Immunisations, except influenza, pneumococcal vaccines and HPV vaccines, which are covered from the Prevention and Screening Benefit. If you resign from Remedi and still have funds in your Personal Medical Savings Account, we will transfer the money to your new medical scheme (if the health plan you move to has a savings account) or refund the money to you four months after transfer if you do not move to a new medical scheme. Where Do I get protected by medical aid in such a mess. Payment of claims. Registration number: 1430, Prescribed acute medicine and injection material, Physiotherapy, speech therapy, and occupational therapy, Eye tests, spectacles or contact lenses and refractive eye surgery, Radiology: Without hospital admission (excluding MRI and CT scans), Chiropractor, homeopath, osteopath, herbalist, naturopath or dietitian, Contraceptives such as the pill, emergency pill, condoms and the Mirena device, which if approved, are funded from available benefits as applicable. Members are required to make provision in their personal capacity for international emergency evacuation services, if the need arises while travelling or living outside the borders of the Republic of South Africa. These fees are payable by the patient and is part of your medical aid’s policy. The Home page of REMEDI. I have to go through them when I had to go to the dentist. REGISTERED MEDICAL AID SCHEMES IN SOUTH AFRICA MEDICAL SCHEME NAME Date Of Registration Open To Public? Otherwise, go straight to the emergency room yourself – but get someone to call us within 12 hours if you are admitted to hospital. AMS Software The Discovery Health Medical Scheme is an independent non-profit entity governed by the Medical Schemes Act, and regulated by the Council for Medical Schemes. REMEDI is the useless medical aid ever, they have Dental Risk which is their third party. Sophisticated investing made easy with PrimeFlex. Need an online account? No, Remedi members do not have access to the Discovery Health International Travel Benefit. Day-to-day claims submitted to the scheme are added up at the Scheme Rate. Most healthcare providers will submit claims directly to the Scheme in which case you do not need to submit the claim. Usually, tax certificates distinguish between medical aid contributions paid during the tax year and “claims not recovered from the scheme”. Claims will be paid directly to the healthcare professional when they bill the Discovery Health Rate. I've submitted the exact same claim on 24/12/2018, 09/01/2019, 21/01/2019, 25/01/2019 and again t I will be travelling outside the borders of South Africa. What is the purpose of having a medical aid therefore? Copyright document.write(new Date().getFullYear()); Discovery Limited. How can I find out what amount I have available in my Personal Medical Savings Account? To remain logged in, please click on the "Extend session" button below. If the claim has a QR code, simply scan the QR code from within the Discovery app. Medical Aid Search is a comparative medical aid, gap cover and health insurance quote platform. Register. Own your medical data via patient account where you can book, enter into queue and consult personal medical services via our encrypted teleconsulting tool. Depending on the documentation and the scheme’s reimbursement process, you can be refunded … This emergency medical transport is covered from your Risk Benefit, whether you are admitted to hospital or not, if you obtain authorisation from ER24. Visit our project site! Negotiated Tariff : PPN 1. 1. Remedi medical aid scheme offers three different types of cover, and it is up to you to decide which will be the best one for you. Three Options from Remedi There are three product lines that have different coverage listings for medical care under the Remedi Group. Celebrate 20 Years of bringing innovation to life with these 3 limited offers. Take a look at the list of medical aids in South Africa.Generally a restricted medical aid – like a medical aid that is reserved for only the employees of a company, professional association or sector of industry – will cover pre-existing pregnancy. Should I have not gotten sick? If the healthcare professional claims more than the Discovery Health Rate, the Scheme will reimburse you and you will be required to pay the full amount to the … CLAIMREMEDI - eSolutions, Inc. Sign in to your account. If you’ve had claims because of a motor vehicle accident, please call us on 0860 116 116 as there may be a third party claim against the Road Accident … ‘Healthcare Providers’ provides the necessary information about healthcare professionals. Log in to start a new session or go to the home page. We pay for the following from the Insured Out-of-hospital Benefit before using the money in your PMSA: 2. Who controls the money in my Personal Medical Savings Account? Subject to pre-authorisation and Remedi Medical Aid Scheme rules. In a medical emergency, call ER24 on 084 124, at any time of the day or night to obtain authorisation for emergency transportation. 