High-level changes to Medscheme-administered medical schemes for 2019
1. Tariff increases
After due consideration by each individual medical scheme’s Board of Trustees, the following tariff increases will apply to the Medscheme-administered medical schemes listed below. These increases will come into effect as of 1 January 2019.
Scheme |
% Increase |
AECI Medical Aid Society |
5.4% |
Barloworld Medical Scheme |
5.0% |
Bonitas Medical Fund |
5.0% |
Fedhealth |
5.1% |
Horizon Medical Scheme |
6.0% |
Hosmed Medical Scheme |
5.2% |
MBMed Medical Aid Fund |
5.0% |
Nedgroup Medical Aid Scheme |
5.0% |
Old Mutual Staff Medical Aid Fund |
5.2% |
Parmed Medical Aid Scheme |
4.9% |
SABC Medical Scheme |
5.0% |
SAMWUMED |
5.4% |
Sasolmed |
5.0% |
Note: The above mentioned Scheme rate increases are not applicable where special rates have been agreed upon directly with the medical scheme(s).
Important: Scheme tariffs are VAT inclusive. The tariff increases will also be made available on the Medscheme website. Go to www.medscheme.com and log in as a Provider, click on Look up Tool > Scheme Rates > 2019.
2. Scheme option changes effective 1 January 2019
Bonitas Medical Fund
Primary Select and BonEssential Select are two new options for 2019. The Hospital Plus option will no longer be available from 1 January 2019.
Fedhealth
The Fedhealth 2019 benefit options have a new look and feel; their names have also changed. Certain options have merged to give a more complete selection. Attached is a more detailed explanation about the mapping of the current options to the new options.
Kind regards,
Medscheme: Healthcare Provider Relations Department
(unsigned due to electronic submission) |
Brought to you by Medinol Medical Billing Software