Name of the Organization : PG Group Medical Scheme
Type of Facility : PG Group Medical Scheme Membership Application
Head Office : Durban
Website : http://www.pggmeds.co.za/default.aspx?awXW4NDsfRDN4kOttvc8weTW4q97NECP
Guideline : https://www.southafricain.com/uploads/3089-PGGuideline.pdf
Application Form : https://www.southafricain.com/uploads/3089-PGApplicationform.pdf
PG Group Medical Scheme Membership Application
** The PG Group Medical Scheme is managed by a Board of Trustees, with the primary objective to look after the interests of the members.
Related : Universal Healthcare Administrators Makoti Medical Scheme Membership Application : www.southafricain.com/3084.html
** The Scheme continues to be well managed and it it pleasing to note that we continue to achieve the stringent criteria and solvency levels set by the Registrar of the Council for Medical Schemes.
** We are committed to provide members with access to appropriate and quality healthcare benefits at competitive rates in a managed healthcare environment, supported by efficient administration.
** Our Scheme is open to PG Group employees only. We believe that our valued members utilise their benefits in an honest and responsible manner, and are conscious of the importance of good health.
** Membership of the PG Group Medical Scheme is compulsory unless you are covered by your spouse’s medical scheme and do not wish to change your medical scheme membership.
Responsibilities of a Member :
** Members are required to provide the Scheme with all the information regarding any treatment, care and diagnosis received in the 12 months preceding the application.
** It is essential that members familiarise themselves with the Scheme Rules, thereby ensuring they understand their rights, responsibilities and benefit entitlement.
** You are bound by the Rules of the Scheme, as amended from time to time.
How do you Join?
If you have just joined the PG Group, your employer will issue you with an application for membership form. Once you have completed the form, return it to your Human Resources Department to advise the Scheme. Remember to include all your dependants on this application form.
Proof of Membership :
** A membership card will be issued to you reflecting your membership number, name, the names of your registered dependants and the date from which you are entitled to benefits.
** Do not lend your card to anyone other than your registered dependants.
** Use of the card by, or on behalf of, any other party is illegal and will result in criminal prosecution and termination of membership.
** Fraudulent use of cards leads directly to increased costs for all members.
Who can you Register as a Dependant?
You can register your spouse or partner and dependant children of your immediate family, in respect of whom you are liable for family care and support.
Dependants of Deceased Members :
** Dependants of deceased members are entitled to remain members of the Scheme, provided they were registered as beneficiaries at the time of the member’s death and the member had contributed to the Scheme for a period of five consecutive years.
Adult Dependant :
** A dependant who is 21 years and older.
Agreed Tariff :
** Our Scheme agreement with preferred providers, such as doctors and/or hospitals, where specific tariffs have been negotiated.
Ambulance Services :
** This includes all medically equipped transport, like ambulances or helicopters, utilised for medical emergencies.
** A principal member or a person registered as a dependant of the member.
** The amount payable for medical services provided to members for themselves or their dependants in respect of the Rules.
Benefit Limits :
** The maximum treatment/amount payable for a specific benefit.
Claims and Administration
Postal address for claims and correspondence
PG Group Medical Scheme
PO Box 1402