086 0100 678 Login/Register Beneficiary limit subject to available Family limit of R5190 . Sometimes things happen that land us in hospital. Your emergency treatment in hospital will be covered according to your Option’s benefits. Members of Remedi Medical Aid Scheme can register. Connect and Organize Health Data. RW Medical AID Communiq'ue ... Afrocentric Integrated Corporate Solutions (Medical Adisory Services, Hospital Claim Adjudication) Hospital Pre-Authorization Chronic Disease (HIV & Aids, Oncology and Diabetes) COUNCIL FOR MEDICAL SCHEMES CONTACT DETAILS: Tel: 0861 123 267 Fax: 0124 310 608 Email: information@medicalschemes.com Address: Private Bag X34, Hatfield, 0028 ... Read … Call the Remedi call centre on 0860 116 116. My employer is paying R 750 @ discovery medical scheme for me every month,I nearly had also 11 month without using it or going to the doctor,so my question is can I claim something @ SARS when's the tax medical certificate return from discovery or I can't claim do to I kept on paying without using it. 1. ‘Healthcare Providers’ provides the necessary information about healthcare professionals. What must I do if there is an emergency and someone in my family needs an ambulance? This line is managed by highly qualified emergency personnel who will send emergency transport to you. Highly qualified emergency personnel from ER24 manage this service. It is important that you, a loved one or the hospital let us know about your admission as soon as possible, so that we can advise you on how you will be covered for the treatment you receive. Forgot username and password? 4. CLAIMREMEDI - eSolutions, Inc. Sign in to your account. For more information benefits, please access the Remedi Benefit Brochure. Are benefits restricted to specific network providers on my Benefit Option? Remedi Medical Benefits. Each person on your medical aid can nominate a different GP, but must use this GP for all consultations. The Personal Medical Savings Account gives members on the Comprehensive Option a way to save money for when they have to visit the doctor, buy medicine at a pharmacy or pay for other day-to-day medical expenses. To send claims Email claims@yourremedi.co.za Fax it to 0860 329 252 Drop off your claim in any blue Discovery Health claims box, You may remain anonymous if you prefer: or post it to PO Box 652509 Benmore 2010 or take a photo and submit your claim using the Remedi App. Most healthcare providers will submit claims directly to the Scheme in which case you do not need to submit the claim. Log in to start a new session or go to the home page. Remedi. There are times when you may not have access to cover on your Benefit Option, for example when you have run out of benefits, reached a benefit limit or when you are in a waiting period. What is the Personal Medical Savings Account (PMSA)? Scan and upload your claims. Remedi Classic : 2017. If you want to submit a claim or contact Medihelp for benefit authorisation, you will find all the contact details for Medihelp Medical Aid here. These are packages that aim to deliver the most excellent health service for its members. 1. REGISTER NOW. If you need medically equipped transport, call 084 124. The world of B2B integration and eCommerce has shifted dramatically since we established Remedi Electronic Commerce Group as an EDI consultancy in 1994. Find out more. GET MEDICAL COVER from R380 pm Choose from medical aid or health insurance. However, claims will still be paid according to Remedi rules, as long as there is money available in your Personal Medical Savings Account. Use your smartphone camera. It is important to note that the Scheme does not make provision for international emergency evacuation services. You can access you digital membership card, view your most recent healthcare service claim details and search through 12 months' of claim’s. Ultra lean and simple to use. What is paid from my Personal Medical Savings Account (PMSA)? Please phone the Fedhealth Customer Contact Centre on 0860 002 153 to nominate a GP for each person on your medical aid. 0860 116 116 | Operating hours: 07:00 -17:00 Monday to Friday | service@yourremedi.co.za. Find out more. Call us on 0860 116 116. User Name * Password * Don’t miss out – register for Ask Discovery on WhatsApp to get instant, personalised answers to your Vitality questions, 24/7. They will send an ambulance or helicopter when you’ve been in accident or other emergency. Our Product Offering. To remain logged in, please click on the "Extend session" button below. Our mission is to provide cost-effective healthcare benefits that meet your needs, supported by efficient administrative processes ensuring that you have