SAMWUMED offers comprehensive medication benefits including:
Over and above these medications, the Scheme also covers the 26 Chronic Disease List conditions, as prescribed by Law and an additional three (Depression, GORD & Gout) on Option A and an additional five (Eczema, Depression, GORD, Gout & Menopause) on Option B.
OPTION A
Conditions:
- To use benefits, the treating doctor must do the following:
- Register your condition by calling 0860333387 or emailing samwumedcmm@medscheme.co.za.
- Inform you about medication exclusions and prescribe from the Scheme’s list of medicines to avoid a 25% co-payment.
- Benefits are subject to Scheme protocols, pre-authorisation, and case management.
- Choose a Scheme Network pharmacy to avoid co-payments.
- Consider generics to prevent extra co-payments.
OPTION B
Paid from Risk
Conditions:
- To use benefits, the treating doctor must do the following:
- Register your condition by calling 0860333387 or emailing samwumedcmm@medscheme.co.za.
- Inform you about medication exclusions and prescribe from the Scheme’s list of medicines to avoid a 25% co-payment.
- Benefits are subject to Scheme protocols, pre-authorisation, and case management.
- Choose a Scheme Network pharmacy to avoid co-payments.
- Consider generics to prevent extra co-payments.
