Archive for July, 2012

What are ICD-10 Codes?

July 25, 2012

You may have heard about ICD-10 codes, but do you know what they mean for your medical scheme cover? The acronym stands for International Classification of Diseases and Related Health Problems (10th revision) This coding system was developed by the World Health Organisation as a way for doctors to specify and categorise conditions. Once the doctor […]

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Important information on PMBs

July 18, 2012

What is a Prescribed Minimum Benefit? The Medical Schemes Act guarantees certain benefits, also known as Prescribed Minimum Benefits (PMBs) for specific health conditions when the proper procedures are followed. The PMB regulations were passed to ensure that all members belonging to a medical scheme have access to standard or basic health services, irrespective of […]

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