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2021-01-07

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

 

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