Explore the Category

CMS: Thebemed placed under provisional curatorship

26 August 2019 | Medical Schemes

Following persistent financial difficulties, medical regulator, the Council for Medical Schemes, (CMS), has placed Thebemed Medical Scheme under provisional curatorship.

National Health Insurance Bill

26 August 2019 | General

The South African Medical Association (SAMA) hereby offers further comment on the new National Health Insurance (NHI) Bill introduced by the Minister of Health, Dr Zweli Mkhize, in Parliament on 8 August, particularly in relation to areas it believes need additional consideration.

NHI: A view from Bonitas Medical Fund

26 August 2019 | General

South Africa’s National Health Insurance Fund (NHI) Bill was released on August 8, 2019. Bonitas Medical Fund shares its preliminary views.

What are the consequences of using a non-DSP for medical procedures?

22 August 2019 | General

In an effort to ensure quality service in the face of medical inflation, many Medical Aid Schemes have implemented networks of Designated Service Providers (DSPs). This helps control costs and means Medical Aids can offer discounted plans that restrict members to these networks. For members of the Medical Aid Scheme, this means that should you make use of a DSP, your treatment will generally be covered in full, especially for Prescribed Minimum Benefit (PMB) conditions. However, there are often penalties involved with making use of a non-DSP. Understanding how DSPs work and how gap cover can help is critical to making the most of your medical aid coverage.

quick poll

Question

The strongest deterrent against FSP compliance missteps is or should be:

Answer

A criminal conviction Debarment Fine or penalty Any of the above can work

View the Results