- Managed Care
Medicine risk management and integrated care programme
Prescribed minimum benefit management
Chronic medication formulary
Psychiatry Management Programme
Maternity Programme
Immunisation Formulary
Oncology Risk Management Programme
Hospital Risk Management Programme
Aid for AIDS Disease Management
Dental Management Programme
MANAGED CARE CONTACT DETAILS
- Forms & Documents
DOCUMENTS
SCHEME RULES
AGM Documents
Annual Financial Statements
- Find Providers
GP Networks
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.
Specialists Networks
Pharmacy Network
Managed Care
The Scheme has contracted with Medscheme as a Manage Health Care Organisation in terms of the Act to render Managed Health Care services to the Scheme and its members. These services are provided through various managed health care programmes which include oncology, chronic medicine management, psychiatry etc.
Managed care programme contact details
| Programme | Telephone | Fax | |
|---|---|---|---|
| Integrated Care (cardiovascular, diabetes and respiratory, maternity, psychiatry, spinal) | 860 100 078 | 866 040 569 | dm@medipos.co.za |
| Oncology | 860 100 078 | 866 018 978 | oncology@medipos.co.za |
| Prescribed Minimum Benefits | 860 100 078 | 866 094 413 | dtp@medipos.co.za |
| Medicine Risk Management (chronic medication) | 860 100 078 | 866 018 977 | chronic@medipos.co.za |
| Hospital Risk Management (for hospital pre- authorisation) | 860 100 078 | 866 040 355 | preauth@medipos.co.za |
| Dental Management | 860 100 078 | 865 608 087 | dental@medipos.co.za |
| Aid for AIDS- HIV/ AIDS Management | 860 100 646 | 800 600 773 | afa@afadm.co.za |
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
Walk-in Centres
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.