There has been much concern expressed by both medical aids and medical service providers over the Health Professions Council of South Africa's decision to scrap its system of “ethical tariffs”. 2 Jul 2009 15:51
For anyone who is not a member of a medical aid, handling a third-party liability claim can be confusing, intimidating, and incredibly frustrating. And that's not even taking into account the medical expenses you will incur while waiting for your claim to be processed and paid out. 2 Jul 2009 15:48
Speaking after the release of the Profmed 2008 Annual Report earlier in June 2009, principal officer Graham Anderson, said that he was pleased with the performance of the medical scheme during the period under review on a number of strategic fronts. 19 Jun 2009 09:52
The birth of a baby is probably the most important event in the life of any couple - and of course the baby itself! Giving birth involves massive physiological and physical change in the mother and emotional stress for both parents. And pregnancy involves expense. 4 May 2009 12:10
Medical aids have their origins in mutual help organisations dedicated to the health of their members. With time, most have morphed into large, impersonal businesses where pursuit of sustainability occupies their forebrains. 24 Apr 2009 12:41
Nostalgia's not what it used to be, goes the saying and it also applies to medical aid, which has rapidly and dramatically changed over the last five years. Some say, it has been for the worse. 24 Apr 2009 12:39
Discovery recently retracted its second appeal against two earlier rulings by the Council for Medical Schemes (CMS), which ordered the company to fund its member, Sylvia Erasmus, in full for the use of the anti-rheumatic biologic, Enbrel, after previous treatment with a fully-funded biologic had failed. 2 Apr 2009 11:01
The nature of medical insurance is such that the product is much more complex, and claims occur much more frequently than in other forms of insurance. 30 Mar 2009 10:30
As the economic slump starts to wreak havoc on our finances, South Africans may resort to cancelling their medical aids to free up some cash. 18 Mar 2009 07:52
Medical schemes announce their rate increases and benefit changes annually. Yet do you really understand what this means for you as an individual? Why are these changes made and will you retain all of the benefits you signed for at the conception of your medical cover? 17 Mar 2009 10:52
Multi medical scheme administrator and managed care services provider, Medscheme, received nine awards for excellence in recognition of the excellent results achieved in surveys conducted by Professional Management Review (PMR) Africa survey late last year. 13 Mar 2009 11:04
The uncertainty of whether or not invoiced medical practitioner fees will be paid due to the scrapping of the Ethical Tariff is just one of the problems facing private hospitals. 10 Mar 2009 08:33
A medical aid is also an information provider for its members. Getting the data - whether about medication or cost - with which you can make the right decisions - is as essential to peace of mind as medical care is to health. 26 Feb 2009 12:01