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bestmed dsp specialist network 2019 pdf

Benefit Summary 2019 cmac.co.za. DSP specialist network applicable if the discounted network option is chosen. Surgical procedures and anaesthetics 100% Scheme tariff. Organ transplants 100% Scheme tariff. (Only PMBs) Major medical maxillo-facial surgery strictly related to certain conditions PMBs only at DSP day hospitals. Dental and oral surgery PMBs only at DSP day hospitals., Sep 15, 2019 Healthcare Sep 15, 2019ABC of Medical SchemesWith a number of schemes having answered the call from the Council for Medical Schemes (CMS) for healthcare funders to join forces where possible in order to strengthen the industry, this has been a year of consolidation for medical....

HOSPITAL NETWORK discovery.co.za

HOSPITAL NETWORK discovery.co.za. Bestmed provides oncology benefits applying evidence-based medicine principles and considering affordability across the different benefit options. We have appointed the Independent Clinical Oncology Network (ICON) for all our healthcare options as the DSP. …, Specialist • 100% of Scheme Tariff* Subject to PMB conditions ONLY, protocols, treating doctor referral and pre-authorisation by the auxiliary service provider during the admission period • 100% of DSP Tariff* • Unlimited benefits for PMB conditions subject to use of a DSP hospital, pre-authorisation and clinical protocols and formulary.

Should a member voluntarily choose not to use a specialist from the DSP network for a PMB, the Scheme will only pay up to the Scheme rate, and any charges above this rate will be for the member’s account. 4 Bestmed Comparative Guide 2018 Don’t worry, be Appy! The Bestmed App has now been completely updated, with a fresh new look and better features to save you time and money. It’s more HOSPITAL LIST FOR BESTMED BEAT OPTIONS - 2017 4 Town Hospital Prac No. Group Description Pretoria Cure Day Clinic Medkin 7700121 NHN Day Clinic Pretoria Cure Day Clinics Erasmuskloof 0448087 NHN Day Clinic Pretoria Denmar Specialist Psychiatric Hospital 5500001 NHN Psychiatry Pretoria Groenkloof Health Care Facility 0094390 IND Sub-acute

A wide network of healthcare providers for hospital and day-to-day cover Our extensive networks of healthcare providers, combined with unique management tools, means you can avoid co-payments when visiting a specialist or GP; on day-to-day preferentially priced medicine, blood tests, or when going to hospitals Fantastic benefits if you belong to our wellness programme Being a LA Health member a hospital network for the Beat Network benefit option a maximum co-payment of R10 750 shall apply to the voluntary use of a non-designated service provider. MEDICAL EVENT SCHEME BENEFIT Accommodation (hospital stay) and theatre fees 100% Scheme tariff. DSP specialist network applicable if the discounted network option is chosen.

Fedhealth Network Specialists 2 Specialist consultations up to R1 740 per family per year. Must be referred by contracted GP. If a referral is not obtained, a 40% co-payment will apply Non-Fedhealth Network Specialists No benefit Dentistry Basic: removal of … Specialist • 100% of Scheme Tariff* Subject to PMB conditions ONLY, protocols, treating doctor referral and pre-authorisation by the auxiliary service provider during the admission period • 100% of DSP Tariff* • Unlimited benefits for PMB conditions subject to use of a DSP hospital, pre-authorisation and clinical protocols and formulary

HOSPITAL LIST FOR BESTMED BEAT OPTIONS - 2017 4 Town Hospital Prac No. Group Description Pretoria Cure Day Clinic Medkin 7700121 NHN Day Clinic Pretoria Cure Day Clinics Erasmuskloof 0448087 NHN Day Clinic Pretoria Denmar Specialist Psychiatric Hospital 5500001 NHN Psychiatry Pretoria Groenkloof Health Care Facility 0094390 IND Sub-acute DSP specialist network applicable if the discounted network option is chosen. We are a Scheme managed by members, for members and will never compromise on quality service to you. BEAT2 2 3 BEAT2 BEAT2 . MEDICAL EVENT SCHEME BENEFIT Surgical procedures and anaesthetics 100% Scheme tariff. Organ transplants 100% Scheme tariff. (Only PMBs) Major medical maxillo-facial surgery strictly …

