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OBTAINING AUTHORISATION ...
Do I need to get pre-authorisation for specialised dentistry?
How do I get authorisation for general hospital admissions?
How do I get authorisation for in-hospital dentistry?
How do I get hospital authorisation in case of an emergency?
What is meant by authorisation?
FUNDING QUERIES ...
How do I claim?
How is my monthly contribution calculated?
What is a co-payment?
What is a late-joiner penalty?
What is the SPECTRAMED tariff?
PROCESSES AND PROCEDURES ...
How do I register my chronic condition?
How do I request an ambulance?
MEMBERSHIP AND BENEFIT QUERIES ...
How do I report fraud or unethical Scheme behaviour?
What are Prescribed Minimum Benefits?
What do you mean by non-declarations?
What is a Chronic Disease List (CDL)?
What is a designated service provider (DSP)?
What is a Next Generation™ Medical Scheme?
What is meant by 'Beneficiary'?
What is meant by 'Member'?
What is meant by 'waiting periods'?
What is meant by 3rd party service providers?
What is My Saver™?
What is the 'Benefit Booster'™?
MEDICATION QUERIES ...
What is a formulary?
What is a NAPPI code?
What is an ICD 10 code?
