Select a scheme and option
View the benefits, health management programmes and chronic conditions covered by your patient’s medical scheme and option.
Filter by:
| Benefit summaries | |
|---|---|
| In-hospital benefits |
Subject to pre-authorisation. For pre-authorisation call 041 395 4481 or email [email protected]. |
| Day-to-day benefits |
Read more about out-of-hospital benefits. |
| Chronic medication benefits |
The chronic medication benefit may be subject to applied limits, levies, and Formulary / Reference pricing or exclusions. Members are encouraged to make use of Designated Service Provider (DSP) pharmacies and formulary medicine, where applicable to avoid out-of-pocket expense. To register for chronic medication call 041 395 4482 or, email completed Chronic Medication Application form to [email protected]. |
| Chronic condition lists | |
|---|---|
| Prescribed minimum benefits (PMB) | |