HOSPITAL LIST FOR BESTMED BEAT OPTIONS - 2017 4 Town Hospital Prac No. Group Description Pretoria Cure Day Clinic Medkin 7700121 NHN Day Clinic Pretoria Cure Day Clinics Erasmuskloof 0448087 NHN Day Clinic Pretoria Denmar Specialist Psychiatric Hospital 5500001 NHN Psychiatry Pretoria Groenkloof Health Care Facility 0094390 IND Sub-acute We will pay non-network doctors directly, up to the Remedi Rate, even if they charge more than the Remedi Rate, if you are on the Standard Option. Read more: Preauthorisation on page 7. Designated service provider (DSP) This is a doctor, specialist or other healthcare provider Remedi has reached an

Why are Designated Service Providers important? A Designated Service Provider (DSP) is a healthcare provider (doctor, pharmacist, hospital, etc) that is a medical scheme’s first choice when its members need diagnosis, treatment or care for a PMB condition. Price from R2 076 p.m. per principal member. The Bonitas Primary option is a traditional option, which offers simple day-to-day medical benefits and hospital cover.

DSP specialist network applicable if the network option is chosen. Take-home medicine 100% Scheme tariff. Limited to 7 days’ medicine. Treatment in mental health clinics 100% Scheme tariff. Limited to 21 days per beneficiary. Treatment of chemical and substance abuse 100% Scheme tariff. Limited to 21 days or R29 240 per beneficiary. The hospital network lists can change at any time. Please go to www.discovery.co.za to see the latest list before any planned admissions. Smart Hospital Network You are covered in full at hospitals in the Smart Hospital Network in accordance with your health plan benefits. For planned admissions to any other private hospital, you must pay an

You are here: » Login » Provider zone. Provider zone . Login. Contact Medscheme a hospital network for the Beat Network benefit option a maximum co-payment of R10 750 shall apply for the voluntary use of a non-designated service provider. MEDICAL EVENT SCHEME BENEFIT Accommodation (hospital stay) and theatre fees 100% Scheme tariff. DSP specialist network applicable if the network option is chosen.

We will pay non-network doctors directly, up to the Remedi Rate, even if they charge more than the Remedi Rate, if you are on the Standard Option. Read more: Preauthorisation on page 7. Designated service provider (DSP) This is a doctor, specialist or other healthcare provider Remedi has reached an a hospital network for the Beat Network benefit option a maximum co-payment of R10 750 shall apply to the voluntary use of a non-designated service provider. MEDICAL EVENT SCHEME BENEFIT Accommodation (hospital stay) and theatre fees 100% Scheme tariff. DSP specialist network applicable if the discounted network option is chosen.

a hospital network for the Beat Network benefit option a maximum co-payment of R10 750 shall apply for the voluntary use of a non-designated service provider. MEDICAL EVENT SCHEME BENEFIT Accommodation (hospital stay) and theatre fees 100% Scheme tariff. DSP specialist network applicable if the network option is chosen. 2019 Medihelp interchange between benefit options (editable).pdf 2019 Medihelp interchange between benefit options (print).pdf 2019 Medihelp termination of membership (editable).pdf

Price from R2 076 p.m. per principal member. The Bonitas Primary option is a traditional option, which offers simple day-to-day medical benefits and hospital cover. the DSP or deviate from the formulary for my benefit option. 3. My treating specialists should form part of Medihelp’s DSP specialist network in order to prevent co-payments on PMB treatments. 4. I must use Medihelp’s hospital network for all planned hospital admissions. If there is no network hospital available near my place of residence

We will pay non-network doctors directly, up to the Remedi Rate, even if they charge more than the Remedi Rate, if you are on the Standard Option. Read more: Preauthorisation on page 7. Designated service provider (DSP) This is a doctor, specialist or other healthcare provider Remedi has reached an HOSPITAL LIST: BEAT OPTIONS 2018/2019 4 Town Hospital Prac No. Group Description Pretoria Cure Day Clinic Medkin 7700121 NHN Day Clinic Pretoria Cure Day Clinics Erasmuskloof 0448087 NHN Day Clinic Pretoria Denmar Specialist Psychiatric Hospital 5500001 NHN Psychiatry Pretoria Groenkloof Health Care Facility 0094390 IND Sub-acute

Day-to-day benefits are provided by selected healthcare professionals. Through effective planning and resource management, our primary care network is integral to ensuring quality service delivery at an affordable cost. We take pride in our provider profiling process, which assists healthcare professionals to supply our members with the Should a member voluntarily choose not to use a specialist from the DSP network for a PMB, the Scheme will only pay up to the Scheme rate, and any charges above this rate will be for the member’s account. 4 Bestmed Comparative Guide 2018 Don’t worry, be Appy! The Bestmed App has now been completely updated, with a fresh new look and better features to save you time and money. It’s more

