MEDISCOR (PTY) LTD 1257 South Street, Centurion PO Box 8796, Centurion, 0046 Tel: (012) 674 8000 Fax: (012) 674 8001	NOTIFICATION 45 OF 2010
		Date: 13 December 2010

Medical Scheme	Faranani
Administrator	Faranani Health Solutions
Information Relevant to	Benefits and Options for 2011
Effective Date	1 January 2011

With effect 1 January 2011, Mediscor will be applying the scheme rules for Faranani as outlined below.

Herewith the detail for submitting medicine claims to Mediscor:

1.	Scheme Code (PCN)	MDS0600
2.	Switch Destination Code	FARA0001
3.	EDI Activation Code (Dispensing Doctors)	Not applicable
4.	Reference pricing (MRP®)	Yes
5.	Maximum supply of medicine	30 Days
6.	Days of supply of the dispensed medication	Yes /Compulsory
7.	Membership number as per membership card	Yes / Compulsory
8.	Dependant code as per membership card	Yes / Compulsory
9.	Dependant first name as per the membership card	Yes / Compulsory
10.	Dependant date of birth	Yes /Compulsory
11.	Dependant’s gender (male/female)	Yes / Compulsory
12.	Practice number of the prescriber	Yes / Compulsory
13.	ICD-10 diagnostic code	Yes / Compulsory
14.	9 digit NAPPI code of medicine dispensed	Yes / Compulsory
15.	Membership number requirements	Minimum 5 maximum 9 numerical including dependant code
16.	Payments to Providers	Mediscor
17.	Chronic pre-authorisation Mediscor ChroniLine™	Yes
18.	Reimbursement structure – Pharmacies	SEP + R26/26%
19.	Scheduled 0 or Unscheduled	SEP + max mark-up of 31% (VAT Excl.)

· MEDISCOR REFERENCE PRICE (MRP®) – information available on www.mediscor.net

· MEDISCOR FORMULARIES – information available on www.mediscor.net

· ICD-10 CODES – information available on www.medicalschemes.com

IMPORTANT: The details below serve as a GUIDELINE ONLY. Due to the complexities of various Levy, Co-payment, Formulary and Exclusion criteria;

SERVICE PROVIDERS MUST refer to our on-line responses to apply the correct rules.

Schemes and Options applicable 2011:

• Momentum – Base option
• Thebemed - Universal option
• OnePlan - Core option

- Coreplus option

- Elite option

- Executive option

- Golden Years option

- Platinum option

- Professional option

Herewith the scheme rules for Faranani effective from 1 January 2011:

OPTIONS	BENEFITS APPLICABLE	LEVY	MRP® co-payment	EXCLUSIONS
All options	Acute	No levies applicable	Yes	Restricted to a formulary. Please refer to on-line response.
	Prescribed Minimum Benefits (PMB)
	HIV

IF YOU REQUIRE ANY ASSISTANCE, PLEASE CONTACT:

Mediscor’s Toll-free Call centre Helpline	:	0860 113 238 or 0860 117 705
Mediscor ChroniLine^TM	:	0860 119 553

Kind Regards,

JACK PEREL