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Latest Articles
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Discovery Health: chronic meds shock
(Susan Erasmus, Health24, January 2012) Discovery Health members are up in arms about two issues: the new limits on allied therapeutic services, and a sudden increase in the co-payments of certain chronic medications. A Facebook group has been created by members wishing to air their grievances on the decision to limit access to allied health [...]
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Discovery Health response: Allied and Therapeutic Benefit for 2012
18 January 2012 Managing the “abuse factor” Member X from Johannesburg spent over R200 000 on allied health benefits last year. The principal member and her youngest child visited their physiotherapist more than 200 times for muscular pain, and her eldest child saw an occupational therapist 156 times for hand-grip function and co- ordination skills. [...]
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PRESCRIBED MINBIUM BENEFITS
A number of medical aid members have submitted claims to Turnberry where medical aid administrators have not processed Prescribed Minimum Benefit (PMB) claims correctly, leaving the medical aid member with a balance on their accounts with their various in-hospital service providers. Should a condition be classified as a PMB the medical aid is obliged to [...]
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