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Sapphire Beryl Ruby Emerald Emerald Onyx

Postponement of Family Practitioner (FP) nomination and specialist referral rules


Our members are important to us, that is why we carefully considered the feedback received from you during the recent member and stakeholder sessions, and decided to postpone the implementation of the FP nomination and specialist referral rules for 2015.

The 30% co-payment that was to be implemented from 2 April 2015 will not be applied and a rule amendment to this effect will be submitted to the Registrar of Medical Schemes.

The implementation of specialist referral by a nominated FP has also been postponed for Ruby, Emerald and Onyx members. Specialist referral arrangements currently in place for Sapphire and Beryl members will continue unchanged.

Care coordination continues to be important to improve your healthcare.  By consulting the same FP, a good understanding of your health and treatment history will be developed so that informed decisions about your care can be made. This is why the Scheme is encouraging you to continue nominating an FP to realise the benefits to you as a member and the Scheme at large.

Read more on FP nominations.

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