Fedhealth Network Specialists 2 Specialist consultations up to R1 740 per family per year. Must be referred by contracted GP. If a referral is not obtained, a 40% co-payment will apply Non-Fedhealth Network Specialists No benefit Dentistry Basic: removal of … Network specialists operate at network hospitals You should especially visit a network specialist if you belong to a network option, because network benefit options have their own hospital networks. The network specialists are matched to these hospitals, so it is important to ensure that the specialist you choose operates at your network hospital.

a hospital network for the Beat Network benefit option a maximum co-payment of R10 750 shall apply for the voluntary use of a non-designated service provider. MEDICAL EVENT SCHEME BENEFIT Accommodation (hospital stay) and theatre fees 100% Scheme tariff. DSP specialist network applicable if the network option is chosen. the DSP or deviate from the formulary for my benefit option. 3. My treating specialists should form part of Medihelp’s DSP specialist network in order to prevent co-payments on PMB treatments. 4. I must use Medihelp’s hospital network for all planned hospital admissions. If there is no network hospital available near my place of residence

DSPs & specialist network apply POST-HOSPITAL CARE Up to 30 days after discharge SPECIALISED RADIOLOGY Unlimited in and out of hospital Member pays the first R1 050 per examination Balance is paid at 100% of the MT TRAUMA-RELATED BENEFITS Including post-exposure prophylaxis in the event of sexual assault or accidental exposure to HIV ROAD & AIR TRANSPORT (Netcare 911) Unlimited within … Fedhealth Network Specialists 2 Specialist consultations up to R1 740 per family per year. Must be referred by contracted GP. If a referral is not obtained, a 40% co-payment will apply Non-Fedhealth Network Specialists No benefit Dentistry Basic: removal of …

Why are Designated Service Providers important?. need to be referred to a network Specialist by your Pulse1 network FP and must obtain pre-authorisation from the Bestmed Authorisations department on 0800 220 106. Each visit has a maximum limit of R1 100 and includes medicine and all related services. 14. Can I make use of any private hospital? You should make use of the Bestmed DSP hospital, Network specialists operate at network hospitals You should especially visit a network specialist if you belong to a network option, because network benefit options have their own hospital networks. The network specialists are matched to these hospitals, so it is important to ensure that the specialist you choose operates at your network hospital..

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bestmed dsp specialist network 2019 pdf

Dimension Prime 1 Network Medihelp. Member Guide 2017 3 Beat3 / Beat3 Network New generation option Beat3 is Bestmed’s value-for-money prime option for new and young families. This option offers …, HOSPITAL LIST: BEAT OPTIONS 2018/2019 4 Town Hospital Prac No. Group Description Pretoria Cure Day Clinic Medkin 7700121 NHN Day Clinic Pretoria Cure Day Clinics Erasmuskloof 0448087 NHN Day Clinic Pretoria Denmar Specialist Psychiatric Hospital 5500001 NHN Psychiatry Pretoria Groenkloof Health Care Facility 0094390 IND Sub-acute.

4859 4859 Updated Rate and Tables January 2019 Electronic

bestmed dsp specialist network 2019 pdf

2019 Benefit Summary readkong.com. Price from R2 076 p.m. per principal member. The Bonitas Primary option is a traditional option, which offers simple day-to-day medical benefits and hospital cover. https://en.wikipedia.org/wiki/Digital_signal_processor • The Bestmed network FP will refer the member to a Pulse Specialist DSP should a specialist consultation be required. • Should the Bestmed DSP indicate that hospitalisation is required the member needs to contact Bestmed on 080 022 0106 for pre-authorisation. Bestmed will only authorise admissions to contracted DSP hospitals..

bestmed dsp specialist network 2019 pdf


The hospital network lists can change at any time. Please go to www.discovery.co.za to see the latest list before any planned admissions. Smart Hospital Network You are covered in full at hospitals in the Smart Hospital Network in accordance with your health plan benefits. For planned admissions to any other private hospital, you must pay an 2019 NB: GAP COVER: Please confirm with each patient if Gap Cover is available on their medical aid plan SR = Scheme Rate DH = Discovery Health DSP = Designated Service Provider PA = Payment Arrangement AECI Value SR x 100% 5.40% Provider Medscheme Comprehensive SR x 200% ANGLOMEDICAL SCHEME (AMS) Managed Care Plan SR x 100% 5.00% Member Discovery Standard Care Plan SR x 100% Value …

