NHRPL Tariff Gap

More often than not, there will be a short payment on your in-hospital procedures account, due to the service providers, (specialists, anethetists etc), charging in excess of what your Medical Aid is prepared to cover. For example, if you have a medical scheme that pays out a the rate of 100% then you are going to be caught short because they can charge in excess of 300%!

Depending on the nature and length of time of your in-hospital procedure, this short payment could be a fairly significant amount, leaving you the end user significantly out of pocket! 

For R 95 per family per month this issue can be avoided completely!

NHRPL or, National Health Price Reference List, is what the council for medical schemes recommend that medical practitioners charge. Medical practitioners for the most part do not subscribe to this tariff, and charge up to 400% (or 4 times more) than this Tariff.