Payment Policy
Terms and Conditions
We are committed to providing you with quality and affordable health care and the professional administration of this process. This practice charges rates based on the Discovery Health Premier A tariff structure. One fee for all patients. Our billing codes are in line with the 2022 published tariff code guideline from SADA (South African Dental Association).
It remains the responsibility of the patient / legal guardian to settle the full account for specialised medical services rendered within 30 days from the date of service.
- Private patients: Please settle the full account on the date of service.
- Medical Aid Insurance: Your medical aid benefit is a contract between you and your insurance company; we are not party to that contract. The balance of your claim is your responsibility whether your insurance company pays your claim or not. The account will be submitted electronically on behalf of medical aid patients on the day of service. Please follow-up payment with your medical aid.
- Co-payments on consultations: Payable on the day of the appointment.
- Payment of Dental Implant components. Dr Viljoen requires upfront payment of dental implant components. We must order and pay stock on delivery.
- GAP-Cover Claims: This practice does not have any agreements with any gap cover providers. Your agreement with your gap-cover provider states that you as the insured member will be refunded on claims paid. Gap cover payments can take up to 3-months to be processed and will only be paid to the insured member and not to the practice.
- Account settlement: The full account must be settled within 30 days from the date of service. Should the medical aid neglect to settle the claim within 30 days in accordance with the Medical Schemes Act 131 of 1998, Section 59.2, the patient must settle the full account and claim directly from the medical aid.
- Non-covered services: Please be aware that some treatment options might not be covered by your medical aid plan. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions you might have regarding your coverage.
- Authorisations: It remains the responsibility of the patient to obtain the necessary authorisations required for consultations, in-rooms, or in-hospital procedures. Practice staff will only assist patients with the above by e-mailing the required documentation to your medical aid.
- Non-payment: If your account is over 30 days past date of service, you will receive a letter stating that you have 10 days to pay your account in full or we will refer your account for collection of bad debt, and you will be responsible for all legal fees.
We appreciate your understanding and co-operation.
Yours faithfully
Johannes Viljoen