The practice charges medical aid rates for patients admitted into the sub-acute rehabilitation centre.
Charging medical aid rates entails setting fees for healthcare services in alignment with the rates established by medical insurance providers.
This practice aims to ensure that patients with medical insurance can access the necessary medical care while minimising financial burden. By adhering to these predetermined rates, healthcare providers facilitate smoother reimbursement processes for patients, reducing the need for complicated claims and paperwork.
The practice performs Prescribed Minimum Benefits (PMB) applications.
PMBs are a set of medical conditions and treatments that medical schemes are legally required to cover, regardless of the specific plan or level of coverage. When patients require treatment for a condition that falls under the PMB list, their medical scheme is obligated to provide coverage for the diagnosis, treatment, and care of that condition, often without co-payments or deductibles.
Applying for PMBs involves the process of requesting coverage for medical treatments or procedures that are part of the PMB list. Patients usually need to provide relevant medical information, including diagnoses and treatment plans, to their medical scheme. The scheme then evaluates the information to determine whether the treatment is indeed part of the PMB list and should be covered.