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PLEASE NOTE: If a member consults a non-network GP (non-DSP) then benefits will only be paid at 80% of cost or medical scheme rate, whichever is less and the remainder will be for the member’s own account.
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Resolving Problems and Queries
According to the Scheme Rules, members can lodge a complaint with the Scheme in the following ways:
The following illustrates how to log a telephonic or email query, problem or complaint in the most effective manner.
Disputes and complaints may also be posted to Queries/Complaints at
MEDiPOS, PO Box 921, Westville, 3629 or via email to enquiries@medipos.co.za
It is important to follow the process depicted above as it will provide you with a response in the shortest possible time.
When you lodge a complaint, the Scheme will respond within five working days from the time the complaint was received. There are, however, complaints that need clinical input and investigation, and these would reasonably take longer to resolve. Members will always be informed of the status of their complaint and the Scheme will work tirelessly to make sure that the complaint is resolved quickly and efficiently.
Should you feel that your concerns are not being addressed you may also contact the office of the Principal Officer at Maria.Masilela@postoffice.co.za
The Disputes Committee
Should you not be satisfied with the response from the Scheme, you can request in writing that your complaint be lodged with the Scheme`s Disputes Committee (you can send your request to the same contact details listed above). The Committee comprises independent professionals who have medical and legal expertise.
The Council for Medical Schemes
If you are still not satisfied with the outcome, you can lodge a complaint
with the Registrar of the Council for Medical Schemes on complaints@medicalschemes.com
You are encouraged to make use of the internal procedures available to lodge your complaints, as you are guaranteed a speedy resolution.
Contact Us
Client Services
Tel: 0860 100 078
Fax: 086 566 1372
Email: enquiries@medipos.co.za
Managed Care Services (including hospital
pre-authorisation & ICON)
0860 100 078
MEDiPOS Anti-fraud Hotline
Tel: 0800 112 811
24 Hour Pre-Auth Guide
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POPIA
Resolving Problems & Queries
COVID-19 Documents
Self Help Kit
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DISCLAIMER : The material and other information provided on this website is for educational, communication and informational purposes only and does not by any means supersede the rules of the Scheme. Please note that the scope of the Scheme and all terms and conditions are set out in detail in the rules of the Scheme. In the event of any discrepancy between this website and the rules of the Scheme, the rules of the Schemes always take precedence.