The majority of medical schemes require their members to obtain authorisation before receiving services from healthcare practitioners registered under the Health Professions Act.
While acting in the best interest of their patients, some practitioners offer to assist them with obtaining authorisation from their medical schemes for services to be rendered. Unfortunately, this has left members of medical aid schemes with the impression that it is the healthcare practitioner’s responsibility to obtain permission from their medical aid schemes.
Council has received numerous complaints against practitioners emanating from this misconception and as a result, some patients have experienced financial losses.
Patients who are members of the medical schemes are advised as follows:
Last Updated on 9 Sep 2016 by HPCSA Corporate Affairs