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1 AECI AECI BASIC CARE CROSS SCHEME RATE x 100% 5.30% SERVICE PROVIDER MEDSCHEME AECI COMPREHENSIVE PLAN SCHEME RATE x 100% ALLIANCE MIDMED Check MIDMED ANGLOMEDICAL SCHEME (AACMED) 5.00% MEMBER DISCOVERY MANAGED CARE PLAN SCHEME RATE x 100% STANDARD CARE PLAN SCHEME RATE x 100% VALUE CARE 100% x Prime Cure tariffs. ANGLOVAAL GROUP 5.00% MEMBER DISCOVERY DH Premier / SCHEME RATE x 100% BANKMED SERVICE PROVIDER DISCOVERY BASIC PLAN SCHEME RATE x 100% COMPREHENSIVE PLAN SCHEME RATE x 125% CORE SAVER PLAN SCHEME RATE x 100% PLUS PLAN SCHEME RATE x 300% TRADITIONAL PLAN SCHEME RATE x 125% PMB PLAN SCHEME RATE x 100% (Limited to PMB rules) BARLOWORLD SCHEME RATE x 100% 5.30% SERVICE PROVIDER MEDSCHEME BESTMED BEAT PLANS SCHEME RATE x 100% 4.80% SERVICE PROVIDER BESTMED PACE PLANS SCHEME RATE x 100% PULSE PLANS SCHEME RATE x 100% BMW DH Premier / SCHEME RATE x 100% 5.00% SERVICE PROVIDER DISCOVERY BONITAS 5.20% SERVICE PROVIDER MEDSCHEME BONCLASSIC SCHEME RATE x 100% BONCOMPREHENSIVE SCHEME RATE x 300% BONESSENTIAL SCHEME RATE x 100% BONFIT SCHEME RATE x 100% BONSAVE SCHEME RATE x 150% PRIMARY SCHEME RATE x 100% STANDARD SCHEME RATE x 100% STANDARD SELECT SCHEME RATE x 100% BPSA 6.00% SERVICE PROVIDER METROPOLITAN SCHEME RATE x 100% SCHEME RATE x 150% - If Network Provider BCIMA (BUILDING INDUSTRIES) SCHEME RATE x 100% 6.00% SERVICE PROVIDER UNIVERSAL HEALTH CAMAF SERVICE PROVIDER ETERNITY ALLIANCE SCHEME RATE x 300% DOUBLE PLUS SCHEME RATE x 300% ESSENTIAL PLUS SCHEME RATE x 200% FIRST CHOICE SCHEME RATE x 100% NETWORK CHOICE SCHEME RATE x 100% VITAL SCHEME RATE x 300% CAPE MEDICAL PLAN 6.10% MEMBER CAPE MEDICAL SILVER SCHEME RATE x 100% PREMIUM SCHEME RATE x 200% SELECT SCHEME RATE x 200% COMMED 6.00% SERVICE PROVIDER ALLCARE FUNDAMENTAL (COMMED) SCHEME RATE x 100% (: Enablemed) STANDARD SCHEME RATE x 100% (DSP)/ NON-DSP x 75% SR DE LUXE SCHEME RATE x 100% SHINA SCHEME RATE x 100% COMPCARE 6.00% MEMBER UNIVERSAL HEALTH AXIS SCHEME RATE x 100% DYNAMIX SCHEME RATE x 100% MUMED SCHEME RATE x 100% NETWORX SCHEME RATE x 100% (Preferred Provider) PINNACLE SCHEME RATE x 200% PINNACLE SCHEME RATE x 100% (GP's) SYMMETRY SCHEME RATE x 100% DE BEERS SCHEME RATE x 100% MEMBER DE BEERS
