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| When do co-payments apply to PMBs? |
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Co-payments can only be levied when members
voluntarily choose not to go to a DSP for a specific service, and/or
when beneficiaries voluntarily decide not to use protocol or formulary
medication or treatments.
Co-payments have to be specified in the medical scheme rules and may never
be 100% of the cost of the service or medication. Schemes are also not allowed
to recover co-payments from beneficiaries’ savings accounts. |
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