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CIRCULAR 63 OF 2010 - APPROVAL OF BENEFIT OPTIONS FOR OPEN SCHEMES

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					          CIRCULAR 63 OF 2010 - APPROVAL OF BENEFIT OPTIONS FOR OPEN SCHEMES (2011)

           Scheme Name         Benefit Option Name   Decision Made               Bases for the decision
                         BLUE PRINT                    PENDING
                         BONUS PLUS                    PENDING
                         MILLENNIUM BASIC              PENDING
                         MILLENNIUM COMPREHENSIVE      PENDING
                         MILLENNIUM STANDARD           PENDING
BESTMED MEDICAL SCHEME   TOPCARE                       PENDING
                         VITAL CARE                    PENDING
                         PLATINUM                      PENDING
                         GOLD                          PENDING
                         GOLD SELECT                   PENDING


                         BONCAP                       APPROVED
                         BONCOMPREHENSIVE             APPROVED
                         BONSAVE                      APPROVED
BONITAS MEDICAL FUND
                         PRIMARY                      APPROVED
                         STANDARD                     APPROVED
                         BONESSENTIAL                 APPROVED


                         HEALTHPACT PREMIUM            PENDING       OUTSTANDING INFORMATION FROM THE SCHEME
CAPE MEDICAL PLAN        HEALTHPACT SILVER             PENDING       OUTSTANDING INFORMATION FROM THE SCHEME
                         HEALTHPACT SELECT             PENDING       OUTSTANDING INFORMATION FROM THE SCHEME
           Scheme Name                     Benefit Option Name     Decision Made   Bases for the decision
                                   FUNDAMENTAL (WAS CORE)           APPROVED
COMMUNITY MEDICAL AID SCHEME       DELUXE                           APPROVED
(COMMED)                           STANDARD                         APPROVED


                                   DYNAMIX                          APPROVED
                                   PINNACLE                         APPROVED
                                   MUMED                            APPROVED
COMPCARE WELLNESS MEDICAL SCHEME   SYMMETRY                         APPROVED
                                   AXIS                             APPROVED
                                   NETWORX                          APPROVED


                                   CLASSIC COMPREHENSIVE            APPROVED
                                          CLASSIC DELTA
                                           COMPREHENSIVE
                                   CLASSIC CORE                     APPROVED
                                          CLASSIC DELTA CORE
                                   CLASSIC PRIORITY                 APPROVED
                                   CLASSIC SAVER                    APPROVED
                                          CLASSIC DELTA SAVER
                                   COASTAL CORE                     APPROVED
                                   COASTAL SAVER                    APPROVED
                                   ESSENTIAL COMPREHENSIVE          APPROVED
DISCOVERY HEALTH MEDICAL SCHEME           ESSENTIAL DELTA
                                           COMPREHENSIVE
                                   ESSENTIAL CORE                   APPROVED
                                          ESSENTIAL DELTA CORE
                                   ESSENTIAL PRIORITY               APPROVED
                                   ESSENTIAL SAVER                  APPROVED
                                          ESSENTIAL DELTA SAVER
                                   EXECUTIVE                        APPROVED
                                   FOUNDATION CORE                  APPROVED
                                   KEYCARE CORE                     APPROVED
                                   KEYCARE PLUS                     APPROVED


                                   MAXIMA BASIS                      PENDING
                                   MAXIMA CORE                       PENDING
FEDHEALTH MEDICAL SCHEME
                                   MAXIMA PLUS                       PENDING
                                   MAXIMA STANDARD                   PENDING
            Scheme Name                 Benefit Option Name            Decision Made                      Bases for the decision
                                ULTIMA 300 WITH OHEB                     PENDING
                                ULTIMA 200 WITHOUT OHEB                  PENDING
                                ULTIMA 200                               PENDING
                                ULTIMAX                                  PENDING
                                BLUE DOOR                                PENDING
                                ENTRYZONE(NEW 1/09/2010)                 PENDING


                                                                                             MEMBERS TRANSFERRED TO MEDSHIELD 13/10/2010
                                BASIC COVER PLAN                 LIQUIDATED WEF 12/10/2010
                                                                 LIQUIDATED WEF 12/10/2010   MEMBERS TRANSFERRED TO MEDSHIELD 13/10/2010
GEN-HEALTH MEDICAL SCHEME       COVER PLUS PLAN
                                                                 LIQUIDATED WEF 12/10/2010   MEMBERS TRANSFERRED TO MEDSHIELD 13/10/2010
                                PRIMARY COVER

                                PRIVATE                                  PENDING
                                PRIVATE PLUS                             PENDING
GENESIS MEDICAL SCHEME          PRIVATE COMPREHENSIVE                    PENDING
                                PRIVATE CHOICE(NEW 01/01/2011)           PENDING


                                PLUS                                    APPROVED
                                STEP                                    APPROVED
HOSMED MEDICAL AID SCHEME
                                VALUE                                   APPROVED

