A Financially Healthy Scheme
- SAMWUMED is a fully-funded, national-accredited and self-administered Medical Aid Scheme with an estimated 35 000 members
- The Scheme covers approximately 73 000 lives throughout South Africa
- SAMWUMED operates within a closed sector namely, local government and associated agencies employees
- It was established in 1952 by the Cape Town Municipal Workers’ Association (CTMWA)
- It is financially healthy with reserves above 82%, exceeding the required statutory threshold of 25%
- The Scheme is one of the most affordable in its category
Other Facts about SAMWUMED
- The Scheme has a national membership
- Its Head Quarters are in Cape Town
- It has Regional Offices in four big metropolitan areas of Pretoria, Polokwane and Durban
- It has Brokers and Consultants nation wide
- The Scheme was mentioned as one of the Three Most Sustainable Medical Schemes in South Africa by the Alexander Forbes Sustainability Index Report for 2016, 2017 and 2018
SAMWUMED Benefit Options
SAMWUMED has Two Benefit Options: – Option A and Option B.
Target Market for the Benefit Options
Option A
Is targeted at younger members and younger families who require moderate day-to-day medical careOption B
Is targeted at middle and older members and their families, who need more day-today benefits, chronic illness benefits and at times, hospitalisation
Number of Benefits available to members per Option
- Each Option has a total of 16 Benefit Options, the primary difference between the Options being the Premium contribution rate. The Benefits are:
- Alternative Health Care
- Ambulance services
- Appliances
- Dentistry
- GP Consultations, Visits and Procedures
- Infertility
- Medication
- Mental health & Substance Abuse
- Optical
- Pathology
- Physiotherapy
- Prostheses
- Radiology & Radiography
- Remedial Therapy
- Specialist consultations, visits & procedure
SAMWUMED’s benefits compared with those of competitors
SAMWUMED benefits are Comprehensive and compare favourably with those of our competitors. SAMWUMED benefits cover members for both Primary (doctor/specialist consultations) and Secondary (hospitalisation) medical care.
SAMWUMED Premium contributions are some of the lowest when compared to competitors in our sector.
SAMWUMED competitors?
- Bonitas
- Hosmed
- KeyHealth
- LA Health
How do potential members join the scheme?
They have to:
- Access an Application Form from a Broker, Consultant or the SAMWUMED website
- Fill an Application Form manually or electronically via the SAMWUMED website
- Submit the form with a copy of their SA ID through their employer or the SAMWUMED website
- They will receive an SMS or email from SAMWUMED as confirmation that the form has been received
- After successful processing of the application, they will receive a Welcome Pack