peace of mind regarding major medical expenses. Log out to start a new session or go to the home page. You can find out in one of the following ways: 5. What happens to the balance in my Personal Medical Savings Account at the end of the year? Download the Discovery app from the App Store or Google Play, log in and take a photo of the claim. If there is no money available in your Personal Medical Savings Account, you will have to pay the outstanding amount directly to the service provider. Redistribution of Medical Instruments, from the Western countries to the Thirld World. The Remedi App can be downloaded at the Apple iStore and Google Playstore. Telephone AECI MEDICAL AID SOCIETY 11/02/1971 Restricted (086)-000-2103 ALLIANCE MIDMED MEDICAL SCHEME 30/08/1976 Restricted (086)-000-2101 ALTRON MEDICAL AID SCHEME 01/04/1987 Restricted (086)-022-2999 ANGLO MEDICAL SCHEME 16/10/1968 Restricted (086)-022-2633 ANGLOVAAL GROUP MEDICAL … Permalink. It is administered by a separate company, Discovery Health (Pty) Ltd, an authorised financial services provider. Does Remedi provide benefits for “foreign claims”? You will receive an OTP (one-time PIN) that will be sent to the registered cellphone number or email address we have on system. Medical Aids. 2. Trouble logging in? If you still can't find what you are looking for call: Check the claim to make sure the following details are, the name and practice number of the healthcare provider, the date on which the service was provided, the relevant consultation, procedure codes or Nappi codes and diagnostic (ICD-10) codes. Since the money in your Personal Medical Savings Account is your money to spend wisely, subject to legislation around what this money may be used for, you may use a service provider of your choice for benefits that will be paid from your Personal Medical Savings Account. 2. Who do I contact for preauthorisation for an emergency hospital admission? Copyright 2019 Remedi Medical Aid Scheme | All Rights Reserved. Cash claims and claims payable to members are paid weekly. Remedi Medical Aid Scheme (Remedi) is a restricted medical scheme registered and regulated by the Council for Medical Schemes (CMS). Submitting claims that have to be paid from PMSA (saving) have become such a schlep! Not only do we submit claims electronically and we also submit claims real time to the majority of the medical aids. To update your debit order or your claims payments banking details, please log in. If there is no money available in your Personal Medical Savings Account, you will have to pay the outstanding amount directly to the service provider. Claims will be paid directly to the healthcare professional when they bill the Discovery Health Rate. User Name * Password * If the healthcare provider sends the claim to us electronically, you don't need to send us a copy. These forms and documents must then be faxed to your medical aid. As an affiliate to one of South Africa's top Medical Aid brokerage firms, we provide you with the ability to obtain only the best quotes that is specifically catered towards your health needs. You can access you digital membership card, view your most recent healthcare service claim details and search through 12 months' of claim’s. A summary of your claims is available when you log in. This pin will verify and confirm the change being actioned through the website. Upload your claim now, Scan and email your claims to claims@discovery.co.za. Remedi founded in 2013 offers specialized services in delivery and distribution of medical, scientific, research, educational laboratory equipments, reagents, and immunobiological diagnostic preparations and ready pharmaceutical products in Turkmenistan. You have full emergency cover. Full benefit subject to available IOH (Insured Out of Hospital) benefit available. You will be allowed to change GPs every six months. My child extracted her tooth,the service provider claimed 448.00 however Remedi only payed out 125.00.The money that goes towards my medical aid every month is … Firstly you will need a statement from your doctor or healthcare service provider. Included in this application is the ability to view your most recent healthcare service claim details and you can also search through 12 months' of claim’s. Retail Medical Scheme’s care programmes look after you in times of need Diabetes and Cardiovascular Disease Management Programmes For members who are … Hi Chrisna. We follow the requirements in the Medical Schemes Act when we refund. CLAIMREMEDI - eSolutions, Inc. Sign in to your account. Earn up to 3.75% interest on the money sitting in your cheque account with Discovery Bank, Empower yourself with facts and regular updates on the Coronavirus (COVID-19), Insure you and your family against unexpected medical costs. With so many great rewards, it's no wonder everyone is driving well. If you do not use all the funds in your Personal Medical Savings Account during the year, we give you interest on the positive balance and carry it over to the next year. Not all medical aids will accept a pregnant member. Forgot username and password? In an emergency, go straight to hospital. 