Circular xx of 2015: Medical Scheme benefit options for open schemes approved for 2016
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1 Circular xx of 2015: Medical Scheme benefit options for open schemes approved for The Council for Medical Schemes (CMS) would like to share the status of benefit options in open schemes for the 2016 calendar year. BESTMED MEDICAL PACE 4 PACE 3 PACE 2 PACE 1 BEAT 4 BEAT 3 BEAT 3 NETWORK BEAT 2 BEAT 2 NETWORK BEAT 1 BEAT 1 NETWORK PULSE 2 PULSE 1 BONITAS MEDICAL FUND BONCAP PENDING Non-healthcare expenditure review BONCOMPREHENSIVE PENDING Non-healthcare expenditure review BONSAVE PENDING Non-healthcare expenditure review PRIMARY PENDING Non-healthcare expenditure review
2 STANDARD PENDING Non-healthcare expenditure review STANDARD EDO (New) PENDING Awaiting exemption approval from Council BONESSENTIAL PENDING Non-healthcare expenditure review BONCLASSIC PENDING Non-healthcare expenditure review BONFIT PENDING New from 01/01/2016 CAPE MEDICAL PLAN HEALTHPACT PREMIUM HEALTHPACT SILVER HEALTHPACT SELECT COMMUNITY MEDICAL AID (COMMED) FUNDAMENTAL DELUXE STANDARD ROOTS SHINA New from 01/01/2016 COMPCARE WELLNESS MEDICAL DYNAMIX PINNACLE MUMED SYMMETRY AXIS NETWORX DISCOVERY HEALTH MEDICAL CLASSIC COMPREHENSIVE CLASSIC DELTA COMPREHENSIVE CLASSIC CORE CLASSIC DELTA CORE CLASSIC PRIORITY
3 CLASSIC SAVER CLASSIC DELTA SAVER COASTAL CORE COASTAL SAVER ESSENTIAL COMPREHENSIVE ESSENTIAL DELTA COMPREHENSIVE ESSENTIAL CORE ESSENTIAL DELTA CORE ESSENTIAL PRIORITY ESSENTIAL SAVER ESSENTIAL DELTA SAVER EXECUTIVE KEYCARE CORE KEYCARE PLUS KEYCARE ACCESS CLASSIC COMPREHENSIVE ZERO MSA SMART New from 01/01/2016 FEDHEALTH MEDICAL MAXIMA BASIS MAXIMA CORE MAXIMA PLUS MAXIMA STANDARD MAXIMA STANDARD ELECT (WAS MAXIMA STANDARD NET) MAXIMA ENTRYZONE MAXIMA EXECUTIVE ULTIMA 200 ULTIMAX BLUE DOOR PLUS MAXIMA SAVER Option Name change
4 MAXIMA ENTRYSAVER GENESIS MEDICAL PRIVATE PRIVATE PLUS PRIVATE COMPREHENSIVE PRIVATE CHOICE HOSMED MEDICAL AID PLUS ESSENTIAL VALUE ACCESS KEYHEALTH PLATINUM GOLD SILVER EQUILIBRIUM ESSENCE ORIGIN LIBERTY HEALTH MEDICAL TRADITIONAL ULTIMATE STANDARD SELECT SAVER STANDARD SAVER SELECT COMPLETE PLUS PLUS SAVER PLUS TRADITIONAL STANDARD COMPLETE STANDARD COMPLETE SELECT TRADITIONAL BASIC MAKOTI MEDICAL COMPREHENSIVE PRIMARY
5 MEDIHELP DIMENSION ELITE DIMENSION PRIME 1 DIMENSION PRIME 1 NETWORK DIMENSION PRIME 2 DIMENSION PRIME 2 NETWORK DIMENSION PRIME 3 DIMENSION PRIME 3 NETWORK MEDIHELP PLUS NECESSE UNIFY MEDIMED MEDICAL ALPHA MEDISAVE ESSENTIAL MEDISAVE - MAX MEDISAVE - STANDARD MEDSHIELD MEDICAL MEDIBONUS MEDIPLUS MEDIVALUE MEDICORE (Was CORE PLUS) Option Name change PREMIUM PLUS MEDISAVER (Was STANDARD) Option Name change MEDIPHILA MOMENTUM HEALTH MEDICAL INGWE PRIMARY CARE/STATE NETWORK PRIMARY CARE/INGWE NETWORK
6 ACTIVE NETWORK/INGWE ANY OPTION CUSTOM STATE/ASSOCIATED STATE/ANY ASSOC GP & PHARM/ASSOC ASSOC GP & PHARM/ANY ANY GP & PHARM/ASSOC ANY GP & PHARM/ANY INCENTIVE STATE/ASSOCIATED STATE/ANY ASSOC GP & PHARM/ASSOC ASSOC GP & PHARM/ANY ANY GP & PHARM/ASSOC ANY GP & PHARM/ANY EXTENDER STATE/ASSOC
7 STATE/ANY ASSOC GP & PHARM/ASSOC ASSOC GP & PHARM/ANY ANY GP & PHARM/ASSOC ANY GP & PHARM/ANY ACCESS SUMMIT RESOLUTION HEALTH MEDICAL PROGRESSIVE FLEX CLASSIC SUPREME MILLENNIUM FOUNDATION SELFMED MEDICAL MEDXXI MED ELITE SELFMED 80% SELFSURE SELFNET SIZWE MEDICAL FUND AFFORDABLE CARE OPTION FULL CARE OPTION PRIMARY CARE OPTION SAVINGS CARE OPTION GOMOMO CARE OPTION (WAS BASIC CARE) SPECTRAMED CYAN
8 AZURE AQUA COBALT CAPRI SUREMED HEALTH CHALLENGER NAVIGATOR SHUTTLE EXPLORER THEBEMED TOPMED MEDICAL ENERGY CORE MEDIUM OPEN UNIVERSAL TOPMED RAINBOW COMPREHENSIVE TOPMED PALADIN COMPREHENSIVE TOPMED PROFESSIONAL OPTION TOPMED SAVINGS OPTION TOPMED ACTIVE SAVER TOPMED PLAN TOPMED NETWORK OPTION TOPMED LIMITED OPTION
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