2 DISCOVERY HEALTH: 5.00% MEMBER/CONTRACT DISCOVERY CLASSIC COMPREHENSIVE DH x 200% / Classic_Premier_Arrangement CLASSIC CORE PLAN DH x 200% / Classic_Premier_Arrangement CLASSIC PRIORITY DH x 200% / Classic_Premier_Arrangement CLASSIC SAVER DH x 200% / Classic_Premier_Arrangement COASTAL CORE DH rate x 100% or Premier COASTAL SAVER DH rate x 100% or Premier ESSENTIAL COMPREHENSIVE DH rate x 100% or Premier ESSENTIAL CORE DH rate x 100% or Premier ESSENTIAL PRIORITY DH rate x 100% or Premier ESSENTIAL SAVER DH rate x 100% or Premier EXECUTIVE PLAN DH rate x 300% KEYCARE ACCESS DH x 100% / 110% - If part of Keycare Arrangement KEYCARE CORE DH x 100% / 110% - If part of Keycare Arrangement KEYCARE PLUS DH x 100% / 110% - If part of Keycare Arrangement SMART PLAN DH x 200% / Classic_Premier_Arrangement ENGEN SCHEME RATE x 100% 6.00% SERVICE PROVIDER METROPOLITAN FEDHEALTH 5.50% SERVICE PROVIDER MEDSCHEME BLUEDOOR PLUS ANAES. ARRANGMENT x 130% MAXIMA BASIS MAXIMA CORE MAXIMA ENTRYSAVER ANAES. ARRANGMENT x 130% MAXIMA ENTRYZONE ANAES. ARRANGMENT x 130% MAXIMA EXEC STD SCHEME RATE x 200% / MAXIMA PLUS STD SCHEME RATE x 200% / MAXIMA SAVER MAXIMA STANDARD MAXIMA STANDARD ELECT ULTIMA 200 ULTIMAX STD SCHEME RATE x 300% / FISHING INDUSTRY MEDICAL SCHEME (FISHMED) 6.00% SERVICE PROVIDER METROPOLITAN PRIMARY OPTION TREATMENT AT PROVINCIAL HOSPITAL STANDARD OPTION SCHEME RATE x 100% GEMS ALL PLANS SCHEME RATE x 100% (Non-Network Providers) 5.00% SERVICE PROVIDER METROPOLITAN GENESIS SERVICE PROVIDER GENESIS PRIVATE CHOICE SCHEME RATE x 100% PRIVATE PLAN SCHEME RATE x 200% PRIVATE PLUS SCHEME RATE x 200% PRIVATE COMPREHENSIVE SCHEME RATE x 200% GLENCORE (Was Xstrata Alloys) SCHEME RATE x 100% 5.50% SERVICE PROVIDER MEDSCHEME GOLDEN ARROW SCHEME RATE x 100% 6.00% SERVICE PROVIDER METROPOLITAN GOLDFIELDS MEDICAL SCHEME Name Changed to Sisonke Health GRINTEK ELECTRONICS (GEMAS) SCHEME RATE x 250% 6.00% SERVICE PROVIDER UNIVERSAL HEALTH HARMONY SCHEME RATE x 100% SERVICE PROVIDER PROVIDENCE HORIZON ALL PLANS SCHEME RATE x 100% 6.00% SERVICE PROVIDER MEDSCHEME HOSMED 6.00% SERVICE PROVIDER THEBEMED VALUE SCHEME RATE x 100% PLUS SCHEME RATE x 200% ESSENTIAL SCHEME RATE x 100% ACCESS SCHEME RATE x 100%
3 IMPERIAL GROUP MEDICAL ALL PLANS SCHEME RATE x 100% 6.10% SERVICE PROVIDER METROPOLITAN KEYHEALTH (Munimed) 6.00% SERVICE PROVIDER PROFMED EQUILIBRIUM SCHEME RATE x 100% ESSENCE SCHEME RATE x 100% GOLD SCHEME RATE x 100% PLATINUM SCHEME RATE x 100% SILVER SCHEME RATE x 100% LA-HEALTH LA ACTIVE DH Premier / SCHEME RATE x 100% 5.00% MEMBER DISCOVERY LA COMPREHENSIVE DH Premier / SCHEME RATE x 100% LA CORE DH Premier / SCHEME RATE x 100% LA FOCUS DH Premier / SCHEME RATE x 100% LA KEYPLUS SCHEME RATE x 100% / 110% - If part of Keycare Arrangement LIBCARE SCHEME RATE x 150% 6.00% SERVICE PROVIDER LIBCARE LIBERTY 6.00% SERVICE PROVIDER LIBERTY COMPLETE PLUS SCHEME RATE x 200% COMPLETE SELECT SCHEME RATE x 100% COMPLETE