The Scheme is Open for Business and remains Financially Healthy, thus able to pay claims. Curatorship is an intervention put in place by the Council for Medical Schemes (CMS), wherein [...]
SAMWUMED pays for treatment and medication of all PMB’s (a list of 270 deceases issued by the government, including chronic illnesses like asthma). You have to first be registered though, [...]
There is no restriction to which GP you may use. SAMWUMED members can go to any doctor.
In cases of emergency a member can go to any nearest private hospital to receive medical attention and receive treatment.
Yes, to SAMWUMED you can add your girlfriend or boyfriend as your life partner. Besides their copy of identity document, the Scheme will require a written affidavit confirming relation to [...]
Unfortunately, siblings do not qualify as dependents. Only your spouse, your girlfriend or boyfriend as your life partner, child, grandchild, parent, and grandparent do qualify.
Your new-born baby should be registered within 30 days of birth. There is no waiting period for a new born baby if registered with the Scheme within 30 days of [...]
If you were registered in another medical scheme in the past 90 days for at least 2 years, benefits will be activated from the joining date, as soon as your [...]
No, subsidies are conditions of employment and the Act does not address such conditions.
The rate at which the Scheme pays for health services to service providers on behalf of members. It is based on the National Reference Price List published by the Department [...]