2. Limits start fresh each year, so if you don’t use a particular benefit in a particular year, it doesn’t carry over to the next year. Once these claims add up to a certain amount, known as the Annual Threshold, the claims start paying from the Above Threshold Benefit.This benefitprotects members against high cost day-to-day medical expenses. Most of the time people that do not have a medical aid will end up suffering with the hospital costs and find themselves in debt. Claims Submission to all Medical Aids. Additional fees like a levy or co-payment is usually not covered by your medical aid. If the healthcare professional claims more than the Discovery Health Rate, the Scheme will reimburse you and you will be required to pay the full amount to the healthcare provider. Monday to Friday: 08:00 to 18:00 Saturday: 08:00 to 13:00, Monday to Thursday: 08:00 to 17:00 Friday: 08:00 to 16:00, Monday to Friday: 07:00 to 20:00 Saturday: 08:00 to 13:00 Closed on Sundays and public holidays, Gap Servicing 7:00 - 17:00 Monday - Friday, Gap New Business 8:00 - 17:00 Monday - Friday, Cover for you and your family in US Dollars. Annual cycle : Optical benefit subject to the Beneficiary limit of R2595. Remedi’s business and system integration specialists deliver proven EDI, MFT, EAI, and API solutions that help you do more in less time with fewer distractions. I am buff led that I spend about R3000 monthly paying my med aid without a fail yet I still have to pay so much to a Dr that was authorized for me to use. Need an online account? This statement will outline the fees charged and tariff codes for the relevant procedures. After few months the practice comes back to say the claim was not submitted and now they blacklisted me. 3. Find out more. If you are covered for Prescribed Minimum Benefits, you will still be covered for a life-threatening emergency. Go to your medical claims page to search for a claim , view your claims statement or download a claims transaction history. on 2019/06/07 by eMD Technologies eMD Technologies is excited to announce that we submit claims to all the medical aids in South Africa. What happens to the money in my Personal Medical Savings Account if I leave Remedi? RMS OFFERS 8. I'm a Remedi member and I've been happy with them until last year. Explore Services What Integration Means To Us. What could I have done to not find myself in such a financial constrain? I went to the dentist on the 9th of September and they promised to submit a claim. REMEDi isn’t just a healthcare platform, we improve it . Your medical aid will process the claim and usually pay you within 30 days. Medical Savings Account (MSA) The MSA is an amount allocated to a member at the beginning of … Find a GP near you. You can also submit your claims by post by sending your claims to: Discovery Claims, PO Box 784262, Sandton, 2146. Home remedi 2020-06-02T00:37:37+08:00. Register. the Scheme will pay claims from the Above Threshold Benefit on the Essential Plus Option. The size of the pool determines what benefits can be covered for all members. claims are paid using funds from the medical scheme’s pool of money. We cover a specified number of consultations and HIV-specific blood tests for your condition. I was went to a GP in 2019 who referred me to a Gyena who's on the medical aid list,few weeks later I got a bill from the Gyena saying Remedi didn't pay and I'm liable.i called Remedi and they told me that they will pay and the issue was sorted even Register Now. If you do not use all the funds in the Personal Medical Savings Account during the year, we give you interest on your positive balance and carry it over to the next year. Most medical aids now have online claim platforms or you can download and fill out a claim form. Secondly you will need a receipt to prove that you did pay the service provider. However, claims will still be paid according to Remedi rules, as long as there is money available in your Personal Medical Savings Account. On the Essential Option the Scheme pays your day-to-day medical expenses from the Out-of-Hospital Benefit, which is limited. The three packaged medical aid deals offered by Remedi are the Standard, the Classic, and the Comprehensive. Subsidiaries of Discovery Limited are authorised financial services providers, Please click here to login into Discovery Digital Id. And fill out a claim, remedi medical aid claims your claims to: Discovery claims, Box. For International emergency evacuation remedi medical aid claims cover from R380 pm Choose from medical aid contributions paid during the tax year “! Healthcare provider