STANDARD SCHEME RATE x 100% HOSPITAL PLUS SCHEME RATE x 200% HOSPITAL SELECT SCHEME RATE x 100% HOSPITAL STANDARD SCHEME RATE x 100% SAVER PLUS SCHEME RATE x 200% SAVER SELECT SCHEME RATE x 100% SAVER STANDARD SCHEME RATE x 100% TRADITIONAL BASIC SCHEME RATE x 100% TRADITIONAL STANDARD SCHEME RATE x 100% TRADITIONAL ULTIMATE SCHEME RATE x 300% TRADITIONAL ULTIMATE SCHEME RATE x 200% (GP's) LONMIN SCHEME RATE x 100% 5.00% MEMBER DISCOVERY MAKOTI MEDICAL SCHEME PRIMARY PLAN SCHEME RATE x 100% (Provincial Hospitals) 5.50% MEMBER ENABLEMED COMPREHENSIVE PLAN SCHEME RATE x 100% MALCOR DH RATE x 100% (MEMBERS HAS CAP COVER UP TO 500%) 5.00% MEMBER DISCOVERY MASSMART SCHEME RATE x 100% 6.00% SERVICE PROVIDER UNIVERSAL MBMED SCHEME RATE x 100% 5.30% SERVICE PROVIDER MEDSCHEME MEDIHELP ALL PLANS SCHEME RATE x 100% 6.00% SERVICE PROVIDER STRATA HEALTCARE MEDIMED 5.00% SERVICE PROVIDER PROVIDENCE ALPHA SCHEME RATE x 75% NON-PMB / 100% x for PMB'S MEDISAVE ESSENTIAL SCHEME RATE x 100% MEDISAVE MAX SCHEME RATE x 150% MEDISAVE STANDARD SCHEME RATE x 100% MEDIPOS ALL PLANS SCHEME RATE x 100% 6.00% SERVICE PROVIDER METROPOLITAN MEDSHIELD 6.00% SERVICE PROVIDER MEDSHIELD MEDIBONUS SCHEME RATE x 100% (Non Surgical Procedures - include Dental) MEDIBONUS SCHEME RATE x 200% (All Surgical Procedures) MEDIPLUS SCHEME RATE x 100% MEDIVALUE SCHEME RATE x 100% MEDIPHILA SCHEME RATE x 100% MEDICORE (Was CorePlus) SCHEME RATE x 200% PREMIUM PLUS SCHEME RATE x 200% MEDISAVER (Was Standard) SCHEME RATE x 100% METROPOLITAN PREMIER SCHEME RATE x 100% 6.00% SERVICE PROVIDER METROPOLITAN CLASSIC SCHEME RATE x 100% MIDMED SCHEME RATE x 150% 6.00% SERVICE PROVIDER PRIVATE HEALTH MOMENTUM HEALTH 5.00% MEMBER MOMENTUM INGWE NETWORK RATE x 110% ACCESS NETWORK RATE x 110% CUSTOM SCHEME RATE x 100% / NETWORK RATE x 140% EXTENDER SCHEME RATE x 200% / NETWORK RATE x 140% INCENTIVE SCHEME RATE x 200% / NETWORK RATE x 140%
4 SUMMIT SCHEME RATE x 300% / NETWORK RATE x 200% MOTO HEALTH 6.00% MEMBER METROPOLITAN CLASSIC SCHEME RATE x 150% CUSTOM SCHEME RATE x 100% ESSENTIAL SCHEME RATE x 100% HOSPICARE SCHEME RATE x 100% OPTIMUM SCHEME RATE x 200% NASPERS 5.00% MEMBER DISCOVERY BASIC OPTION DH Custom Direct / SCHEME RATE x 100% PLUS OPTION DH Premier / SCHEME RATE x 100% MMED DH Premier / SCHEME RATE x 100% NEDGROUP MEDICAL AID SCHEME SCHEME RATE x 100% 6.10% MEDSCHEME NETCARE SCHEME RATE x 100% (Anaesthetists & Specialists) 5.50% MEMBER PRIMEMED CP PROVIDER ARRANGEMENT x 150% (All Specialists) OLD MUTUAL STAFF 6.00% SERVICE PROVIDER MEDSCHEME ALL OTHER PLANS SCHEME RATE x 100% TRADITIONAL PLUS PLAN SCHEME RATE