Medical Schemes Act, 1998 (Act No. 131 of 1998)

For the purposes of this chapter —

"designated service provider"

means a health care provider or group of providers selected by the medical scheme concerned as the preferred provider or providers to provide to its members diagnosis, treatment and care in respect of one or more prescribed minimum benefit conditions;

"emergency medical condition"

means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical or surgical treatment, where failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part, or would place the person’s life in serious jeopardy;

"prescribed minimum benefits"

section 29(1)(o) of the Act, and consist of the provision of the diagnosis, treatment and care costs of —

"prescribed minimum benefit condition"

means a condition contemplated in the Diagnosis and Treatment Pairs listed in Annexure A or any emergency medical condition.