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
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%
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%
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
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%
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