Doctor’s Day – 16 November 2019

With all the negative publicity doctors receive, it’s nice to be acknowledged for the good they do as well! Doctor’s Day will be on 16 November 2019. Ethiqal is hosting a competition where you can win a share of R20 000 for sharing how your doctor made a difference to your life! Visit https://www.doctorsday.co.za/ to […]

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Important update for LA Health clients

Please note that due to ongoing problems with LA Health Medical Aid paying claims to the patient instead of the doctor (with patients then refusing to pay over monies to the doctor), this practice will no longer accept LA Health as a payment method. Patients have two options: Pay cash upfront and then claim back […]

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PMBs explained

PMBs often cause confusion among patients and medical practitioners. This PMB Guide deals with the 25 chronic ailments. Prescribed Minimum Benefits are a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide people […]

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Quick guide to co-payments

Patients often have questions regarding co-payments, and the matter recently received a lot of media attention. Whilst it is not a pleasant discussion, the truth is that the rate medical aids reimburse doctors at, is not a fair one. Consider that medical aid rates are based on a list from 2006 (with annual adjustments that […]

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Who is responsible for obtaining authorisation?

A question that arises from time to time, is “Who is responsible for obtaining authorisation for my treatment?” Many doctors’ practises provide this service on behalf of their patients. However, the HPCSA is very clear on its stance regarding this: “2.5.2 Pre-authorisation is the patient’s responsibility The majority of medical schemes require their members to obtain […]

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