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Many people think that the ‘Small
Print’ always acts against customers' interests,
but we do not think that this is necessarily true. Our
scheme Rules define the RIGHTS of our subscribers under
the scheme. We cannot reject a claim simply because we
feel like it - we may only do so if the claim infringes
one of Medicaid’s Rules.
The ‘Small Print’ divides
into two pages, Benefit
Notes and Rules.
The Benefit Notes deal purely with your
benefit entitlements and should be read in conjunction
with the Benefit Table. For instance, if you are referred
for physiotherapy, the Table
of Benefits will tell you
how much you can claim, while the Benefit
Notes will
tell you the things that you can claim for.
If you are thinking of joining Medicaid
as a new Subscriber, all of the terms and conditions
that will apply to your membership are set out in this
website and in our scheme brochure. In many types of
insurance you only see the rules after you have applied
to join, but that is not our way of doing business. With
us, what you see is what you get.
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