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In-hospital: HOSPITAL BENEFITS
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THESE BENEFITS MAY DIFFER ACROSS PLANS

All about Major Medical Benefits, what cover is available, the importance of pre-authorisation before hospitalisation and services and procedures covered during hospitalisation.

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MANAGED CARE PROGRAMMES
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THESE BENEFITS MAY DIFFER ACROSS PLANS

More about the Managed Care Programmes for HIV and AIDS, Oncology, Mother and Baby Care, as well as the Beneficiary Risk Management Programme.

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CLAIMING MADE EASY
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CLAIMING MADE EASY

Oct 23, 2015 by

What to do with claims, how much time you have to submit a claim, how claims are paid, how soon you can claim after joining the Fund and what happens if you do not have enough benefits left to settle claims.

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FREQUENTLY ASKED QUESTIONS
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Questions ranging from overseas medical expenses, motor vehicle accidents, claims in terms of the Compensation for Occupational Injuries and Diseases Act, handling complaints against the Fund, keeping medical costs low, reporting fraud, as well as getting additional cards/certificates.

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