Medical Aid Changes Starting 2013

7 January 2013Leave a reply
The following changes are effective from 01 January 2013
Momentum Ingwe has discontinued the Network and State Capitation options of Carecross and Primecure.
Members can now choose between Ingwe Network hospitals and State hospitals as their hospital provider, and
Ingwe Primary Care Network Providers for their chronic and day-to-day benefits

Momentum Access has discontinued the Network Capitation options of Primecure, Medicross and Carecross.
Members need to use Access Network hospitals for hospitalization, and Access Primary Care Network Providers for their
chronic and day-to-day benefits.

Topmed has introduced the Savings Plus option

Universal Care will now be processing claims for:
Umvuzo – Standard and Ultra Affordable option
Transmed – State Network
AECI – Basic

Bestmed : The following options of Bestmed to be switched directly to PPN for Optometric claims.
Pace 1
Pace 2
Pace 3
Pace 4
Beat 2

Discovery Health has introduced two new plans : Classic Comprehensive Zero and KeyCare Access.

University of KZN Medical Scheme now has a KeyPlus Plan

Prosano Medical Scheme merges with the Bonitas Scheme : new option BonClassic replaces the ProClassic option from Prosano

Pharos Medical Scheme introduces the Active Saver option. The Rainbow Primary option has been discontinued and members moved over
to the Rainbow Plus option

Medihelp introduces Dimension Prime Network options. The Network is specific to hospitalization and members on the Network options
must make use of a Medihelp Network Hospital to qualify for benefits.

Sizwe introduces the Affordable Save option

GEMS dental options will be routed to Primecure

Bonitas : THE Boncap options is moving from Primecure to Medscheme. Optometry claims will be routed to Opticlear and Dental
claims to Denis.

Nampak: Members of this scheme have moved to Discovery Health (This has been put on hold till March 2013)

Bankmed: Introduces a new CareCross option – Bankmed PMB

Carecross Health introduces a new scheme Domesticare

Eyethumed has been discontinued effective end Dec 2012

Leave a Reply

Current day month ye@r *