Tag Archives: medical schemes

There can be no doubt that the administration of the claims of one ambulance private ambulance service by a competing private ambulance is potentially anti-competitive. However, in the absence of intervention by auth...

It needs to be emphasised private ambulance service owners or managers remain responsible for the final negotiation and acceptance of tariffs for the coming year. While many medical aid scheme representatives may rel...

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...