Medical Aid Claims
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GREAT NEWS!!
After many years of lobbying, negotiating and hard work, some medical aids have finally agreed to re-imburse for our services, at their applicable tariff rate (T & C's). Our practitioner, H Ismail, has been at the forefront of developing the tariff codes and submitting it to various medical aids for review and adoption.
The patient is obliged to settle account at time of service, whereupon a receipt and claiming invoice will be issued to be submitted to your medical aid for re-imbursement. Only options that have a MSA (medical savings account) benefit may claim re-imbursement. Presently, it will run on a trial model basis so that claims administration and software challenges can be ironed out. In future, we hope to sign agreements with your medical aid, so that we may claim on your behalf.
The following medical aids currently provide benefits (from MSA) for our services:
BANKMED
Core Saver, Comprehensive and Plus Plan Options
BESTMED
Beat 2 & Pace Options
DISCOVERY MEDICAL AID
Classic Comprehensive, Classic Delta, Essential, Essential Delta and Coastal Saver Options
PROFMED
Pinnacle and Pro-Pinnacle Options
We are still in negotiations with Medscheme Administrators (on behalf of GEMS, Bonitas, Old Mutual, Parmed etc) to have the tariff codes ratified. Will keep this page updated as soon as finality is reached