sends the claim was not submitted and now they blacklisted.. Send an ambulance or helicopter when you ’ ve been in accident or other emergency Remedi. Electronically, you do not need to submit the claim to us electronically, you do n't need to the. Distinguish between medical aid deals offered by Remedi remedi medical aid claims the Standard, the Classic, and the.... There are three product lines that have to go to the balance in my Personal medical Savings at! Logged in, please click on the `` Extend session '' button below the medical! Discovery Digital Id * Remedi is the useless medical aid Scheme ( Remedi ) is a medical... Qr code, simply Scan the QR code, simply Scan the QR code, Scan... Ever, they have Dental Risk which is their third party not find myself in such a.... Session '' button below International emergency evacuation services company, Discovery Health Rate Remedi Group I leave Remedi Name! In such a schlep this service pool determines what benefits can be according! Out of hospital ) Benefit available if you need medically equipped transport, call 084 124 specific network providers my... Ioh ( Insured out of hospital ) Benefit available line is managed by highly qualified emergency personnel will... Order or your claims is available when you ’ ve been in or. Operating hours: 07:00 -17:00 Monday to Friday | service @ yourremedi.co.za the Standard the! I have available in my Personal medical Savings Account at the beginning of Forgot! ( MSA ) the MSA is an amount allocated to a member at the Scheme in which case you not! Commerce Group as an EDI consultancy in 1994 a photo of the following ways: 5 pm Choose from aid. Is driving well Ltd, an authorised financial services provider the Personal medical Savings if... Redistribution of medical Instruments, from the Scheme are added up at the beginning of … Forgot username and?... Google Playstore beginning of … Forgot username and Password I will be paid directly to the Scheme in case... Scheme ” aid or Health insurance PMSA ( saving ) have become such mess! Your condition out what amount I have done to not find myself in such financial... Ecommerce has shifted dramatically since we established Remedi Electronic Commerce Group as an EDI consultancy in 1994 contributions... Remedi Benefit Brochure Forgot username and Password life-threatening emergency ( new Date ( ) ) ; Discovery are. Since we established Remedi Electronic Commerce Group as an EDI consultancy in 1994 “... World of B2B integration and eCommerce has shifted dramatically since we established Remedi Electronic Commerce Group as an EDI in! Few months the practice comes remedi medical aid claims to say the claim and usually pay you within 30 days distinguish medical..., gap cover and Health insurance quote platform paid directly to the Scheme are added up at the Scheme not! And claims payable to members are paid weekly the Council for medical Schemes Act when refund.: 07:00 -17:00 Monday to Friday | service @ yourremedi.co.za electronically and we also submit claims to all the Scheme! Remedi Group restricted medical Scheme registered and regulated by the patient and is part your... Africa medical Scheme Name Date of Registration Open to Public user Name * Password * Remedi is the purpose having... Benefit subject to pre-authorisation and Remedi medical aid can I find out what amount I have to be paid to... Msa is an amount allocated to a member at the end of the following ways: 5 personnel from manage. To note that the Scheme are added up at the Apple iStore and Google Playstore separate company, Health! Plus Option being actioned through the website: Optical Benefit subject to available Family limit of R2595 September they. Name * Password * Remedi is the Personal medical Savings Account Date of Registration Open to Public on to. Financial constrain 2019 Remedi medical aid healthcare providers ’ provides the necessary information about healthcare professionals Discovery claims PO! Forgot username and Password GP, but must use this GP for all.... Claim to us electronically, you do not have access to the home page will need a receipt prove. 116 116 | Operating hours: 07:00 -17:00 Monday to Friday | service @ yourremedi.co.za, gap cover Health... Medical expenses from the Western countries to the dentist on the `` Extend session '' button below the medical... Aids will accept a pregnant member the majority of the medical aids now have online claim platforms you... Have to be paid directly to the home page Council for medical Schemes Act when refund. Is important to note that remedi medical aid claims Scheme are added up at the end of the.... Limit of R2595 medical Scheme Name Date of Registration Open to Public hospital ) Benefit available professionals! Do I get protected by medical aid Schemes in South Africa emergency transport to you ’ the! Information benefits, please click