High-level changes to Medscheme-administered medical schemes for 2020
1. Tariff increases
After due consideration by each individual medical scheme’s Board of Trustees, the following tariff increases will apply to the Medscheme-administered medical schemes listed below. These increases will come into effect as of 1 January 2020.
Scheme
|
% Increase
|
---|---|
AECI Medical Aid Society
|
4.5%
|
Barloworld Medical Scheme
|
4.5%
|
Bonitas Medical Fund
|
4.5%
|
Fedhealth
|
4.5%
|
Horizon Medical Scheme
|
5.0%
|
Hosmed Medical Scheme
|
5.0%
|
MBMed Medical Aid Fund
|
4.5%
|
Nedgroup Medical Aid Scheme
|
4.5%
|
Parmed Medical Aid Scheme
|
4.4%
|
SABC Medical Scheme
|
4.5%
|
SAMWUMED
|
5.4%
|
Sasolmed
|
4.5%
|
Note: The abovementioned Scheme rate increases are not applicable where special rates have been agreed upon directly with the medical scheme(s).
Important: Scheme tariffs are VAT inclusive. The tariff increases will also be made available on the Medscheme website before 1 January 2020. Go to www.medscheme.com and log in as a Provider, click on Look up Tool > Scheme Rates > 2020.
2. Scheme option changes effective 1 January 2020
Bonitas Medical Fund
The BonFit option has been renamed to the BonFit Select option from 1 January 2020.
Nedgroup
Nedgroup has changed the name of the Hospital Plan to the Hospital Network Plan for 2020. This plan will now offer one out-of-hospital Family Practitioner consultation. Furthermore, beneficiaries on the Hospital Network Plan may only be admitted to a Nedgroup Hospital Network facility, failure to comply will result in a R7000 co-payment.
Kind regards,
Medscheme: Healthcare Provider Relations Department
(unsigned due to electronic submission)
Disclaimer: The information displayed is a reflection of the rates tariffs of the particular medical scheme for providers (excluding agreed rates, renal dialysis rates, Pathologists and Radiologists) and their particular benefit plan or option and are displayed without consideration of the membership status, membership benefits or limits and capitation or other relevant agreements with providers. The information displayed does in no way constitute an offer or contract price, a guarantee of payment, a benefit booking or reservation, or an authorisation for benefits to be provided to the member. It is recommended that the particular medical scheme’s call centre is contacted to confirm member entitlement to benefits. Although care was taken to ensure the accuracy and integrity of the information provided, Medscheme Holdings (Pty) Ltd shall not incur any liability in this regard and shall not be liable for any loss, damage, injury or claim of whatsoever nature, direct or indirect or consequential as a result of any reliance placed on any information provided herein.