CIRCULAR 38 OF 2009 - APPROVAL OF BENEFIT OPTIONS FOR OPEN SCHEMES (2010) Scheme Name Benefit Option Name Decision Made Bases for the decision BESTMED MEDICAL SCHEME BLUE PRINT BONUS PLUS MILLENNIUM BASIC MILLENNIUM COMPREHENSIVE MILLENNIUM STANDARD TOPCARE VITAL CARE PLATINUM(TELEMED) GOLD SELECT - ONE CARE (TELEMED) GOLD SELECT MEDICROSS (TELEMED) BONITAS MEDICAL FUND BONCAP BONCOMPREHENSIVE BONSAVE PRIMARY STANDARD BONESSENTIAL (NEW 1/1/10) CAPE MEDICAL PLAN HEALTHPACT GOLD DISCONTINUED (31/12/09) HEALTHPACT PREMIUM HEALTHPACT SILVER
HEALTHPACT SELECT(NEW) COMMUNITY MEDICAL AID SCHEME (COMMED) CORE NOT NON-COMPLIANCE WITH SECTION 33(2) DELUXE NOT REDUCTIONS (Section 31(3)(a)) STANDARD NOT REDUCTIONS (Section 31(3)(a)) COMPCARE WELLNESS MEDICAL SCHEME ACCOLADE DISCONTINUED (31/12/09) DYNAMIX PINNACLE MUMED SYMMETRY AXIS NETWORX DISCOVERY HEALTH MEDICAL SCHEME CLASSIC COMPREHENSIVE CLASSIC CORE CLASSIC PRIORITY CLASSIC SAVER COASTAL CORE COASTAL SAVER ESSENTIAL COMPREHENSIVE ESSENTIAL CORE ESSENTIAL PRIORITY ESSENTIAL SAVER EXECUTIVE FOUNDATION CORE KEYCARE CORE KEYCARE PLUS CLASSIC DELTA SAVER
CLASSIC DELTA CORE ESSENTIAL DELTA SAVER ESSENTIAL DELTA CORE CLASSIC DELTA COMPREHENSIVE (NEW 1/1/10) NOT DOES NOT MEET REGISTRATION REQUIREMENTS ESSENTIAL DELTA COMPREHENSIVE (NEW 1/1/10) NOT DOES NOT MEET REGISTRATION REQUIREMENTS FEDHEALTH MEDICAL SCHEME MAXIMA BASIS MAXIMA CORE MAXIMA PLUS MAXIMA STANDARD ULTIMA 300 WITH OHEB ULTIMA 200 WITHOUT OHEB ULTIMA 200 ULTIMAX BLUE DOOR NOT NOT NOT NOT NOT NOT NOT NOT NOT GEN-HEALTH MEDICAL SCHEME BASIC COVER PLAN NOT HIGH CONTRUBUTION INCREASE (SECTION 31(3)(a)) COVER PLUS PLAN PRIMARY COVER GENESIS MEDICAL SCHEME PRIVATE PRIVATE PLUS PRIVATE COMPREHENSIVE
GOOD HOPE MEDICAL AID SOCIETY MAKOTI COMPREHENSIVE MAKOTI PRIMARY SUPER 100 DISCONTINUED (31/12/09) HOSMED MEDICAL AID SCHEME PLUS STEP VALUE INGWE HEALTH PLAN NOT CAPITATION NOT PIONEER CLASSIC DISCONTINUED (31/12/09) NOT HOSPITAL PLUS NOT MEDICARE KEYHEALTH PLATINUM GOLD SILVER BRONZE NOT NOT NOT NOT KEY CAP DISCONTINUED (31/12/09) BRONZE PLUS (NEW) NOT DOES NOT MEET REGISTRATION REQUIREMENTS ASSOCIATIED NETWORK PLATINUM (NEW) NOT DOES NOT MEET REGISTRATION REQUIREMENTS ASSOCIATIED NETWORK GOLD (NEW) NOT DOES NOT MEET REGISTRATION REQUIREMENTS ASSOCIATIED NETWORK SILVER (NEW) NOT DOES NOT MEET REGISTRATION REQUIREMENTS ASSOCIATIED NETWORK BRONZE NOT DOES NOT MEET REGISTRATION REQUIREMENTS
(NEW) ASSOCIATIED NETWORK BRONZE PLUS (NEW) NOT DOES NOT MEET REGISTRATION REQUIREMENTS LIBERTY HEALTH MEDICAL SCHEME GOLD COMPLETE DISCONTINUED (31/12/09) GOLD FOCUS GOLD PLUS PLATINUM COMPLETE PLATINUM FOCUS PLATINUM PLUS SILVER FOCUS SILVER CORPORATE NETWORK BONA PLUS (MEDICOVER) TITAN (MEDICOVER) MEDICOVER ALTA BONA PLUS TITAN AMALGAMATED WITH LIBERTY HEALTH (1/1/10) AMALGAMATED WITH LIBERTY HEALTH (1/1/10) AMALGAMATED WITH LIBERTY HEALTH (1/1/10) MEDIHELP DIMENSION ELITE DIMENSION PRIME 1 DIMENSION PRIME 2 DIMENSION PRIME 3 MEDIHELP PLUS NOT HIGH-CONTRIBUTION INCREASE (SECTION 31(3)(a))
