Important Notice from CAMAF

“With effect from 1 January 2011, reference pricing on PMB and chronic benefits will be introduced by CAMAF. This reference pricing includes therapeutic reference pricing and MMAP.

From 1 November 2010 you will receive a warning message for all patients with potential co-payments in 2011. The intention of this warning message is to encourage members to make an informed decision before Year End to:

o Change to an option with higher reference price limits before Year End; and/or

o Change their medication to a product below the reference price limits so as not to have any out-of-pocket co-payment.

CAMAF’s decision to introduce therapeutic reference pricing is in line with the industry trend to allow patients and their treating doctor’s choice and flexibility in the selection of required medication, while managing the Scheme’s financial risk. The reference pricing calculation will be applied by MediKredit at point of service and any reference pricing surcharge will be due by the patient and should be collected from the patient.

With the patient’s permission the provider may substitute the medication with a generic equivalent to reduce or negate the co-payment for the patient. In some instances, in order to reduce or negate co-payments, it may be necessary for the prescribing doctor to review the medication and prescribe a different drug from the same therapeutic class.

Alternatively, the member can investigate moving to an option which is more appropriate to the level of cover required in 2011.”

 

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About Medinol:
Medinol is one of the few purpose-built practice management application to meet the unique needs of independent private healthcare providers. Today Medinol helps over 130 providers throughout South Africa run more efficient and profitable practices, while delivering outstanding patient care. As an on-premise software, Medinol and the data it manages, is fully under your control. This enhances your independence and privacy: what happens in your rooms, stays in your rooms. Medinol helps manage your patient information, generates your billings, submits your claims, control your outstandings, and get your accounts paid quickly. Medinol has been in operation since 1984 demonstrating its proven efficacy. Medinol’s mission is to help independent practices succeed in an ever-changing healthcare environment. More information can be found at http://medinol.co.za.

Contact:

medical billing software

 

Fudley Bezuidenhout Pr.Eng.
Founder and CEO
Email: info@medinol.co.za
Ph: 021-906-2296
Cell: 082-688-9610

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