x 100% OPMED SCHEME RATE x 100% 6.00% SERVICE PROVIDER OPMED PARMED SCHEME RATE x 300% 5.30% MEMBER MEDSCHEME PG GROUP SCHEME RATE x 100% 5.50% MEMBER METROPOLITAN PICK AND PAY SCHEME RATE x 150% 6.00% SERVICE PROVIDER METROPOLITAN PLATINUM HEALTH 5.60% SERVICE PROVIDER PLATINUM HEALTH PLAT COMPREHENSIVE SCHEME RATE x 100% / NON-DSP x 80% PLAT CAP SCHEME RATE x 100% PLAT SAVE SCHEME RATE x 100% POLMED 6.00% SERVICE PROVIDER MEDSCHEME AQUARIUM (Higher Option) SCHEME RATE x 150% (ANAESTHETISTS) MARINE (Lower Option) SCHEME RATE x 150% (ANAESTHETISTS) PROFMED 6.00% SERVICE PROVIDER PROFMED PROACTIVE SCHEME RATE x 120% PROACTIVE PLUS SCHEME RATE x 200% PROPINNACLE SCHEME RATE x 300% PROSECURE SCHEME RATE x 120% PROSECURE PLUS SCHEME RATE x 200% QUANTUM 5.00% MEMBER DISCOVERY ESSENTIAL COMPREHENSIVE DH Premier / SCHEME RATE x 100% ESSENTIAL SAVER DH Premier / SCHEME RATE x 100% KEYPLUS DH Keycare x 110% / SCHEME RATE x 100% RAND WATER BOARD SERVICE PROVIDER SANLAM OPTION A SCHEME RATE x 100% 6.00% OPTION B PLUS SCHEME RATE x 100% 4.00% REMEDI 5.00% MEMBER DISCOVERY CLASSIC DH Premier / DH Classic COMPREHENSIVE DH Premier / DH Classic STANDARD DH Keycare s x 110% RENAISSANCE (BOTSWANA MEDICAL AID) SCHEME RATE x 100% SERIVICE PROVIDER RENAISSANCE RESOLUTION HEALTH 5% No-Contract SERVICE PROVIDER AGILITY GLOBAL CLASSIC SCHEME RATE x 100% / ANAES. ARRANGMENT x 150% 6% Contract FOUNDATION SCHEME RATE x 100% / ANAES. ARRANGMENT x 100% HOSPITAL SCHEME RATE x 100% / ANAES. ARRANGMENT x 100% MILENNIUM SCHEME RATE x 100% / ANAES. ARRANGMENT x 150% PROGRESSIVE FLEX SCHEME RATE x 100% / ANAES. ARRANGMENT x 100% SUPREME SCHEME RATE x 100% / ANAES. ARRANGMENT x 220% RETAIL MEDICAL AID 5.00% MEMBER DISCOVERY DH Premier / SCHEME RATE x 100% RU-MED SCHEME RATE x 100% 5.00% SERVICE PROVIDER PROVIDENCE SA BREWERIES SCHEME RATE x 100% MEMBER METROPOLITAN SABC SCHEME RATE x 100% 5.30% MEMBER MEDSCHEME
5 SAMWUMED SCHEME RATE x 100% 5.50% SERVICE PROVIDER SAMWUMED SASOLMED SCHEME RATE x 150% 5.20% SERVICE PROVIDER MEDSCHEME SEDMED SCHEME RATE x 100% SERVICE PROVIDER SEDMED SELFMED 7.50% MEMBER SELFMED 80% PLAN SCHEME RATE x 80% MED ELITE SCHEME RATE x 200% MEDXXI SCHEME RATE x 100% SELFNET SCHEME RATE x 100% SELFSURE SCHEME RATE x 100% SISONKE HEALTH ALL PLANS SCHEME RATE x 100% 5.00% SERVICE PROVIDER PROVIDENCE (Was: GOLDFIELDS & SIBANYE) SIZWE ALL PLANS SCHEME RATE x 100% 6.00% SERVICE PROVIDER SIZWE SPECTRAMED 5.00% SERVICE PROVIDER AGILITY SPECTRA COBALT SCHEME RATE x 100% SPECTRA AZURE SCHEME RATE x 100% SPECTRA CAPRI SCHEME RATE x 100% SPECTRA CYAN SCHEME RATE x 100% SPECTRA AQUE