Archive
 

2007 MEMBER GUIDE
1.   Pathfinder Terminology
2.   Pathfinder Contact List
3.   All About Membership
   
3.1 Who qualifies for Pathfinder membership?
3.2 Who qualifies as a dependant
3.3 Registration of dependants
3.4 Membership – Frequently asked questions
4.   Contributions
   
4.1 When do I have to pay my contributions?
4.2 Suspension of membership
4.3 Premium loading for people who join a medical scheme late in life
5.   How To Claim
   
5.1 What is the claiming procedure
5.2 What should you check on your claims
5.3 Payment of claims
5.4 Statement / remittance advise
6.   Prescribed Minimum Benefits (PMB)
   
6.1 What are Prescribed Minimum Benefits (PMB)?
6.2 To what extent are the Prescribed Minimum Benefits restricted?
6.3 CHRONIC DISEASE LIST (CDL)
7.   Exclusions and Limits on Benefits
8.   Pre-authorisation Policy and Procedures
   
8.1 What is pre-authorisation
8.2 Pre-authorisation for medical services
8.3 Pre-authorisation for Hospitalisation
8.4 Pre-authorisation for Dentistry
9.   Medicine Benefit
10.   Essential List of Benefits
   
10.1 Basic Pathology Protocols – Trail
10.2 Basic Radiology Protocols – Trail
10.3 Optometry Grid Avenue and Terrace
10.4 Basic Dentistry Protocols – All options Avenue and Terrace
11.   Aganang HIV/Aids Management Programme
   
11.1 Process to register on the HIV/AIDS Disease Management Programme
12.   Emergency Benefit
13.   Special Benefits
14.   Affiliated Partners
15.   2007 Benefits and Contributions
   
  Trail
  Lane
  Avenue
  Terrace
  Collective Benefits 2007
  Contribution Table 2007