cheque made out to your doctor from your medical scheme

Part 2: Battle with PMB demystified

Regulation 8 – unplugged As we mentioned in our recent article (Read it here), the issues and complexities around regulation 8 and section 29(1)(p) of the Medical Schemes Act (MSA) and the interpretation thereof in respect of the payment of Prescribed Minimum Benefits (PMBs) are complex.  In addition, the interpretation and application of regulation 8…

cheque made out to your doctor from your medical scheme

Part 1: Battle with PMB demystified

Regulation 8 – unplugged So, what is all the fuss about regulation 8?  The answer is, unfortunately not straightforward. To start at the beginning, section 29(1)(p) of the Medical Schemes Act compels medical schemes to pay in full for any PMB condition that is treated at a public hospital. So far so good because public…