DSP specialist network applicable if the network option is chosen. Take-home medicine 100% Scheme tariff. Limited to 7 days’ medicine. Treatment in mental health clinics 100% Scheme tariff. Limited to 21 days per beneficiary. Treatment of chemical and substance abuse 100% Scheme tariff. Limited to 21 days or R29 240 per beneficiary. The hospital network lists can change at any time. Please go to www.discovery.co.za to see the latest list before any planned admissions. Smart Hospital Network You are covered in full at hospitals in the Smart Hospital Network in accordance with your health plan benefits. For planned admissions to any other private hospital, you must pay an

Network Hospital List 2015 Beat Better living. Better life. Page 2 of 12 Page 3 of 12 Gauteng TOWN HOSPITAL PRAC # GROUP Alberton Akeso Clinic Alberton 434655 NHN Optimed 7700903 NHN Benoni Care Cure Rynmed 0115347 NHN Glynnview Hospital 170496 LIFE Glynnview Private Psychiatric Hospital 422193 LIFE Karibu Day Clinic 7700644 IND Lakfield Surgical Centre aka Metamorphosis Day Clinic … Network specialists operate at network hospitals You should especially visit a network specialist if you belong to a network option, because network benefit options have their own hospital networks. The network specialists are matched to these hospitals, so it is important to ensure that the specialist you choose operates at your network hospital.

Bestmed Pulse2 Network Yes, Bestmed Specialist DSP Network 100% Scheme tari˜ at a Netcare DSP hospital 100% Scheme tari˜ 100% Scheme tari˜ Limited to 7 day's supply 100% Scheme tari˜ Limited to 21 days per beneficiary 100% Scheme tari˜ Limited to 21 days or R29 240 per beneficiary Subject to network facilities 100% Scheme tari˜. 100% a hospital network for the Beat Network benefit option a maximum co-payment of R10 750 shall apply for the voluntary use of a non-designated service provider. MEDICAL EVENT SCHEME BENEFIT Accommodation (hospital stay) and theatre fees 100% Scheme tariff. DSP specialist network applicable if the network option is chosen.

DSP specialist network applicable if the discounted network option is chosen. We are a Scheme managed by members, for members and will never compromise on quality service to you. BEAT2 2 3 BEAT2 BEAT2 . MEDICAL EVENT SCHEME BENEFIT Surgical procedures and anaesthetics 100% Scheme tariff. Organ transplants 100% Scheme tariff. (Only PMBs) Major medical maxillo-facial surgery strictly … A wide network of healthcare providers for hospital and day-to-day cover Our extensive networks of healthcare providers, combined with unique management tools, means you can avoid co-payments when visiting a specialist or GP; on day-to-day preferentially priced medicine, blood tests, or when going to hospitals Fantastic benefits if you belong to our wellness programme Being a LA Health member

BestMed is a company that has been in the industry for 52 years now and is currently ranked 5th in the industry of about 14 companies. Bestmed’s winning formula seems to lie in their policy of offering their client the best service. A company based on a nonprofit attitude. HOSPITAL LIST FOR BESTMED BEAT OPTIONS - 2017 4 Town Hospital Prac No. Group Description Pretoria Cure Day Clinic Medkin 7700121 NHN Day Clinic Pretoria Cure Day Clinics Erasmuskloof 0448087 NHN Day Clinic Pretoria Denmar Specialist Psychiatric Hospital 5500001 NHN Psychiatry Pretoria Groenkloof Health Care Facility 0094390 IND Sub-acute

need to be referred to a network Specialist by your Pulse1 network FP and must obtain pre-authorisation from the Bestmed Authorisations department on 0800 220 106. Each visit has a maximum limit of R1 100 and includes medicine and all related services. 14. Can I make use of any private hospital? You should make use of the Bestmed DSP hospital Find out everything you need to know about Bonitas BonCap medical aid plan, including information on cover, rates and benefits. A network plan that is unlimited at designated hospitals. This option is suitable for those that would like affordable/limited cover at a network of providers.

