What does Bankmed comprehensive plan cover?

100% of the Scheme’s Maximum Medical Aid Prices (MMAP) for Bankmed Network GPs (DSPs) or Bankmed Pharmacy Network (DSP) 80% of Scheme’s Maximum Medical Aid Prices (MMAP) for non-DSPs. Continued benefits for PMBs after depletion of annual limit, subject to PMB regulations.

Does Bankmed cover circumcision?

We pay for Pap smears and offer a circumcision benefit on all Plans and female birth control on all Plans except the Essential Plan. Members also have cover for HIV counselling and testing as well as a full HIV treatment programme if they need it.

When should I change my Bankmed plan?

Please note: the deadline for Plan changes is 04 December 2020. Please do not miss the cut-off date as Plan changes are only allowed once a year and take effect from 1 January of the following year. Mid-year Plan changes are regrettably not allowed.

Is Bankmed a good medical aid?

Based on the 2019 Health Quality Assessment findings, Bankmed members receive better quality healthcare in the industry across most clinical quality indicators. Bankmed is registered in accordance with the Medical Schemes Act 131 of 1998. The Council for Medical Schemes has approved all our rules and benefits.

Who can join Bankmed?

Reserves have to be maintained above 25% to ensure the financial sustainability of the Scheme. Membership is open to any person in the service of an employer who is contracted to Bankmed.

How is late joiner penalty calculated?

The formula used to calculate the late-joiner penalty is the member’s current age (on date of registration) minus 35 plus the number of years of previous cover with a registered South African medical scheme. Example: Age of the member on the date of registration is 58 years old.

Is Bankmed only for bank employees?

About Bankmed Bankmed began as a vision to provide healthcare funding that was tailored exclusively to the employees of the banking industry.

How do I claim back Bankmed?

Bankmed website

  1. Log in.
  2. Go to Claims and click on Submit a claim.
  3. Once there, go to Upload and click on Upload now.
  4. Select the file you want to upload and then click on Send claim.
  5. Once the claim has been successfully uploaded, you should receive a reference number.
  6. Scan your claim and e-mail it to [email protected]

Is Bankmed under discovery?

Bankmed is not a part of Discovery Health Medical Scheme. The two medical schemes are separate legal entities and operate independently of one another.

What is a late joiner penalty?

A late-joiner penalty is a higher monthly rate you pay for membership because you only join a health scheme at a later stage in life when you are more likely to need expensive cover from a scheme.

What is a 3 month general waiting period?

General waiting period of up to three months During this period, members have to pay their normal monthly contributions, but are not entitled to claim any benefits whatsoever, except in certain instances with claims relating to PMBs.

Who does Bankmed fall under?

Discovery Health (Pty)
The administration of Bankmed is, by law, independent from the management of the Scheme and all administration services are contracted to Discovery Health (Pty) Ltd, an accredited medical scheme administrator.