According to Sections 30-31 of the Public Service Act of 1994, the DoH must submit claims for services provided to medical scheme members at its facilities.
Healthcare providers employed by the DoH cannot, in their individual capacity, claim for services provided, unless they have written permission from the DoH Head of the Department. The Act states that "an employee does not, without approval, undertake remunerative work outside his or her official duties or use office equipment for such work".
In order to comply with the Act, we have requested all DoH providers who provide services to GEMS members outside the public service to send us an affidavit and/or the practice letter from the DoH Head of Department as proof that they are allowed to be employed outside the public service and receive remuneration.
We have decided to reject the claims for services or products provided by DoH healthcare providers who did not provide the proof of approval in time, from 1 November 2014.
This means that if you visit a provider who does not have permission to perform Remunerated Work outside the public service (RWOPS), you will have to pay their claims out of your pocket
View the list of DoH healthcare providers that are allowed to be employed outside the public service and receive remuneration.
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