Terms & Conditions of the Practice

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By signing this I declare that I have read the Practice's terms and conditions (Available on the Practice website) and that I have understood the information therein. 

Please ensure that you pay specific attention to the following terms and conditions of this agreement. They require you to acknowledge the fact and limit the liability Dr T Wong and Dr S Shen INC.

By signing this form, you acknowledge that you have understood and agree to the following:

a) Where the patient is not the main member of their medical aid, you acknowledge that the main member has given permission for consultation and treatments to be claimed from your medical aid.

b) Some medical aids require pre-authorisation and/or motivation prior to treatment. Pre-authorisation or scheme approval is, according to the medical aid, no guarantee of payment. You are responsible for obtaining pre-authorizations for consultation and treatments.

c) It remains your responsibility to familiarize yourself with the benefits and terms and conditions associated with your chosen medical cover.

d) The person whose signature appears on this form, remains responsible for the payments of any shortfalls in medical aid cover. You will be notified of any amounts owing to the practice by the practice manager and will be required to settle outstanding amounts within 7 days. Further consultation and treatments may be placed on hold in the event of non-payment.

e) Although every attempt is made to resolve medical aid queries, it remains your responsibility, and not the practice, to contact and follow-up on unresolved queries or non-payments.

f) If your medical aid is depleted, your account will be charged according to cash rates, if payments are made on

the day of the appointment. Should you not inform the practice that your medical aid is depleted, or that you wish to

convert to cash/EFT payments, you will still be charged at medical aid rates where the practice has already submitted claims on your behalf.

g) In the event of special motivations or applications for PMB’S (Prescribed Minimum Benefits) for funding by your

medical aid, the practice cannot guarantee approval or payment by your medical aid. You remain responsible for

all payments until approval for funding by your medical aid is received. You are also responsible to ensure that PMB claims are correctly processed by your medical aid.

h) Medical aid rates are determined by the individual medical aids. It is your responsibility to familiarise yourself with your medical aid’s rates.
i) Dr T Wong and Dr S Shen INC cannot be held responsible for any errors or incorrect use of funds made by your medical aid.
j) Patients are encouraged to approach the practice immediately if they experience problems with the payment of their account.
k) Accounts are handed over for legal debt recovery after 90 days. Any costs associated with such actions will be incurred towards the person responsible for account. This may result in having a bad credit record.
l) If you feel that your medical aid scheme should have paid your account in full, you can lay a complaint at the Council for Medical Schemes by emailing them at complaints@medicalschemes