Billing Policy & Terms of Service
Effective from 01 March 2026
This document constitutes a binding agreement between the Practice and the Patient and/or Main Member of the applicable medical aid scheme.
1. Medical Schemes & Authorizations
I acknowledge that the Practice is contracted to DISCOVERY HEALTH MEDICAL SCHEME (PREMIER A OPTION) which includes the following medical aid schemes underwritten by Discovery Health:
- Discovery plans (Essential, Coastal, Classic, Executive)
- Anglo Vaal Group Medical Scheme
- The Foschini Group (TFG) – Health Plus Option
- UKZN Medical Scheme – all plans
- BMW Employees Medical Scheme
- SAB Medical Aid – all plans
- Retail Medical Scheme - all plans
- Tsogo Sun Group Medical Scheme - all plans
- LA Health Medical Scheme; La-Active, Comprehensive, Core & Focus
- Naspers Medical Scheme; MMed option & N Option Plus
- Quantum Medical Scheme; Comprehensive & Saver plans
- Remedi Medical Aid Scheme; Comprehensive & Classic plans
- WITS Medical Aid Scheme (excluding network option)
A. I understand that patients who are members of other medical aid schemes will be charged at Discovery Premier A rates. As Dr Spengane is not contracted with other medical aid schemes, I am required to settle my account in full on the day of consultation via credit or debit card. I may thereafter submit the statement provided to my medical aid scheme for reimbursement.
B. I acknowledge that it is my responsibility to confirm with my medical aid scheme the amount that will be reimbursed for a specialist dermatology consultation, procedures, and/or treatments.
C. I acknowledge that it is my responsibility to obtain a valid referral letter from my general practitioner should my medical aid scheme require one for reimbursement of a specialist consultation.
2. Private Patients
Effective 01 March 2026. Includes 30 minutes, excludes extra procedures in rooms.
Required to secure a specialist dermatology appointment. This amount will be DEDUCTED FROM YOUR CONSULTATION FEE upon attendance.
Accounts are due and payable via credit or debit card on the day of consultation unless otherwise agreed in writing.
Treatment may require hospitalisation and/or the services of other healthcare providers (including specialists, anaesthetists and pathology laboratories), which are billed separately and at additional cost.
All excised tissue specimens will routinely be sent for histopathological analysis unless clinically contraindicated or specifically declined in writing by the patient following informed discussion.
3. Cancellation & Non-Attendance Policy
Private Patients:
If cancellation is necessary, we require that you call at least 24 HOURS IN ADVANCE. Appointments are in high demand, and your advanced notice will allow another patient access to that appointment time.
Late Cancellations: A cancellation is considered late when the appointment is cancelled less than 24 hours before the appointed time. The BOOKING CONFIRMATION FEE WILL BE FORFEITED as a reasonable cancellation charge.
Medical Aid Patients:
Discovery Health (Premier A option): In the event of a LATE CANCELLATION or NO-SHOW, patients may be charged in accordance with Discovery scheme rules.
Other Medical Aids: In the event of a LATE CANCELLATION OR NO-SHOW, the full consultation fee will be charged to the patient's account. This amount must be settled in full prior to scheduling or attending a subsequent appointment.
4. General Provisions
Confidentiality:
All information furnished to the practice shall be treated as strictly confidential. Information may be shared with Medical Aid Schemes, Referring Doctors, and Consulting Specialists where pertinent to treatment or payment.
Medical Records:
It is standard practice to hand medical certificates and prescriptions to the patient on the date of consultation. Electronic copies may be requested in writing.
Practice Manager: Alida Petersen | Tel: 021 100 4566 | info@dermatologistincapetown.co.za
HPCSA / MP No.: MP0715867 | BHF Practice No.: 0810142 | VAT No.: 4890289434
By registering as a patient, you acknowledge and agree to the terms of this Billing Policy.