Tag Archives: Council for Medical Schemes

According to the Medical Schemes Act, 1998, Regulations, Chapter 3: Contributions and Benefits, 7: Definitions, a Designated Service Provider is defined as:  “…a health care provider or group of providers selected by th...

The Prescribed Minimum Benefits (PMB) are a list of 270 medical conditions that medical schemes are always liable to provide cover for, in order to ensure that scheme members are guaranteed a minimum level of cover – re...

Did you know that if a medical aid fund, or an administrator acting on behalf of a medical aid fund with regards to the administration and payment of ambulance claims, has not paid your claim promptly and in full, that...