This practice values our relationship with our patients and would like to ensure complete transparency on the patient’s possible medical healthcare costs associated with this practice.
We herby inform our patients, insurance companies & colleagues that the billing policy of this practice does not necessarily follow the different rates at which the various medical insurance companies reimburse at, or with that of colleagues or any price reference lists.
In mid-2010, the High Court made a ruling that there is no longer a legal standardised medical scheme tariff guideline, previously called the National Health Reference Price List (RPL). In 2011 most of the medical schemes are now reimbursing at a percentage of their “scheme rate” and both the percentage and value of the “scheme rate “vary from one scheme to another e.g. 2010 RPL rates plus 55 or 2010 RPL rates plus 6%.
Competition law requires each medical practice to disclose its billing practice which is determined according to the practice’s own costing structures and which is also in line with the provisions of the Consumer Protection Act. The tariff charged for healthcare services rendered in our practice is as follows:
Discovery classic options: R400 co-payment per consultation + claim from medical aid
Remedi comprehensive + classic plans: R400 co-payment per consultation + claim from medical aid
Delivery: No co-payment
Bestmed: No co-payment
All other medical aids:
1st Pregnacy visit: R1800
11-14 weeks (NT sonar): R1500
Follow-up visits (16 week): R1000
Anatomy scan (20-24 weeks): R1800
Follow-up visit (24-38 weeks): R1000
Follow-up visit (>38 weeks): R750
Co-payment for deliveries (payable between 34-38 weeks): R4500
Private fees: Same as the above
Private delivery fee: R10000 (payable between 34-38 weeks)