Scheme Rules


These are the official rules of the Scheme and supersede any other summary thereof.

Click on the links below to view the 2020 rules as registered with the Registrar for Medical Schemes: 

Registered Rules 2020

Annexure A - Contributions

Annexure B1 - Schedule of benefits: Option A

Annexure B2 - Schedule of benefits: Option B

Annexure B3 - Schedule of benefits: Option C

Annexure C - Exclusions and Limitations 

Annexure D - Dental benefit table   

Appendix 1 - Personal Medical Savings

Appendix 2 - Prescribed Minimum Benefits

 

 

Previous year's Scheme rules

2019
2018
2017

2016
2015
2014
2013 
2012 
2011

Newsflash
21 February 2020

With effect from 1 April 2020, Medscheme Holdings (Medscheme) will take over the administration and managed care services from our current administrator - Momentum Health Solutions (MHS).

We will share more information around the change in administrators and any matters that you will need to be aware of over the next few weeks as we draw closer to 1 April.

Click here for a copy of our May 2020 Newsletter.

 

Contact Us

Client Services
Tel: 0860 100 078
Fax: 086 566 1372

Managed Care Services (including hospital pre-authorisation & ICON)
0860 100 078

MEDiPOS Anti-fraud Hotline
Tel: 0800 112 811

Email
enquiries@medipos.co.za

 

MEDiPOS Medical Scheme