Response to Samwumed’s correspondence to medical schemes

PMB tariff appeal

    In response to Mr Neil Nair’s e-mail of the 15th October, sent to all Principal Officers, BHF would like to respond as follows:

  • BHF is fully behind schemes in their claim that the legal requirement of “payment in full” for PMB services is inequitable.
  • This is a long-standing issue that BHF has raised on numerous occasions with the National Department of Health and the Council for Medical Schemes, the most recent example of which includes the submission to the Private Healthcare Indaba, called by the Minister of Health in September this year, where we stated that medical schemes are unable to manage their risk and control increases in contributions due to the open-endedness of their liability for PMBs.

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