                                                                   AMALGAMATED WITH
                                CAPITATION                         MOMENTUM (1/10/10)
                                                                   AMALGAMATED WITH
                                PIONEER                            MOMENTUM (1/10/10)
INGWE HEALTH PLAN                                                  AMALGAMATED WITH
                                HOSPITAL PLUS                      MOMENTUM (1/10/10)
                                                                   AMALGAMATED WITH
                                MEDICARE                           MOMENTUM (1/10/10)


                                PLATINUM                                APPROVED
                                GOLD                                    APPROVED
KEYHEALTH                       SILVER                                  APPROVED
                                BRONZE                                  APPROVED
                                BRONZE PLUS                             APPROVED
LIBERTY HEALTH MEDICAL SCHEME   GOLD FOCUS                              APPROVED
           Scheme Name                     Benefit Option Name        Decision Made                   Bases for the decision
                                   GOLD SAVER (WAS GOLD PLUS)           APPROVED
                                   PLATINUM COMPLETE                    APPROVED
                                   PLATINUM FOCUS                       APPROVED
                                   PLATINUM SAVER(WAS PLATINUM
                                   PLUS)                                APPROVED
                                                                   OPTION DISCONTINUED-
                                   SILVER FOCUS                          31/12/2010
                                                                  OPTION DISCONTINUED –
                                                                  MERGED WITH BONA PLUS
                                   SILVER CORPORATE NETWORK             (31/12/2010)
                                   BONA PLUS                            APPROVED
                                   TITAN                                APPROVED

                                   COMPREHENSIVE (WAS MAKOTI
MAKOTI MEDICAL SCHEME ( WAS GOOD   COMPREHENSIVE)                       APPROVED
HOPE MEDICAL AID SOCIETY)
                                   PRIMARY (WAS MAKOTI PRIMARY)         APPROVED


                                   DIMENSION ELITE                      PENDING           OUTSTANDING INFORMATION FROM THE SCHEME
                                   DIMENSION PRIME 1                    PENDING           OUTSTANDING INFORMATION FROM THE SCHEME
                                   DIMENSION PRIME 2                    PENDING           OUTSTANDING INFORMATION FROM THE SCHEME
                                   DIMENSION PRIME 3                    PENDING           OUTSTANDING INFORMATION FROM THE SCHEME
MEDIHELP
                                   MEDIHELP PLUS                        PENDING           OUTSTANDING INFORMATION FROM THE SCHEME
                                   NECESSE                              PENDING           OUTSTANDING INFORMATION FROM THE SCHEME
                                   UNIFY                                PENDING           OUTSTANDING INFORMATION FROM THE SCHEME


                                   ALPHA                                APPROVED
                                   MANAGED CARE                         APPROVED
MEDIMED MEDICAL SCHEME             MEDISAVE - MAX                       APPROVED
                                   MEDISAVE - STANDARD                  APPROVED


                                   MEDIBONUS                            APPROVED
                                   MEDIPLUS                             APPROVED
                                   MEDIVALUE                            APPROVED
                                   80% OPTION(OXYGEN)                   APPROVED
MEDSHIELD MEDICAL SCHEME
                                   CORE PLUS (OXYGEN)                   APPROVED
                                   ESSENTIAL (OXYGEN)                   APPROVED
                                   ESSENTIAL CARECROSS(OXYGEN)          APPROVED
                                   PREMIUM PLUS(OXYGEN)                 APPROVED
           Scheme Name                  Benefit Option Name       Decision Made   Bases for the decision
                                 STANDARD (OXYGEN)                 APPROVED


                                 SUMMIT                            APPROVED
                                 ACCESS                            APPROVED
                                 CUSTOM
                                        ANY GP/ PHARMACY & ANY
                                         HOSPITAL
                                        STATE & ANY HOSPITAL
                                        STATE & ASSOCIATED
                                         HOSPITAL
                                        ANY GP/PHARMACY &
                                         ASSOCIATED HOSPITAL
                                        ASSOCIATED GP/PHARMACY
                                         & ASSOCIATED HOSPITAL
                                        ASSOCIATED GP/PHARMACY
                                         & ANY HOSPITAL            APPROVED
                                 INCENTIVE
                                        ANY GP/ PHARMACY & ANY
                                         HOSPITAL
                                        STATE & ANY HOSPITAL
                                        STATE & ASSOCIATED
                                         HOSPITAL
MOMENTUM HEALTH MEDICAL SCHEME          ANY GP/PHARMACY &
                                         ASSOCIATED HOSPITAL
                                        ASSOCIATED GP/PHARMACY
                                         & ASSOCIATED HOSPITAL
                                        ASSOCIATED GP/PHARMACY
                                         & ANY HOSPITAL            APPROVED
                                 EXTENDER
                                        ANY GP/ PHARMACY & ANY
                                         HOSPITAL
                                        STATE & ANY HOSPITAL
                                        STATE & ASSOCIATED
                                         HOSPITAL
                                        ANY GP/PHARMACY &
                                         ASSOCIATED HOSPITAL
                                        ASSOCIATED GP/PHARMACY
                                         & ASSOCIATED HOSPITAL
                                        ASSOCIATED GP/PHARMACY
                                         & ANY HOSPITAL            APPROVED
                                 INGWE (WAS BASE)
                                        PRIMECURE & NETWORK
                                         HOSPITAL
                                        PRIMECURE & STATE         APPROVED
            Scheme Name                   Benefit Option Name           Decision Made                   Bases for the decision
                                          HOSPITAL
                                         CARECROSS & NETWORK
                                          HOSPITAL
                                         CARECROSS & STATE
                                          HOSPITAL
                                   BASE FARANANI & NETWORK          OPTION DISCONTINUED-
                                   HOSPITAL                               31/12/2010
                                                                    OPTION DISCONTINUED-
                                   BASE FARANANI & STATE HOSPITAL         31/12/2010