NECESSE UNIFY MEDIMED MEDICAL SCHEME ALPHA MANAGED CARE MEDISAVE - MAX MEDISAVE - STANDARD NOT NOT NOT NOT MEDSHIELD MEDICAL SCHEME MEDIBONUS MEDIPLUS MEDIVALUE HOSPIPLUS DISCOUNTINUED (31/12/09) MOMENTUM HEALTH MEDICAL SCHEME ACCESS BASE NETWORK (CARECROSS, PRIMECURE, FARANANI) BASE STATE (CARECROSS, PRIMEDURE, FARANANI) CUSTOM ASSOC OPEN CUSTOM ANY GP CUSTOM ASSOC GP CUSTOM ANY STATE CUSTOM ASSOC STATE CUSTOM ANY OPEN EXTENDER ASSOC OPEN EXTENDER ANY OPEN EXTENDER ANY GP EXTENDER ASSOC GP EXTENDER ANY STATE
EXTENDER ASSOC STATE INCENTIVE ANY GP INCENTIVE ASSOC GP INCENTIVE ANY STATE INCENTIVE ASSOC STATE INCENTIVE ASSOC OPEN INCENTIVE ANY OPEN SUMMIT NATIONAL INDEPENDENT MEDICAL AID SOCIETY (NIMAS) SUPREME NOT POOR FINANCIAL PERFORMANCE MILLENIUM NOT POOR FINANCIAL PERFORMANCE CLASSIC NOT POOR FINANCIAL PERFORMANCE PRIMARY NOT POOR FINANCIAL PERFORMANCE OXYGEN MEDICAL SCHEME 80% PLAN NOT CORE PLUS NOT ELITE PLUS DISCONTINUED (30/09/09) ESSENTIAL NOT ESSENTIAL CARECROSS DISCONTINUED (31/12/09) PROGRESSIVE ONECARE DISCONTINUED (31/12/09) STANDARD PLUS DISCONTINUED (30/09/09) STANDARD PREMIUM PLUS NOT NOT REDUCTION (SECTION 31(3)(a)) REDUCTION (SECTION 31(3)(a)) REDUCTION (SECTION 31(3)(a)) REDUCTION (SECTION 31(3)(a)) REDUCTION (SECTION 31(3)(a)) PHAROS MEDICAL PLAN FOOTPRINT COMPREHENSIVE FOOTPRINT PRIMARY METHCARE
PALADIN COMPREHENSIVE RAINBOW COMPREHENSIVE RAINBOW PLUS RAINBOW PRIMARY PRO SANO MEDICAL SCHEME PROCEDURE PROCLASSIC PROVIDER PROVISION PRO-ELITE PROTEA MEDICAL AID SOCIETY EXTENDED PLAN STANDARD PLAN ESSENTIAL-PLAN PUREHEALTH MEDICAL SCHEME NBC FAMPLUS LIQUIDATED WEF 31/12/2009 NBC SAVEMED LIQUIDATED WEF 31/12/2009 NBC TOPCARE LIQUIDATED WEF 31/12/2009 PURE NETWORK(WAS NBC IMPILO) LIQUIDATED WEF 31/12/2009 PURE HOSPITAL LIQUIDATED WEF 31/12/2009 RESOLUTION HEALTH MEDICAL SCHEME FUNDAMENTAL HOSPITAL PRESTIGE PROGRESSIVE SELFMED MEDICAL SCHEME MEDXXI MEDXXI CHRONIC MEDXXI COMPREHENSIVE SELFMED 80 %
SELFSURE SIZWE MEDICAL FUND SIZWE AFFORDABLE SIZWE AFFORDABLE NETWORK SIZWE FULL BENEFIT SIZWE PRIMARY NOT NOT NOT NOT OUTSTANDING INFORMATION REGARDING THE PUBLIC HOSPITAL AS DSP OUTSTANDING INFORMATION REGARDING THE PUBLIC HOSPITAL AS DSP OUTSTANDING INFORMATION REGARDING THE PUBLIC HOSPITAL AS DSP OUTSTANDING INFORMATION REGARDING THE PUBLIC HOSPITAL AS DSP SPECTRAMED ALLIANCE ELITE HOSPITAL PLUS HOSPITAL PLUS(NEW - 1/1/10)) SUREMED HEALTH CHALLENGER NAVIGATOR SHUTTLE EXPLORER NOT NOT NOT NOT FAILURE TO MEET THE REQUIREMENTS OF SECTION 33(2) AND REGULATION 2(3). FAILURE TO MEET THE REQUIREMENTS OF SECTION 33(2) AND REGULATION 2(3). FAILURE TO MEET THE REQUIREMENTS OF SECTION 33(2) AND REGULATION 2(3). FAILURE TO MEET THE REQUIREMENTS OF SECTION 33(2) AND REGULATION 2(3). TELEMED BRONZE GOLD GOLD SELECT AMALGAMATED WITH BESTMED (1/1/10) AMALGAMATED WITH BESTMED (1/1/10) AMALGAMATED WITH BESTMED (1/1/10)
PLATINUM AMALGAMATED WITH BESTMED (1/1/10) SILVER AMALGAMATED WITH BESTMED (1/1/10) THEBEMED ENERGY FRONTIER UNIVERSAL TOPMED MEDICAL SCHEME TOPMED TRADITION (TOPMED 100% MERGED WITH TOPMED 80%) TOPMED HOSPITAL PLAN TOPMED INCENTIVE COMPREHENSIVE TOPMED INCENTIVE SAVINGS TOPMED LIMITED 100% DISCONTINUED (31/12/09) TOPMED NETWORK