At present, there is no “Reference Price List” and thus there is no single medical aid rate any longer. This makes the administration of your billing difficult to understand and at times, difficult for our practice staff to implement. At this time, each medical aid offers a fee structure (known as the ‘Scheme Rate’) for their members. This is not a negotiated rate, but rather a unilateral offering by your scheme which is detailed every year in your membership booklet. Each scheme will pay specialists a rate which is outlined in your guide, and each plan within your fund will pay different rates. It is therefore important for you as the patient to carefully select a plan that suits your needs, and that of your dependents.