Medinol Users: Please omit the trailing “P”, e.g. use 027 and NOT 027P.

Big price increases for Bonitas medical aid users in 2020

Medical aid group Bonitas has announced a weighted average increase of 9.9% in monthly contributions for its plans in 2020.

The increases are on par with those announced by Discovery this week, though above the typical annual industry average of CPI+4% (which would be around 8.5%).

Bonitas is the third largest medical aid scheme in South Africa (after Discovery and GEMS), with 330,993 principal members and 710,206 total beneficiaries.

In July, the fund reported its financial results for 2018, announcing bolstered reserves from R4.0 billion in 2017 to R4.13 billion, despite difficult economic conditions.

“This is satisfying, especially given the stagnant economy and other negative fiscal influences. Our strategic initiatives resulted in a positive impact with the Fund attaining a 25.2% solvency rate and achieving a surplus of R164.8 million,” said Lee Callakoppen, principal officer for the fund.

For 2020, the fund said it has introduced new benefits, changed the name of BonFit to BonFit Select and kept increases as low as possible. Increases range between 6.2% and 11.9% across its plans.

“South Africans are under immense financial pressure. This combined with the concerns around the NHI Bill definitely impacts members,” said Callakoppen.

“We’d like to assure everyone it is business as usual at Bonitas and quality, affordable healthcare for our members, remain a priority.”

The individual plan increases are as follows:

• 6.2% for BonFit Select
• 8.4% for Primary, Primary Select, BonEssential, BonEssential Select
• 9.3% for Standard and Standard Select
• 9.5% for BonSave
• 11.9% for BonComprehensive, BonClassic, BonComplete, Hospital Standard and BonCap

Official pricing for 2020 is still to be released, but the table below gives an indication based on the announced increases and the previous years’ rates.

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December 2020

Dear Dental Service Provider       

Momentum Dental Risk Management administration in 2021

Momentum Dental Risk Management would like to thank you for treating our members during 2020. We are pleased to inform you that Sasolmed has joined our administration and will be actively managed by us from 1 January 2021.

The full list of schemes administrated by Momentum Dental Risk Management and their contact details are below:

ICD-10 code restrictions
As of 2021, strict rules will apply to the use of ICD-10 codes for dental treatment. Please ensure that you include the correct prescribed ICD-10 codes on your claims, as incorrect allocation of codes may lead to accounts being rejected.

We wish you and your staff a safe and enjoyable festive season.

Kind regards

Momentum Dental Risk Management Team

Date: 19 Oct 2018

As published by Discovery Health here are the Dietitian Tariffs:

[btnsx id=”3664″]

Discipline Tariff code Description Rand value (rounded) Date valid from
84 84200 Nutritional assessment, counselling and/or treatment. Duration: 1-10min. 53.30 01/04/2018
84 84201 Nutritional assessment, counselling and/or treatment. Duration: 11-20min. 160.00 01/04/2018
84 84202 Nutritional assessment, counselling and/or treatment. Duration: 21-30min. 266.60 01/04/2018
84 84203 Nutritional assessment, counselling and/or treatment. Duration: 31-40min. 373.10 01/04/2018
84 84204 Nutritional assessment, counselling and/or treatment. Duration: 41-50min. 426.60 01/04/2018
84 84205 Nutritional assessment, counselling and/or treatment. Duration: 51-60min. 479.70 01/04/2018
84 84206 Nutritional assessment, counselling and/or treatment. Duration: 61-70min. 533.20 01/04/2018
84 84207 Nutritional assessment, counselling and/or treatment. Duration: 71-80min. 586.60 01/04/2018
84 84208 Nutritional assessment, counselling and/or treatment. Duration: 81-90min. 639.80 01/04/2018
84 84209 Nutritional assessment, counselling and/or treatment. Duration: 91-100min. 693.00 01/04/2018
84 84210 Nutritional assessment, counselling and/or treatment. Duration: 101-110min. 746.40 01/04/2018
84 84211 Nutritional assessment, counselling and/or treatment. Duration: 111-120min. 799.90 01/04/2018
84 84300 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 1-10min. 10.70 01/04/2018
84 84301 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 11-20min. 32.00 01/04/2018
84 84302 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 21-30min. 53.30 01/04/2018
84 84303 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 31-40min. 74.90 01/04/2018
84 84304 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 41-50min. 85.20 01/04/2018
84 84305 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 51-60min. 95.90 01/04/2018
84 84306 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 61-70min. 107.00 01/04/2018
84 84307 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 71-80min. 117.20 01/04/2018
84 84308 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 81-90min. 128.00 01/04/2018
84 84309 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 91-100min. 138.60 01/04/2018
84 84310 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 101-110min. 149.10 01/04/2018
84 84311 Group nutritional assessment, counselling and/or treatment, per patient. Duration: 111-120min. 160.00 01/04/2018

A medical doctor and her assistant from East London in the Eastern Cape have been arrested allegedly for issuing fake medical  certificates to patients. SABC News reports that it’s alleged that the 67-year-old doctor charges about R350 per certificate. She and her 37-year-old assistant made a brief appearance in the East London Magistrate’s Court on fraud charges.

The arrest is a conclusion of an investigation conducted by the Hawks and crime intelligence. The report says it originates from complaints that the police received from a certain government department about a suspicious medical certificate issued by the suspect.

Hawks spokesperson Anelisa Feni says they decided to send an undercover police officer to investigate and the officer received sick notes on more than one occasion without examination. The undercover agent has on two occasions during this month received the sick notes from the doctor – one was back-dated and the other post-dated.

The suspects have been released on warning and will appear in court again on 19 June.

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The latest EDI activation and destination codes

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ALL MEDINOL USERS – TO OMIT THE “P”

EDI Code to consist of 3-digit numeral only, e.g. 460 for 1 DOCTOR HEALTH

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VERY IMPORTANT
The media used by MediSwitch to submit your claims to the Medical Aid Schemes is in Real-Time, EDI (electronic) or Printed Statements.

PLEASE NOTE: An * (Asterisk) in front of a Code indicates a change to an existing scheme or a new scheme on the list.