the Medical Aid community of South Africa

Have doctors been handed a blank cheque?

Thu, 02 Jul 2009 15:51:00 +0200

There has been much concern expressed by both medical aids and medical service providers over the Health Professions Council of South Africa's decision to scrap its system of “ethical tariffs”.
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Road Accident Fund and third-party liability claims

Thu, 02 Jul 2009 15:48:00 +0200

This type of claim relates to injuries sustained in a motor vehicle accident or an incident for which a third party may be held liable, such as an injury covered under Workmen's Compensation, or a fall at a shopping mall.
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Profmed said to be performing well on all fronts

Fri, 19 Jun 2009 09:52:00 +0200

Speaking after the release of the Profmed 2008 Annual Report earlier in June 2009, principal officer Graham Anderson, said that he was pleased with the performance of the medical scheme during the period under review on a number of strategic fronts.
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Mum's the Word maternity programme

Mon, 04 May 2009 12:10:00 +0200

The birth of a baby is probably the most important event in the life of any couple - and of course the baby itself! Giving birth involves massive physiological and physical change in the mother and emotional stress for both parents. And pregnancy involves expense.
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Cape Medical Plan: the democratic medical aid

Fri, 24 Apr 2009 12:41:00 +0200

Medical aids have their origins in mutual help organisations dedicated to the health of their members. With time, most have morphed into large, impersonal businesses where pursuit of sustainability occupies their forebrains.
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Medical aid is not what it used to be

Fri, 24 Apr 2009 12:39:00 +0200

Nostalgia's not what it used to be, goes the saying and it also applies to medical aid, which has rapidly and dramatically changed over the last five years. Some say, it has been for the worse.
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Discovery retracts second appeal against CMS

Thu, 02 Apr 2009 11:01:00 +0200

Discovery recently retracted its second appeal against two earlier rulings by the Council for Medical Schemes (CMS), which ordered the company to fund its member, Sylvia Erasmus, in full for the use of the anti-rheumatic biologic, Enbrel, after previous treatment with a fully-funded biologic had failed.
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Do managed healthcare interventions benefit you?

Mon, 30 Mar 2009 10:30:00 +0200

The nature of medical insurance is such that the product is much more complex, and claims occur much more frequently than in other forms of insurance.
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Do you cut your lifeline in hard times?

Wed, 18 Mar 2009 07:52:00 +0200

As the economic slump starts to wreak havoc on our finances, South Africans may resort to cancelling their medical aids to free up some cash.
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Over-charging yet under-delivering: does your medical scheme fall foul?

Tue, 17 Mar 2009 10:52:00 +0200

Medical schemes announce their rate increases and benefit changes annually. Yet do you really understand what this means for you as an individual? Why are these changes made and will you retain all of the benefits you signed for at the conception of your medical cover?
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