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C.1 GENERAL EXCLUSIONS APPLICABLE TO ALL …
P a g e | 3 1.1.16 Any cost charged by a service provider for medical motivations or prior motivations as stipulated by these Rules, unless the Scheme has requested such foretasted medical motivations. 1.1.17 Costs arising from lost or damaged devices, apparatus, spectacles or contact lenses. 1.1.18 Psychometric tests. 1.1.19 The …
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PRESCRIBED MINIMUM BENEFITS (PMBs) APPLICATION
www.bestmed.co.zaPrescribed Minimum Benets (PMB) Application Form 2020-11-30 BMF-2001 2.00 3 of 3 SECTION E: MOTIVATION SECTION F: DETAILS OF DOCTOR APPLYING FOR BENEFITS Please attach copies of blood test results and / or any other relevant diagnostic reports. Is the treatment in accordance with treatment as practised in the state sector?
Chronic Medicine Application Form BMF-1401 V7.00
www.bestmed.co.zaChronic Medicine Application Form 2017-02-23 BMF-1401 V7.00 Bestmed Medical Scheme is an Authorised Financial Services Provider (FSP no. 44058)
ACTIVE INGREDIENT ACUTE FORMULARY PRODUCT
www.bestmed.co.za3 active ingredient acute formulary product tramadol / paracetamol combination tramacet tab tramadol austell-tramadol cap 50mg dolotram cap 50mg
Member Guide - Bestmed
www.bestmed.co.zaMember Guide 2017 1 1.troducing Bestmed 1 In Over the years Bestmed has grown sustainably, enabling us to build a reputable name in the industry.
Hospital list: Beat network options - Bestmed
www.bestmed.co.zaBloemfontein M-Care Optima 0366935 NHN Psychiatry Bloemfontein M-Care Pentagon Park 0469491 NHN Sub-acute Bloemfontein Pasteur Hospital 0090263 LIFE Rehab Bloemfontein SANCA Aurora Alcohol and Drug Centre 0051284 SANCA Rehab Frankfort Riemland Clinic 5709105 NHN Geographic Cover Kroonstad Kroon Hospital 5808383 NET Geographic Cover
Benefit Summary
www.bestmed.co.za• Artificial disc - no benefit. • Drug-eluting stents - PMBs and DSP products only. • Mesh R11 508. • Gynaecology/Urology R9 404. • Lens implants R7 176 a lens per eye. Prosthesis – External
Benefit Summary - Bestmed
www.bestmed.co.za• Artificial disc - no benefit • Drug-eluting stents - PMBs and DSP products only • Mesh R11 044 • Gynaecology/Urology R9 025 • Lens implants R6 887 a lens per eye Prosthesis – External No benefit (PMBs only). Exclusions Limits and co-payments applicable. Preferred provider network available. Joint replacement surgery (except for PMBs).
Benefit Summary
www.bestmed.co.zaformularies, funding guidelines and the Mediscor Reference Price (MRP) may apply. • Should a member voluntarily choose not to make use of a hospital forming part of a hospital network for the Beat network benefit option a maximum co-payment of R12 373 shall apply.
Chronic Medicine Application Form - Bestmed
www.bestmed.co.zaChronic Medicine Application Form 2021-04-19 BMF-1401 V11.00 4. MEDICINE BENEFITS APPLIED FOR 5. DECLARATION OF ATTENDING DOCTOR IMPORTANT/BELANGRIK Without the correct ICD-10 code(s), the application cannot be processed.
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