                                   SUPREME                             NOT APPROVED        NON COMPLIANCE WITH OFFICE DIRECTIVE
NATIONAL INDEPENDENT MEDICAL AID   MILLENIUM                           NOT APPROVED        NON COMPLIANCE WITH OFFICE DIRECTIVE
SOCIETY (NIMAS)                    CLASSIC                             NOT APPROVED        NON COMPLIANCE WITH OFFICE DIRECTIVE

                                                                     AMALGAMATED WITH
                                   80% PLAN                          MEDSHIELD (1/10/10)
                                                                     AMALGAMATED WITH
                                   CORE PLUS                         MEDSHIELD (1/10/10)
                                                                     AMALGAMATED WITH
                                   ESSENTIAL                         MEDSHIELD (1/10/10)
OXYGEN MEDICAL SCHEME                                                AMALGAMATED WITH
                                   ESSENTIAL CARECROSS               MEDSHIELD (1/10/10)
                                                                     AMALGAMATED WITH
                                   STANDARD                          MEDSHIELD (1/10/10)
                                                                     AMALGAMATED WITH
                                   PREMIUM PLUS                      MEDSHIELD (1/10/10)


                                   FOOTPRINT COMPREHENSIVE               APPROVED
                                   FOOTPRINT PRIMARY                     APPROVED
                                   METHCARE                              APPROVED
                                   PALADIN COMPREHENSIVE                 APPROVED
PHAROS MEDICAL PLAN
                                   RAINBOW COMPREHENSIVE                 APPROVED
                                   RAINBOW PLUS                          APPROVED
                                   RAINBOW PRIMARY                       APPROVED


                                   PROCEDURE                             APPROVED
                                   PROCLASSIC                            APPROVED
                                   PROVIDER                              APPROVED
PRO SANO MEDICAL SCHEME
                                   PROVISION                             APPROVED
                                   PRO-ELITE                             APPROVED
             Scheme Name                    Benefit Option Name         Decision Made         Bases for the decision
                                   HOSPITAL PLAN                          PENDING
                                   ESSENTIAL-PLAN                         PENDING
PROTEA MEDICAL AID SOCIETY



                                   FOUNDATION (WAS FUNDAMENTAL)          APPROVED
                                   HOSPITAL                              APPROVED
                                   PRESTIGE                              APPROVED
RESOLUTION HEALTH MEDICAL SCHEME   PROGRESSIVE FLEX (WAS                 APPROVED
                                   PROGRESSIVE)
                                    PROGRESSIVE SELECT (NEW
                                   1/1/2011)                             APPROVED


                                   MEDXXI                                APPROVED
                                   MED ELITE                             APPROVED
SELFMED MEDICAL SCHEME             SELFMED 80 %                          APPROVED
                                   SELFSURE                              APPROVED


                                   SIZWE AFFORDABLE                     PENDING
                                   SIZWE AFFORDABLE NETWORK       DISCONTINUED 31/12/2010
SIZWE MEDICAL FUND                 SIZWE FULL BENEFIT                   PENDING
                                   SIZWE PRIMARY                        PENDING


                                   SPECTRA CYAN (WAS ALLIANCE)           APPROVED
                                   SPECTRA AZURE (WAS ELITE)             APPROVED
                                   SPECTRA AQUA (WAS HOSPITAL)           APPROVED
SPECTRAMED                         SPECTRA COBALT (WAS PLUS)             APPROVED
                                   SPECTRA CAPRI (WAS HOSPITAL           APPROVED
                                   ELITE)

                                                                     AMALGAMATED WITH
SUREMED HEALTH
                                   CHALLENGER                        THEBEMED (1/10/10)
                                                                     AMALGAMATED WITH
                                   NAVIGATOR                         THEBEMED (1/10/10)
                                   SHUTTLE                        DISCONTINUED (31/12/2010)
                                   EXPLORER                       DISCONTINUED (31/12/2010)



THEBEMED                           ENERGY                                 PENDING
           Scheme Name          Benefit Option Name   Decision Made   Bases for the decision
                         FRONTIER                       PENDING
                         UNIVERSAL                      PENDING
                         CHALLENGER (SUREMED)           PENDING
                         NAVIGATOR (SUREMED)            PENDING


TOPMED MEDICAL SCHEME    TOPMED TRADITIONAL            APPROVED
                         TOPMED HOSPITAL PLAN          APPROVED
                         TOPMED INCENTIVE              APPROVED
                         COMPREHENSIVE
                         TOPMED INCENTIVE SAVINGS      APPROVED
                         TOPMED NETWORK                APPROVED

				
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