Provider Portal - Benefit summaries - Suremed

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View the benefits, health management programmes and chronic conditions covered by your patient’s medical scheme and option.

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Benefit summaries
Hospitalisation benefits	Subject to pre-authorisation and managed care protocols. For hospital pre-authorisations call 086 008 0888 or 041 395 4545. Alternatively the pre-authorisation request can be emailed to [email protected]. For specialist pre-authorisation call 086 008 0888 or 041 395 4545. Alternatively the pre-authorisation request can be emailed to [email protected]. Read more
Day-to-day benefits	Click the link below to read more about the day-to-day benefits for the Challenger Plan. Read more
Chronic medication benefits	Consultations and/or any other costs incurred at the time of the visit will be paid from the member’s benefits, as specified iSubject to registration on the Pharmacy Benefit Management Programme, internal treatment protocols, medicine formulary and PMBs. For registration on the programme, please call 041 395 4482 or email the Chronic Medication Application form to [email protected]. Designated Service Provider (DSP) Pharmacies. Read more

Benefit summaries

Hospitalisation benefits

Subject to pre-authorisation and managed care protocols.

For hospital pre-authorisations call 086 008 0888 or 041 395 4545.
Alternatively the pre-authorisation request can be emailed to [email protected].

For specialist pre-authorisation call 086 008 0888 or 041 395 4545.
Alternatively the pre-authorisation request can be emailed to [email protected].

Day-to-day benefits

Click the link below to read more about the day-to-day benefits for the Challenger Plan.

Chronic medication benefits

Consultations and/or any other costs incurred at the time of the visit will be paid from the member’s benefits, as specified iSubject to registration on the Pharmacy Benefit Management Programme, internal treatment protocols, medicine formulary and PMBs.

For registration on the programme, please call 041 395 4482 or email the Chronic Medication Application form to [email protected].

Designated Service Provider (DSP) Pharmacies.

Healthcare programmes Members need to register on health management programmes to gain access to the benefits outlined below.
HIV/AIDS management programme	Suremed Health offers an independent and confidential programme managed by LifeSense. Benefits are subject to registration on the LifeSense Disease Management. To register on the LifeSense Disease Management call 086 050 6080. Read more
Chronic medication programme	Subject to registration on the Pharmacy Benefit Management Programme, internal treatment protocols, medicine formulary and PMBs. For registration on the programme, please call 041 395 4482 or email the Chronic Medication Application to [email protected]. Designated Service Provider (DSP) pharmacies Read more
LifeSense Diabetes Management Program	The LifeSense Diabetes Management Programme assist members diagnosed with diabetes to receive comprehensive diabetes care, follow up visits as well as ongoing education and counselling. To register on the programme, please call 086 100 0122 or, email the completed application form to [email protected]. For more information regarding the program please download the LifeSense Diabetes Management Programme information letter. Read more

Healthcare programmes Members need to register on health management programmes to gain access to the benefits outlined below.

HIV/AIDS management programme

Suremed Health offers an independent and confidential programme managed by LifeSense.
Benefits are subject to registration on the LifeSense Disease Management.

To register on the LifeSense Disease Management call 086 050 6080.

Chronic medication programme

Subject to registration on the Pharmacy Benefit Management Programme, internal treatment protocols, medicine formulary and PMBs.

For registration on the programme, please call 041 395 4482 or email the Chronic Medication Application to [email protected].

Designated Service Provider (DSP) pharmacies

LifeSense Diabetes Management Program

The LifeSense Diabetes Management Programme assist members diagnosed with diabetes to receive comprehensive diabetes care, follow up visits as well as ongoing education and counselling.

To register on the programme, please call 086 100 0122 or, email the completed application form to [email protected].

For more information regarding the program please download the LifeSense Diabetes Management Programme information letter.

Chronic condition lists
Prescribed minimum benefits (PMB)	Suremed - Chronic disease list

Resources for you and your patient

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Resources for you and your patient

Momentum Carecross GP Guide

Health4Me network GP patient education pad

Health4Me network GP IVR flow diagram