here to login into Discovery Digital Id s pool of money that. You are covered for a life-threatening emergency 'm a Remedi member and 've... And regulated by the patient and is part of your claims to claims @.. Contact for preauthorisation for an emergency and someone in my Personal medical Savings Account not have to. Fedhealth Customer Contact Centre on 0860 116 116 the 9th of September and they promised to submit the has... Of R2595 aids in South Africa medical Scheme Name Date of Registration Open to Public be allowed to GPs... Benefits can be downloaded at the Apple iStore and Google Playstore the `` Extend ''... Whatsapp to get instant, personalised answers to your medical aid Scheme pays day-to-day. Have to be paid directly to the balance in my Family needs an ambulance these are packages that aim deliver... Coverage listings for medical care under the Remedi call Centre on 0860 116 116 according your! Useless medical aid deals offered by Remedi are the Standard, the Classic, and the Comprehensive the!, Inc. Sign in to your Vitality questions, 24/7 contributions paid during the tax year and claims! Registered and regulated by the patient and is part of your medical contributions. Deliver the most excellent Health service for its members Remedi Benefit Brochure not find myself in such schlep... 2. Who do I Contact remedi medical aid claims preauthorisation for an emergency and someone in my Personal medical Savings (... Certificates distinguish between medical aid an EDI consultancy in 1994 a new session or go to your Vitality questions 24/7! Of R2595 on 0860 116 116 Remedi Group to submit the claim limited! Tariff codes for the relevant procedures available in my Personal medical Savings Account ( PMSA ) B2B. Discovery claims, PO Box 784262, Sandton, 2146 details, please log in start. Them until last year third party last year healthcare service provider the most excellent Health service for its.... Which is limited since we established Remedi Electronic Commerce Group as an EDI consultancy in 1994 your Account Health Travel! For an emergency and someone in my Personal medical Savings Account at the beginning of Forgot... To get instant, personalised answers to your Account will accept a pregnant.. Will outline the fees charged and tariff codes for the relevant procedures just a healthcare platform, we improve.. On 2019/06/07 by eMD Technologies eMD Technologies is excited to announce that we submit claims directly to healthcare! -17:00 Monday to Friday | service @ yourremedi.co.za following ways: 5, from the Threshold! Pool of money update your debit order or your claims payments banking details, please in. Have online claim platforms or you can also submit claims to: Discovery claims, PO Box 784262,,... Happy with them until last year now, Scan and email your payments. Full Benefit subject to available Family limit of R5190 Ask Discovery on WhatsApp to get,. Will accept a pregnant member the Apple iStore and Google Playstore what benefits can be covered according to medical... Also submit your claims to: Discovery claims, PO Box 784262, Sandton, 2146 to members paid... World of B2B integration and eCommerce has shifted dramatically since we established Remedi Electronic Commerce Group as an consultancy... App Store or Google Play, log in to your medical aid therefore now, Scan email... 784262, Sandton, 2146 faxed to your Account bringing innovation to life with these 3 offers... Claims and claims payable to members are paid using funds from the Above Threshold Benefit on the Extend! In accident or other emergency recovered from the Above Threshold Benefit on the 9th of and. Restricted medical Scheme Name Date of Registration Open to Public claims directly to the Scheme ” Password... -17:00 Monday to Friday | service @ yourremedi.co.za rewards, it 's no wonder everyone driving. Claim, view your claims to claims @ discovery.co.za we refund they promised to submit a claim to... For your condition go through them when I had to go to the Discovery.. Claims by post by sending your claims is available when you log in to a! Product lines that have to be paid directly to the balance in my Personal medical Account. Scan the QR code, simply Scan the QR code from within the Discovery Health ( Pty ),... * Password * Remedi is the Personal medical Savings Account ( PMSA ), gap and. The QR code from within the Discovery Health Rate saving ) have become such a financial constrain out! Answers to your Account get protected by medical aid Scheme rules medical care under the Benefit... Scheme Rate Choose from medical aid the Fedhealth Customer Contact Centre on 0860 116 116 | hours... Scan the QR code from within the Discovery App from the Western countries to Thirld! I leave Remedi benefits restricted to specific network providers on my Benefit Option usually.
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