not just passive reporting.

The Ambulant+ client workspace is designed around actions that matter to medical aids, HMOs and sponsors: eligibility, preflight, authorisation, claims, settlements, wallet funding, rewards, provider readiness, audit and programme governance.

Member eligibility and payment-status verification before care workflows proceed.

Coverage-plan and service-rule configuration for consultations, diagnostics, devices, pharmacy items, delivery and wellness programmes.

Preflight authorisation for supported services with decision posture, co-pay handling and rule snapshots.

Claims, member reimbursement, provider settlement and remittance visibility.

Sponsor wallet funding, reserve, capture, release and reward-liability tracking.

Provider network readiness across clinicians, pharmacies, laboratories, phlebotomists and riders.

Audit logs, role-based access, departments, designations and scope-based permissions.

Permission-aware member health context, including vitals, device evidence, adherence and wellness activity where enabled.

Programme packages

Packages for access, monitoring, adherence, diagnostics, logistics and enterprise care.

Each programme should be configured around sponsor goals, legal basis, privacy boundary, payment model, coverage rules and operational scope.

Access Programme

For schemes or employers that want to fund convenient clinician access without losing claims discipline.

Consultation funding
Preflight coverage checks
Session summary visibility
Claims reconciliation support

Remote Monitoring Programme

For chronic members, high-risk lives, post-discharge follow-up and prevention-focused cohorts.

Health Monitor spot checks
NexRing/wearable trends
Risk movement visibility
Intervention prompts

Medication Adherence Programme

For chronic medicine continuity, eRx-linked reminders, refill behaviour and evidence-linked reward design.

eRx auto-sync
Medication reminders
Camera verification
Adherence scoring

Diagnostics Programme

For payer-funded home diagnostics, phlebotomy coordination, specimen tracking and laboratory result routing.

Home phlebotomy
Specimen chain-of-custody
Lab status visibility
Result-routing support

Care Logistics Programme

For last-mile medicine access, prescription fulfilment, pharmacy operations and proof-of-delivery visibility.

CarePort fulfilment
Rider dispatch
Proof-of-delivery
Medicine continuity

Enterprise Contactless Medicine Programme

For full ecosystem deployment across care access, devices, diagnostics, pharmacy, wellness rewards and InsightCore.

Multi-module deployment
InsightCore intelligence
Role-based dashboards
Governance reporting
Member journeys

Designed around the moments where schemes lose money and members lose health.

The platform connects member access, clinical review, device evidence, prescription fulfilment, diagnostics, wellness behaviour and claims reconciliation so intervention becomes earlier, more visible and more accountable.

Chronic-care member

A hypertensive or diabetic member can receive funded consultations, vitals monitoring, medication reminders, pharmacy delivery and early escalation before complications become catastrophic.

Post-discharge member

A recently discharged member can be followed remotely with vitals, symptoms, medication adherence, diagnostics and clinician review to reduce avoidable readmission risk.

Fertility and family planning

Couples can attend virtual fertility sessions together, even from different locations. NexRing-supported temperature variation and trend context can strengthen fertility prediction beyond calendar-only logic.

Wellness and rewards member

A member can grant permission for activity, sleep, steps, calories, adherence and device signals to support evidence-linked rewards, lifestyle programmes and sponsor-funded incentives.

Medical-aid marketplace

Onboarded schemes and sponsors become discoverable inside Ambulant+.

Any Ambulant+ user can see available scheme, HMO, employer or sponsor offerings where configured. Eligible users can sign up from within Ambulant+, connect their profile, grant permissions and begin using approved benefits.

Product discovery

Members can view participating medical-aid, HMO, corporate or sponsor programmes inside the Ambulant+ ecosystem where available.

Instant onboarding

Users can begin signup, eligibility, payment-status verification or benefit activation workflows directly from Ambulant+ where the client has enabled that route.

Reward ecosystems

Sponsors can connect rewards to verified behaviours such as adherence, activity, sleep, wellness participation and programme milestones.

Fertility and family health

High-engagement care programmes can become member-retention engines.

Fertility, antenatal, paediatric and family-health journeys are not just clinical features. For schemes and sponsors, they are high-trust engagement points where members feel supported before expensive complications or fragmented journeys develop.

NexRing-supported temperature variation and baseline-aware trend signals can strengthen fertility prediction beyond calendar-only logic.

Couples can attend the same fertility consultation virtually even from different locations.

Multi-specialty sessions can support complex journeys involving GP, Ob/Gyn, dietician, mental-health or other clinician input.

A mother at work can join a consultation for a sick child at home where family permissions and clinical workflow allow it.

Governance boundary

Visibility must never become inappropriate disclosure.

Ambulant+ should give medical aids, HMOs and sponsors the operational intelligence they need without exposing information beyond consent, purpose, role and law.

Member consent and role permissions determine what can be seen.

Programme dashboards should emphasise aggregated and purpose-specific visibility.

Patient-level clinical information should not be exposed to employers without a lawful basis and explicit permission.

Medical aids and HMOs may require deeper claims, authorisation, coverage and clinical-context visibility than corporate sponsors.

Users should be able to see participating medical-aid or sponsor offerings inside Ambulant+ and sign up where the product and eligibility pathway allows it.

Patient-controlled sharing

Members grant permission from their profile for appropriate visibility into vitals, wearable signals, adherence, lifestyle activity and clinical context.

Role-based access

Claims teams, authorisation teams, wellness teams, finance teams and executives should see different levels of information based on their function.

Audit-ready operations

Authorisations, claims, settlements, wallet movements, reward decisions and access events should be traceable for governance review.

Enterprise demo

Bring your actuaries, claims team, managed-care team and innovation team.

A serious Ambulant+ client demo should walk through member onboarding, benefit discovery, preflight, funded consultation, device evidence, adherence, CarePort, MedReach, claims, settlements, rewards and InsightCore.

Secure platform access

Enter the right Ambulant+ workspace.

Ambulant+ separates public information from protected workspaces, giving patients, clinicians, pharmacies, diagnostics teams, clients and administrators a role-appropriate route into the platform.