LETTER: All medical schemes should cover PMBs
Prescribed minimum benefits should not be negotiable with service providers and networks
Your article on the banning of excessive co-payments imposed by medical schemes is indeed good news for members (“Medical schemes regulator boosts patients’ rights to choose their pharmacy (https://www.businesslive.co.za/bd/national/health/2021-04-27-medical-schemes-regulator-boosts-patients-rights-to-choose-their-pharmacy/)”, April 27).
The next thing that should be banned by the regulator is the practice of certain medical schemes finding loopholes round paying for prescribed minimum benefits. (PMBs). Medical aid schemes should be banned from getting service providers to enter into agreements with networks relating to the PMBs...
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