PAYMENT AND MEDICAL AID

 

 

Payment and Medical Aid

We are contracted to all medical aids. If your medical aid is exhausted or if your plan does not cover psychotherapy, we are able to motivate a PMB application to your medical aid for up to 15 sessions. Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide people with continuous care to improve their health and well-being and to make healthcare more affordable.

PMB's are a feature of the Medical Schemes Act, in terms of which medical schemes have to cover the costs related to the diagnosis, treatment and care of any emergency condition; a limited set of 270 conditions (defined in the Diagnosis Treatment Pairs); and 25 Chronic conditions (defined in the Chronic Disease List). If not contracted to medical aid, the Tariff rate will be as prescribed by PsySSA (Psychological Society of South Africa).

Individual therapy sessions are usually 50 minutes in duration; however, in some cases, it can be longer depending on the need. The tariffs are on a sliding scale, depending on the time/procedure code. A 10% discount is granted if the tariff is settled on the day of consultation (via EFT or cash).