(+27 10 597 4701) and services must be obtained from the DSP or Network Provider. Haemodialysis and Peritoneal Dialysis includes the following: Material, Medication, related Radiology and Pathology Clinical Protocols apply. R175 000 per family per annum. 40% upfront co-payment for the use of a non-DSP. Use of a DSP applicable from Rand one for Should a member voluntarily choose not to use a specialist from the DSP network for a PMB, the Scheme will only pay up to the Scheme rate, and any charges above this rate will be for the member’s account. 4 Bestmed Comparative Guide 2018 Don’t worry, be Appy! The Bestmed App has now been completely updated, with a fresh new look and better features to save you time and money. It’s more

need to be referred to a network Specialist by your Pulse1 network FP and must obtain pre-authorisation from the Bestmed Authorisations department on 0800 220 106. Each visit has a maximum limit of R1 100 and includes medicine and all related services. 14. Can I make use of any private hospital? You should make use of the Bestmed DSP hospital Member Guide 2017 3 Beat3 / Beat3 Network New generation option Beat3 is Bestmed’s value-for-money prime option for new and young families. This option offers …

with (a network provider or Designated Service Provider) • Don’t use up your day-to-day benefits if you can register for a programme that gives additional cover. Contact Medicine Advisory Services if you need cover for chronic medication or register on the Baby-and-Me Programme if you are pregnant Bestmed provides oncology benefits applying evidence-based medicine principles and considering affordability across the different benefit options. We have appointed the Independent Clinical Oncology Network (ICON) for all our healthcare options as the DSP. …

Find out everything you need to know about Bonitas BonCap medical aid plan, including information on cover, rates and benefits. A network plan that is unlimited at designated hospitals. This option is suitable for those that would like affordable/limited cover at a network of providers. Find out everything you need to know about Bonitas BonCap medical aid plan, including information on cover, rates and benefits. A network plan that is unlimited at designated hospitals. This option is suitable for those that would like affordable/limited cover at a network of providers.

Why are Designated Service Providers important? A Designated Service Provider (DSP) is a healthcare provider (doctor, pharmacist, hospital, etc) that is a medical scheme’s first choice when its members need diagnosis, treatment or care for a PMB condition. Find out everything you need to know about Bonitas BonCap medical aid plan, including information on cover, rates and benefits. A network plan that is unlimited at designated hospitals. This option is suitable for those that would like affordable/limited cover at a network of providers.

Price from R1 517 p.m. per principal member. The Bestmed Beat 2 options ideal for a couple that is starting to take on the world! If you plan that prevention is better than cure and know that life is sometimes unpredictable, this option is ideally suited for you. Savings available for day-to-day benefits. DSP specialist network applicable if the discounted network option is chosen. Surgical procedures and anaesthetics 100% Scheme tariff. Organ transplants 100% Scheme tariff. (Only PMBs) Major medical maxillo-facial surgery strictly related to certain conditions PMBs only at DSP day hospitals. Dental and oral surgery PMBs only at DSP day hospitals.

Designated Service Provider (DSP) Providers you can go to If you need to visit a general practitioner, specialist, radiologist, dentist, hospital or optometrist for medical services, find out what the rules are so that you will be covered and get the correct care. Medihelp has changed its specialist network on 1 September 2019 – this is a dynamic network which is regularly updated, so kindly consult the latest list prior to obtaining PMB services.

2019 Medihelp interchange between benefit options (editable).pdf 2019 Medihelp interchange between benefit options (print).pdf 2019 Medihelp termination of membership (editable).pdf need to be referred to a network Specialist by your Pulse1 network FP and must obtain pre-authorisation from the Bestmed Authorisations department on 0800 220 106. Each visit has a maximum limit of R1 100 and includes medicine and all related services. 14. Can I make use of any private hospital? You should make use of the Bestmed DSP hospital

2019 NB: GAP COVER: Please confirm with each patient if Gap Cover is available on their medical aid plan SR = Scheme Rate DH = Discovery Health DSP = Designated Service Provider PA = Payment Arrangement AECI Value SR x 100% 5.40% Provider Medscheme Comprehensive SR x 200% ANGLOMEDICAL SCHEME (AMS) Managed Care Plan SR x 100% 5.00% Member Discovery Standard Care Plan SR x 100% Value … the DSP or deviate from the formulary for my benefit option. 3. My treating specialists should form part of Medihelp’s DSP specialist network in order to prevent co-payments on PMB treatments. 4. I must use Medihelp’s hospital network for all planned hospital admissions. If there is no network hospital available near my place of residence

The hospital network lists can change at any time. Please go to www.discovery.co.za to see the latest list before any planned admissions. Smart Hospital Network You are covered in full at hospitals in the Smart Hospital Network in accordance with your health plan benefits. For planned admissions to any other private hospital, you must pay an Why are Designated Service Providers important? A Designated Service Provider (DSP) is a healthcare provider (doctor, pharmacist, hospital, etc) that is a medical scheme’s first choice when its members need diagnosis, treatment or care for a PMB condition.