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2014 Medical Aid Tariffs |
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Please be
advised that the prices or increases are provided as a guideline and are
not updated by the Medprax files. |
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Medscheme Schemes
|
Schemes |
|
2014 Rates |
|
AECI |
|
6.00% |
|
Barloworld Medical |
|
5.80% |
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Bonitas |
|
5.80% |
|
Fedhealth |
|
5.40% |
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GEMS |
|
TBA |
|
Glencore (Xstrata) |
|
5.50% |
|
Horizon |
|
6.00% |
|
MBMED |
|
6.00% |
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Nedgroup |
|
6.00% |
|
OMS |
|
5.80% |
|
Parmed |
|
5.90% |
|
SABC |
|
5.80% |
|
Sasolmed |
|
5.80% |
|
Wits |
|
5.80% |
|
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Schemes administered
by Discovery Health
For GP’s participating
in the Discovery Health GP Network the increase of consultation rates on
codes 0190, 0191 and 0192 is R345 (7.8%) and R413 for Executive Plan
members.
|
Scheme Name |
Consultation rate* for GP’s participating in the Discovery
Health GP Network |
Consultation rate* for GP’s not in the Discovery Health GP
Network |
|
Discovery Health Medical Scheme |
R345 |
R310
|
|
Anglovaal Group |
R345 |
R310 |
|
BMW Employees |
R345 |
R232.50 |
|
TFG |
R345 |
R310 |
|
LA Health |
R345 |
R310 |
|
Lonmin |
R310 |
R310 |
|
MMED option of Naspers |
R345 |
R310 |
|
N Option of Naspers |
R345 |
R310 |
|
Quantum |
R345 |
R310 |
|
Remedi |
R345 |
R310 |
|
Retail Medical Sch |
R345 |
R310 |
|
Tsogo Sun Group |
R345 |
R310 |
|
UKZN Medical Sch |
R345 |
R310 |
|
|
Momentum Health
The scheme rate will increase by 5.8%,
applicable to all providers except where specific negotiated rates are
in place.
The Standard GP consultation rate (0190)
will be R290 per consultation on the non-network options.
|
|
Medshield Medical
Scheme
Increase of 6% on the
2013 Scheme tariff with effect 1 January 2014. |
|
Bonitas Boncap GP
Network
|
Non-dispensing doctor tariff |
Dispensing doctor tariff |
Authorisation |
|
R272.10 |
R322.70 |
Authorisation is required after the 12th
visit. After the 12th visit, benefits for PMBs only |
|
|
Liberty Medical Scheme
The GP Network Rate for Consultation tariffs
0190, 0191 and 0192 is R335.70.
The Rate for non-network GP’s for the same
tariffs is R291.90.
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Medihelp – Necesse
|
Prescribing Doctors |
Dispensing Doctors |
|
|
PA
Provider |
Non-PA
Provider |
PA
Provider |
Non-PA
Provider |
|
CAT 1 |
R250.00 |
R220.00 |
R325.00 |
R295.00 |
|
CAT 2 |
R225.00 |
R215.00 |
R300.00 |
R285.00 |
|
CAT 3 |
R200.00 |
R195.00 |
R295.00 |
R280.00 |
| |
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Bonitas GP Network Scheme Rates
Continue to bill at the new Bonitas Scheme
rate (R284.60) and the enhanced fee will automatically be added
according to your quarterly REPI² score
|
GP
Consultation Rates (0190 -0191) |
|
REPI² Category |
Enhanced Fee |
2013 |
2014 |
Annual Increase for 2014 |
|
REPI² Category 1 |
Scheme Rate + 13% |
R304.00 |
R321.60 |
5.8% |
|
REPI² Category 2 |
Scheme Rate + 6.5% |
R286.50 |
R303.10 |
5.8% |
|
REPI² Category 3 |
Scheme Rate |
R269.00 |
R284.60 |
5.8% |
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If you have any questions please call us on 031 9049200 or email
info@medprax.co.za
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http://www.medprax.co.za
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