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Group Therapy Programme

Fees & Medical Aid

Medical aid (Funds)

  • Most medical aid funds cover all clinical costs and accommodation in a psychiatric hospital (for all psychiatry related therapy) for up to 21 days per annum.

  • Patients remain responsible for any shortfall of claims not paid by the medical aid (amounts their medical aids do not cover).

  • Patients have to obtain an authorisation- or reference number from their medical aid funds before they can be admitted to Bloemcare.

  • Some medical aid funds do not pay for treatment by physiotherapists while in a psychiatric hospital.

  • All medical procedures that the psychiatrist refers the patient to undergo, e.g. gastroscopies, colonoscopies, X-rays, etc are not covered under “psychiatry-related”. This will be paid as per the patient’s specific option (plan) of his/her medical aid scheme.

  • Before a patient is admitted to Bloemcare, they should contact their medical aid fund to make sure which services will be covered by their plan.

  • Accommodation fees are charged according to negotiated rates between the facility/service provider and the patient’s medical aid scheme.

  • Case Managers (medical aid fund queries) and Debtors (private queries) personnel are available Monday to Friday, during office hours, for any queries.

Fees (Subject to change)

  • Accommodation for most medical aids – as per the medical aid (fund) tariff. Private patients must pay an up-front deposit of R7 700.00 when admitted.

  • Discovery Health Coastal Network : 30% of account is patient’s liability.

  • Medication is charged per item and is part of the hospital bill.

  • Psychiatrists charge separately and their account is not part of the hospital bill.

  • Psychologists charge separately and their account is not part of the hospital bill.

  • Physiotherapists charge separately and their account is not part of the hospital bill.

  • Occupational therapy: as per the medical aid fund tariff, but forms part of the Bloemcare group therapy program, which is psychiatry related.

  • Blood tests are charged separately by the pathologist.

  • Sleep study does not form part of the hospital bill.