Only 1 out of 4 people in the WC have medical aid cover

The Western Cape Health Department has said 75% of people in the province are currently without medical aid cover. News24 reports that the department was presenting to Parliament’s portfolio committee on health, providing a status update in its efforts to implement the “Ideal Clinic Initiative”. Department head Dr Beth Engelbrecht told the committee the province is moving away from only treating illnesses and would …

Essential Med EDI Claims

Essential Med will be accepting direct claims from 1 July 2014. The Medswitch EDI code to be used is 516 for users of Medinol otherwise 516P for all other software PMAs. Providers are advised to submit their claims via EDI as it will allow faster payment and processing of claims. The following disciplines will be accepted electronically: General Practitioners Pathology …

Government Employees Medical Scheme (GEMS) faces insolvency threat

The Government Employees Medical Scheme (GEMS) could be insolvent by financial year-end if drastic cost-containment measures are not instituted, reports Business Day. This would mean the scheme would need to be bailed out by the Treasury or amalgamated into a different scheme, forcing significant changes in benefits for its 1.8m members. The report said it would be a big blow to those in government who …

Emergency Dental Network

The network is now up-and-running. “Friends of Medinol” are entitled to six months free listing. Click here: http://emergencydentalnetwork.info

Nampak SA Medical Scheme Termination

Nampak SA will be closing its in-house medical aid scheme (Nampak SA Medical Scheme) effective 28/February/2013.   From 01/March/2013 the scheme will wind down the fund and continue to process all claims for date of service <= 28/Feb/2013.     All members will be joining Discovery Health .   New membership #’s will be allocated and all claims must follow …