SCHEME RATE x 100% SUREMED 5.00% SERVICE PROVIDER PROVIDENCE CHALLENGER SCHEME RATE x 150% NAVIGATOR SCHEME RATE x 125% SHUTTLE SCHEME RATE x 100% EXPLORER PREFERRED PROVIDERS ONLY SWAZIMED ALL PLANS SCHEME RATE x 100% SERVICE PROVIDER MEDSCHEME TFG MEDICAL AID 5.00% MEMBER DISCOVERY PLAN A DH Premier / SCHEME RATE x 100% PLAN B DH Premier / SCHEME RATE x 100% THEBEMED ENERGY PLAN CORE SCHEME RATE x 100% 6.00% SERVICE PROVIDER THEBE YA BOPHELA ENERGY PLAN MEDIUM SCHEME RATE x 100% ENERGY PLAN OPEN SCHEME RATE x 100% UNVERSAL PLAN SCHEME RATE x 100% TIGER BRANDS 6.00% SERVICE PROVIDER UNIVERSAL HEALTH OPTION A SCHEME RATE x 200% OPTION B SCHEME RATE x 150% OPTION C SCHEME RATE x 100% TOPMED 6.00% MEMBER PRIVATE HEALTH RAINBOW COMPREHENSIVE SCHEME RATE x 300% PROFFESSIONAL SCHEME RATE x 200% PALADIN COMPREHENSIVE SCHEME RATE x 150% SAVINGS SCHEME RATE x 100% ACTIVE SAVER SCHEME RATE x 100% HOSPITAL SCHEME RATE x 150% TOPMED... Continues NETWORK SCHEME RATE x 100% / NON-NETWORK x 70% LIMITED SCHEME RATE x 80% (Member to pay provider directly and claim back from fund) TRANSMED ALL PLANS SCHEME RATE x 100% 5.50% SERVICE PROVIDER METROPOLITAN TRU CARE SCHEME RATE x 100% 6.00% SERVICE PROVIDER UNIVERSAL TSOGO-SUN GROUP ALL PLANS DH Premier / SCHEME RATE x 100% 5.00% MEMBER DISCOVERY UMVUZO ALL PLANS SCHEME RATE x 100% 7.50% SERVICE PROVIDER UNIVERSAL UNIVERSITY OF KWA-ZULU NATAL DH Premier / SCHEME RATE x 100% 5.00% MEMBER DISCOVERY UNIVERSITY OF WITWATERSRAND (WITSMED) 5.00% SERVICE PROVIDER DISCOVERY WITSMED SCHEME RATE x 100% / DH Premier WITSMED NETWORK SCHEME RATE x 100% / DH Keycare WITBANK COALFIELDS (WCMHS) SCHEME RATE x 100% SERVICE PROVIDER WCMHS WOOLTRU 5.40% SERVICE PROVIDER METROPOLITAN CORE SCHEME RATE x 100% PLUS SCHEME RATE x 100% EXTENDED SCHEME RATE X 300%
6 XSTRATA ALLOYS (Name change to GLENCORE) DISCOVER THE FREEDOM AND POWER PROVIDED BY PRECISION MEDICAL SOLUTIONS THE RISING STAR AMONG SOUTH AFRICA'S MEDICAL BILLING FIRMS! FOR MORE INFORMATION CONTACT MARISA RICARDO x 102 DOES YOUR ADMINISTRATION STAFF OR BILLING COMPANY ADD THIS TYPE OF VALUE TO YOUR PRACTICE? LET PRECISION MAKE THE DIFFERENCE! IF YOU SHOULD HAVE A QUERY ABOUT ANY OF THE ABOVE INFORMATION PLEASE INFORM US: precisionmed@mweb.co.za Disclaimer: This information is compiled using generally available data including the websites of the individual medical aids. While care is taken to ensure its accuracy Precision Medical Solutions accepts no responsibility for any losses that may be incurred as a result of the use of this information.
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