Select a scheme and option
View the benefits, health management programmes and chronic conditions covered by your patient’s medical scheme and option.
| Benefit summaries | |
|---|---|
| In-hospital benefits |
Hospital facilities:
Subject to pre-authorisation by the Society's designated agent or hospital DSP. Authorisation must be obtained before a beneficiary is admitted to a hospital or day clinic (except in the case of an emergency). Please call 0800 007 092 to request pre-authorisation. |
| Prescribed medicine and injection material benefit |
Prescribed medicine and injection material benefit:
Please call 0861 888 124 (doctors and pharmacists) or email [email protected] to register on the Medicine Risk Management (MRM) Programme. |
| Primary care benefit |
Click the link below to read more about the Primary Care Benefit. |
| General benefit |
General benefit:
|
| Healthcare programmes Members need to register on health management programmes to gain access to the benefits outlined below. | |
|---|---|
| Medicine risk management programme |
The Medicine Risk Management (MRM) Programme is dedicated to managing chronic medication usage and ensuring quality care through integrated healthcare and holistic patient management. To access benefits, members must be registered on the MRM Programme. Please call 0861 888 124 (doctors and pharmacists) or email [email protected] to register a member on the Medicine Risk Management (MRM) Programme. |
| LifeSense Disease Management (HIV Management Programme) |
The LifeSense programme has been developed by qualified doctors and medical professionals who specialise in the treatment and management of people living with HIV/AIDS, to ensure that patients are able to maintain a healthy, productive lifestyle. To access benefits, members must be registered on the to register a member on the LifeSense Disease Management Programme. Please call 0860 50 60 80 or email [email protected] to register on the LifeSense HIV management Programme. |
| Oncology |
The Oncology Programme is specifically designed to actively empower our cancer patients. Participants on this programme generally have a more positive attitude and approach to treating their condition and improving their general wellbeing. This positive attitude often translates into improved treatment compliance and a healthier lifestyle, which can make a real difference in the way patients respond to treatment and their general quality of life. To access benefits, members must be registered on the Oncology Programme. Please call 0800 001 607 or email [email protected] to to register a member on the Oncology Programme. |
| Maternity |
The Maternity Programme is specifically designed to actively empower and provide knowledge for a safe and healthy pregnancy and delivery, by providing essential tools to ensure the best possible care. To access benefits, members must be registered on the Maternity Programme. Please call 0861 888 109 or email [email protected] to register on the Maternity Programme. |
| Chronic condition lists | |
|---|---|
| Prescribed minimum benefits (PMB) | |