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Why do some doctors bump up their fees when the patient is insured?

by MedClaimAssist | May 19, 2020 | Healthcare News, Medical Schemes

There are as many views on whether doctors charge too much for their services as there are patients that visit doctors. Medical aids in South Africa set their rates for services by doctors and pay that as a benefit to contribute towards the cost of healthcare, no...

Frustrating non-payment of PMBs

by MedClaimAssist | May 19, 2020 | Healthcare News, Medical Schemes

Some years ago I travelled around South Africa and visited members of Medical Schemes who were weekly paid workers and members of a trade union. I came across a number of people who, as members of a Medical Scheme, had been hospitalised (or more commonly a family...

NHI seen by Moody’s in Same Light as Nuclear Build

by MedClaimAssist | May 19, 2020 | Healthcare News, Medical Schemes

Moody’s rating agency, in their statement “Moody’s places South Africa’s Baa2 ratings on review for downgrade” carried on their website they cite, amongst numerous other factors that they will look at to determine whether to downgrade South Africa’s rating...

Prescribed Minimum Benefits, Section 27, and the right to health.

by MedClaimAssist | May 19, 2020 | Medical Schemes

Efficiency Discount Options (EDOs) were introduced in 2008 to allow for differentiated contributions within an option of a Medical Scheme. EDOs are options where a discount can be offered to members who agree to limit their use of providers to a network designated by...

Do Medical Scheme Efficiency Discount Options (EDOs) Promote Efficiency?

by MedClaimAssist | May 19, 2020 | Medical Schemes

Efficiency Discount Options (EDOs) were introduced in 2008 to allow for differentiated contributions within an option of a Medical Scheme. EDOs are options where a discount can be offered to members who agree to limit their use of providers to a network designated by...
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