Notice: Summary of the approved changes to the scheme rules
NOTICE: SUMMARY OF THE APPROVED CHANGES TO THE SCHEME RULES
Bestmed endeavours to keep members informed of any changes affecting their healthcare needs, and this includes interim amendments to the Scheme’s Registered Rules. The following changes to the Rules of the Scheme have been approved by the Council for Medical Schemes (CMS) with effect 1 June 2014.
Changes with effect from 1 June 2014
- Changes to the Substantive Rules:
- Addition of a new rule which expands on the role of a Designated Service Provider (DSP), Rule 15.10 Designated Service Provider; and
- An enhancement on Rule 18.6 Filling of vacancies of the Board.
- Changes to Annexure A of the Rules (subscriptions):
- Addition of a paragraph to the Table C, Pulse1 subscription table to correspond with the rest if the option’s subscription tables.
- Changes to Annexure B of the Rules (benefit options):
Changes to the Optical benefits, to align benefits with the conditions stipulated in the contract between Bestmed and PPN, on the following rules:
- Rule 1.2.25 on Pace1;
- Rule 2.2.26 on Pace2;
- Rule 3.4.7 on Pace3;
- Rule 4.2.21 on Pace4;
- Rule 7.2.22 on Beat3; and
- Rule 10.2.24 on Beat4.
Please note that in terms of Section 32 of the Medical Schemes Act, the Rules of the Scheme and any amendment thereof shall be binding on the Scheme, its members, officers and on any person who claims any benefit under the Rules or whose claim is derived from a person so claim.
Legal and Corporate Governance Department
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