General Membership Rules and Subscriptions

1. Individual Member- An individual member is anyone joining Progress Medical Centre in his/her own personal capacity and NOT through a company.

Subscriptions:

  • Initial Payments – Twelve months in advance membership fee.
  • Condition – Non-refundable and transferable

2. Family Member-Family membership caters for members of a particular family joining Progress Medical Centre medical Scheme in its own family right and NOT through a company. This includes parents and their children

Subscriptions:

  • Initial Payments – Twelve months in advance.
  • Condition – Non-refundable and transferable
  • Additions and deletions of members must be notified in writing
  • Infants are covered under mother’s membership up to 2 (two) weeks of age, thereafter must be added to family membership as an individual in writing

3. Company Member- A Company member is one who has got access to Progress Medical Centre medical services through the company he/she works for or is a dependent of an employee of a member company.

Subscriptions:

  • Initial Payments – Twelve months in advance
  • Condition – Non-refundable, but transferable
  • Additions and deletions of employees (members) must be notified in writing. Failing which charges will be made up to the date of the advice.

Members Responsibilities

Members are requested to:

  • 1. Members must always produce their current Membership Card and ID whenever accessing services.
  • 2. Make an appointment wherever possible-either by phone or in person.
  • 3. Be punctual for the appointment
  • 4. Make a review appointment before leaving the clinic.
  • 5. Please ensure that your account is fully paid up and up to date.
  • 6. Please abide by the clinic hours, except in an emergency.
  • 7. Please respect hospital rules in regards to visiting hours.
  • 8. Please abide by the hospital/clinic clean air and NO smoking policy.
  • 9. Children less than 12 years of age must be accompanied by and adults when seeking treatment.

Services covered by membership of clinic

  • 1. Out-patient consultations with General Practitioners during clinic hours as follows:
    08.00– 16.30 hrs Monday to Friday, lunch time is 13.00 -14.00
    8.30 – 12.30 hrs Saturday
    The clinic and hospital is covered by one doctor for urgent and emergency cases during the doctor’s lunch time (13.00-14.00) and after 16.30, Sundays and Public Holidays. Patients are asked to attend for routine non urgent consultations during the clinic hours as listed above and to make an appointment to avoid any inconvenience.
  • 2. Outpatient consultations with any other specialists who hold clinics at specified time each week. Patients always are referred to a specialist by the General Practitioner.
  • 3. Nursing procedures such as dressing changes, giving of injections and inoculations, under-five’s clinic, etc.
  • 4. Laboratory tests: all routine blood, stool and urine tests.
    Laboratory is open 8.00 – 17.00hrs Monday to Friday, 9.00 – 13.00 Saturday. After 18.00, Sundays and Public Holidays a Lab technician well be called by the duty doctor, if it is deemed necessary, to attend to urgent tests which cannot wait.
  • 5. All routine X-rays and diagnostic procedures such as barium studies and IVP, the member will be charged for Radiologist’s fee and the material used on members account. The X-ray department is open 8.00 -16.30 hrs Monday to Friday, 09.00 – 13.00 Saturday. A Radiographer can be called after surgery hours to take X-rays if deemed necessary by the duty doctor.
  • 6. Ultrasound scans fixed weekly sessions and the duty doctor can call specialist at any time for urgent cases. The patient will be charged for call-outs.
  • 7. Physiotherapy including all physical therapy treatment. This treatment only for cases referred by a clinic doctor, to a maximum of 5 sessions, after which the patient will be referred back to the doctor for review. The department is open 8.00 – 16.30 Monday to Friday and 9.00 – 12.30hrs Saturdays.
  • 8. Electrocardiogram (ECG).
  • 9. Minor surgical and gynaecological procedures carried out in the clinic by the GP or may be a visiting specialist.
  • 10. Antenatal care, which includes regular monitoring with ultrasound scans, and postnatal check six weeks after delivery.
  • 11. Under-five’s clinic – weighing and monitoring of infant’s progress and advice given where appropriate, and full vaccination schedule as per the current District Health Management Team and WHO program. Any other vaccines will be supplied by the patient. Clinic is held on Wednesdays 08.00 – 12.00hrs.
  • 12. If a patient arrives more than 15 min late for an appointment the appointment becomes invalid. N.B. Specified lab tests, X-ray procedures or any other specialized tests will incur extra charges.

Services NOT covered by OPD clinic

  • 1. Full membership of the clinic is effective two weeks after the joining date.
    During the first two weeks of clinic membership, ONLY CONSULTATIONS plus a few basic tests are covered – everything else is to be paid for.
  • 2. Pharmaceuticals are charged separately. A pharmacy is available in the clinic for the patient’s convenience. It is open – 8.00 – 17.00 Monday to Friday, 9.00 – 13.00 Saturday.
    Medicals:
    a) Non-disease related medical examinations and any test related to such medical examination, such as insurance, immigration and visa medicals. However these can be done on request and clinic members pay the relevant charges.
    b) Routine health checks, laboratory tests and X-rays carried out at the patient’s personal request are to be paid for and will be fully charged.
  • 3. Vaccinations and inoculations other than those included in the Under-5 program, e.g. hepatitis A&B, Rabies, Typhoid, and Meningitis.
  • 4. Specialist’s fees, when a patient has a consultation with specialist other than specialist who routinely hold clinic at Progress Medical Centre, or when one of the above specialists is called to see a patient outside of the routine session.
  • 5. In-patient treatment at any hospital, including Progress Medical Centre Hospital, unless the patient is a hospital member, and all lab tests or specimens sent out to any other medical Centre or laboratory.
  • 6. Dental treatment – dental service is not covered by membership.

Services covered by hospital membership on admission

  • 1. Hospital accommodation will be charged on discounted per day will apply.
  • 2. Hospital membership covers hospital admission up to the time of discharge by the treating doctor, providing that this does not exceed the “five discounted” days. Anyone insisting on staying in hospital after being medically discharged will be charged at the commercial rate.
  • 3. Twenty-four hours medical care – a doctor is on duty up to 20;00 hrs then on call at all time.
  • 4. Nursing care and all consumables (syringes, needles, dressings, inusion sets etc.)
  • 5. All specialist consultation fees, providing that the treating doctor requests the consultation. If the patient demands consultation with a visiting doctor, without the advice of the treating doctor, then the patient must pay the fees.
  • 6. Gynaecological and maternity care including delivery by doctor or midwife, whether the delivery is normal or assisted.
  • 7. A baby born to a mother with Hospital membership and no exclusions is covered for two weeks for nursing care and medical treatment in hospital, including special care facilities if necessary. Consultant’s fees and surgical treatment will be paid for.
  • 8. Surgical operations up to a moderate level on discounted price
  • 9. Use of the operating theatre is covered by hospital membership, but operation, anesthetic drugs are charged separately.
  • 10. Physiotherapy, routine X-rays, most laboratory tests, ultrasound scans and ECG, Echo, Echo-Doppler on discounted price

Services NOT covered by Hospital membership

  • 1. Drugs are charged individually, this includes anaesthetic drug and gases.
  • 2. Tests and treatments done at other medical clinics are not covered by Progress Medical Centre membership.
  • 3. All meals may be brought in or purchased through the caterer.
  • 4. Any admission in excess of five days will incur a commercial daily charge.
  • 5. Exclusion period for Excluded Conditions
  • 6. If a hospital member undergoes surgery entirely at his/her own request, which is not recommended by the doctor for medical reasons, then he/she will be asked to pay for the surgery. This also applies to family planning procedures (vasectomy and tubal ligation.)
  • 7. If a consultant who is not a retainer is called in, the fee is paid by the patient.