Medical scheme increases for next year have been announced.
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Two types of insurance products that are often misunderstood, are “Medical Aid” or “Hospital Plan” versus “Hospital Cash Plan”.
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Our previous article on prescribed minimum benefits (PMBs) highlighted some challenges medical schemes face about the the “pay in full” regime.
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Genesis Medical Scheme has once again been at the forefront of putting its members in control of their medical aid benefits and affairs.
Prescribed Minimum Benefits (PMBs) were introduced to prevent unfunded dumping on the state and to improve efficiency and cash flow for public hospitals.
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According to a recent judgement of the Supreme Court of Appeal, all medical schemes have to pay PMB benefits in full in the private sector.