Medinol Practice Management | Medical Billing Software South Africa
We Empower Healthcare Professionals Through IT
2020 09 05

CAMAF 2014 Year End Changes

admin Medical Aid, Medical Practices, Practice Management CAMAF+Changes+2014

CAMAF:

1. IMMUNISATION BENEFITS FOR 2014

SCHEME/PLAN IMMUNISATION MAX

ALLIANCE R3800.00 per beneficiary per annum.

DOUBLE PLUS

R1890.00 per Adult per annum (22 years and older)

R3150.00 per Child per annum (0 – 21 years)

VITAL R1260.00 per beneficiary per annum.

ESSENTIAL PLUS R1260.00 per beneficiary per annum.

FIRST CHOICE R1260.00 per beneficiary per annum.

NETWORK CHOICE R1260.00 per beneficiary per annum.

2. ACUTE MEDICINE BENEFIT CHANGE:

Effective 1 January 2015, 2nd and 3rd line anti-depressants, inhalers and Nexiam 40mg will be allowed 3 fills from the Acute/Savings

benefit. Rejection RMR 558 “Individual Protocol Quantity Exceeded” will be returned to the provider on the 4th fill if these items

have not yet been authorised on Chronic.

KEYHEALTH:

1. CHRONIC BENEFITS FOR EQUILIBRIUM PLAN MEMBERS

Effective 1 January 2015, the following Chronic conditions will be covered for authorised KeyHealth Equilibrium option members. A

10% co-payment will apply. An additional 30% co-payment will apply if dispensed by a non-DSP pharmacy.

Allergic Rhinitis (Patients under age 21)

Acne (Patients under age 21)

Attention Deficit Hyperactivity Disorder (ADHD) and Attention Deficit Disorder (ADD) (Patients under age 21)

2. PRE-NATAL VITAMIN BENEFITS

In 2015, based on registration on the program, pre-natal vitamins, to the value of R1500.00 per pregnant female (for the duration of

the pregnancy) will be covered from the Health Booster benefit.

3. HEALTH ASSESMENT BENEFIT INCREASE

Effective 1 January 2014 reimbursement of KeyHealth Health Assessment tests submitted on the customised tariff code indicated in

the table below will increase to R110.00

NAPPI CODE DESCRIPTION PRICE

716769

Blood Pressure Measurements

R110.00

Health Assessment – Blood Glucose Screening (finger prick)

Health Assessment – Cholesterol Screening (finger prick)

Health Assessment – Body Mass Index

Phlebotomy for PSA test

 

Brought to you by: Medinol Medical Billing and Claims Software

Submitting Claims to Transmed State+ Universal Health Locum GP Wanted

Related Posts

Dental Practices, Medical Aid, Medical Practices, Practice Management

2019 Discovery Health Medical Aid Fees

Dental Practices, Latest News, Medical Aid, Medical Practices, Practice Management

Medical Aid Industry on the Road to Collapse?

Dental Practices, Medical Aid, Medical Practices, Practice Management

GEMS in trouble?

Search for

2021 Dental Tariffs

RECENT POSTS

Medscheme Member Benefit Verification

2019 Discovery Health Medical Aid Fees

Schemes administered by MHG – Metropolitan Health Group

Dental Tariffs For 2020 Now Available

Medical Aid Industry on the Road to Collapse?

Twitter feed @medinol

Medinol SoftwareFollow

Medinol Software
MedinolHqMedinol Software@MedinolHq·
31 Mar

http://medinol.co.za/coding-for-covid-19-patients/

Reply on Twitter 1244953229986795521Retweet on Twitter 1244953229986795521Like on Twitter 1244953229986795521Twitter 1244953229986795521
MedinolHqMedinol Software@MedinolHq·
21 Nov 2019

What is Wrong with EMR? James J. Cimino, M.D., Columbia University Jonathan M. Teich, M.D., Ph.D., Partners Healthcare System Vimla L. Patel, Ph.D., DSc. - ppt download https://slideplayer.com/slide/4924027/#.XdXrpneYvOg.twitter

Reply on Twitter 1197329570879410176Retweet on Twitter 1197329570879410176Like on Twitter 1197329570879410176Twitter 1197329570879410176
MedinolHqMedinol Software@MedinolHq·
19 Nov 2019

What is WEBDesk? Web based claims management tool Accessible from Detailed view on all claims submitted through MediSwitch Various. - ppt download https://slideplayer.com/slide/9168102/#.XdO2rploIWs.twitter

Reply on Twitter 1196722967545290752Retweet on Twitter 1196722967545290752Like on Twitter 1196722967545290752Twitter 1196722967545290752
Load More...

Internal Links

  • Old mutual staff medical scheme
  • Tfg medical aid scheme
  • Old mutual medical aid contact number
  • Old mutual medical scheme
  • Who funds gems medical aid
  • Dental tariff code 8474
  • Prime cure consultation fee
  • Gems 2020 member contributions
  • Mediswitch
  • Discovery - 2020 medical aid dental tarrifs and codes
Loading
Medinol Practice Management | Medical Billing Software South Africa
  • Dept of Health
  • Board of HealthFunders
  • Medical Schemes
  • Contact Medinol
© Medinol Practice Management | Medical Billing Software South Africa 2021
Powered by WordPress • Themify WordPress Themes