CMS steps in as Discovery Health begins recovering pharmacy overpayments

Discovery Health is engaging affected members individually after a processing error led to some pharmacy claims being paid beyond Above Threshold Benefit limits during 2025.

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COVID-19 – New PMB guidelines for medical aids

The Council for Medical Schemes recently published PMB definition guideline: COVID-19 v3, a guideline that clarifies PMB entitlements of medical scheme beneficiaries within the context of the pandemic, ensuring that there is uniform […]

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COVID-19 – New PMB guidelines for medical aids

The Council for Medical Schemes recently published PMB definition guideline: COVID-19 v3, a guideline that clarifies PMB entitlements of medical scheme beneficiaries within the context of the pandemic, ensuring that there is uniform […]

Read More