money, stethoscope, spilled blue pills

Regulation 8 amendment… Protection for all

Prescribed Minimum Benefits (PMBs) were introduced  to prevent unfunded dumping on the state and to improve efficiency and cash flow for public hospitals. PMBs were never intended to allow healthcare providers  to profit unjustifiably simply because they can charge what they like. Genesis has taken a closer look at this pertinent matter in an article…

cheque made out to your doctor from your medical scheme

Part 3: Battle with PMB demystified

As we previously tried to explain, 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 and unfortunately not that straightforward. Bronwyn Nortjé shared some further insights on this matter in an article…

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…