Dear Doctor

It is that time of the year again when the annual review of benefits and contributions are finalised for 2017.

The process of the review of benefits and contributions has been completed, in line with guidelines set by the Council for Medical Schemes. A comprehensive review of benefits was done taking into consideration the claims experience, member experience and the financial performance of the Scheme.

The Scheme is pleased to advise that the GP tariff will increase by 6% for both Network and non-Network doctors for consultation codes, namely 0190, 0191 and 0192, which is R376.00 and R348.00 respectively.

All other GP procedure codes will increase by 6% for both Network and non-Network doctors.

Our benefits are grouped into the following categories:

1. Preventative Care benefit
2. Out-of-hospital benefit
3. In-hospital benefit
4. Chronic medication

I would like to thank all the doctors for their contribution and support during this year of 2016.

Wishing you a happy Christmas and a prosperous 2017.

Yours faithfully

Dr Jaco Makkink
POLMED: Medical Advisor and Acting Chief Operations Officer

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How to Submit Claims to Polmed

Submit your claims correctly:

Claims must be submitted within 120 days of the service date. Claims received after this period will be rejected as stale. Copies of accounts will be accepted for processing or payment.

There are various ways of submitting claims to POLMED for processing:
Email: polmedcurrentclaims@medscheme.co.za
Fax: 011 758 7660
Post: POLMED, Private Bag X16, Arcadia 0007