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Sizwe Medical Fund is proudly administered by 3Sixty Health.
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Copper is the world’s oldest metal. It was used in Africa more than 5000 years ago for water plumbing in the Pyramid of Cheops in Egypt.
The water delivered by this copper brought rich life and health that spread throughout Africa.
The Copper Core Plan is designed to bring rich health benefits to you.
Sizwe Copper Care Plan is our entry-level network option. It offers good value for money and peace of mind. This option offers rich benefits and unsurpassed day-to-day benefits that meet your healthcare needs.
Network providers for both in and out-of-hospital benefits.
COPPERCOREPLAN
KEY BENEFITS
Dentistry, Optometry, Radiology and Pathology (use of network provider)
Unlimited General Practitioner (GP) visits
Unlimited medication at GP network
4 additional out of network visits
Sizwe Medical Fund is proudly administered by 3Sixty Health.
Features and benefits
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This overview presentation is for Sizwe Medical Fund product information purposes only, it is not advice and does not supersede the registered rules of the Fund. To view full benefit guide please visit www.sizwe.co.za
BENEFITIN-HOSPITAL
Sizwe Medical Fund is proudly administered by 3Sixty Health.
All hospitalisation benefits are subject to pre-authorisation, clinical case management and Managed Care Protocols. A co-payment of R 1 500 is applicable if no authorisation is obtained prior to admission except for emergencies. Take home medication limited to a supply of 7 days.
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Scheme Rate 100%
YesHospital Network
PRIVATE HOSPITALS & NURSING HOMES
Subject to treatment and case management protocols. Pre-authorisation required unless it is a medical emergency. A co-payment of R 1 500 will apply if pre-authorisation is not obtained prior to admission, except in the case of emergencies.
ADMISSION
CLINICAL LIMITATIONS
EXCLUSIONS
% Benefit
Medicine to take home (TTO)
Limit
Unlimited at a private hospital.
A co-payment of R 3 000 is applicable to all general endoscopic investigations performed in-hospital. A co-payment of R 12 000 is applicable in the event of a voluntary use of a non-network hospital.
The following conditions are only covered in terms of PMBs at DSP facilities, subject to clinical protocols of the DSP. Advanced laparoscopic surgery, reconstructive surgery, joint replacements, cardiac surgery (including cardiac stents), spinal surgery and breast reconstructive surgery. Minor procedures are only paid in full if done in network doctors rooms. Only one joint replacement per member per annum, unless PMB. Only surgery for one spinal level covered per member per annum, unless PMB. Only one cardiac stent covered per vessel per annum.
Refer to Scheme Annexure C. Exclusions unless PMB are refractive surgery including radial keratotomy, breast reduction, breast augmentation, keloids and frail care.
100% Sizwe Rate
Limited to a supply of 7 days
Unlimited
GENERAL PRACTITIONERS & MEDICAL SPECIALISTS
DENTAL HOSPITALISATION
Subject to Hospital Benefit Management Programme.
% Benefit
% Benefit
Benefit
Benefit
100% Sizwe Rate
100% Sizwe Rate
Subject to the Hospital Benefit Management Programme for consultations and visits by General Practitioners and Medical Specialists in-hospital.
Subject to pre-authorisation and Managed Care Protocols, registration on the Hospital Benefit Management Programme and Dental Benefit Management Programme.
A co-payment of R 2 000 per hospital admission applies
PROSTHESIS
Subject to pre-authorisation, Managed Care Treatment Protocols and Prescribed Minimum Benefits.
% Benefit
Surgical and non-surgical cases
% Benefit
% Benefit
Benefit
Benefit
100% Sizwe Rate
Surgical and non-surgical prosthesis subject to annual limit of R 29 630 per family, Subject to pre-authorisation, treatment protocols and PMB.
100% Sizwe Rate. PMB level of care.
100% Sizwe Rate
Limited to physiotherapist, dietician, speech therapy, and occupational therapist.
ADMISSION AND DELIVERY: Accomodation at general ward rates, theatre fees, labour ward fees, dressings, medicines and materials. Delivery by GP, medical specialist or midwife and for materials supplied.
POST-NATAL SERVICES & MIDWIFERY: Subject to Maternity Benefit Management Programme and Disease Management Programme. 100% of Sizwe rate for post-natal care by midwife or as an alternative to hospitalisation.
AUXILIARY SERVICES & PHYSIOTHERAPY
MATERNITY (DELIVERY, POST-NATAL SERVICES AND MIDWIFERY)
Subject to pre-authorisation, Managed Care Treatment Protocols and Prescribed Minimum Benefits.
Subject to Hospital Benefit Management Programme, Disease Management Programme and to conditions and annual limits stipulated.
ONCOLOGY
Subject to pre-authorisation, Managed Care Protocol and registration on the Hospital Benefit Management Programme.
% Benefit
Limit
100% Sizwe Rate
Subject to pre-authorisation, treatment protocols and PMB.
Private Nurse Subject to PMB
Sizwe Medical Fund is proudly administered by 3Sixty Health.
PSYCHIATRIC HOSPITALISATION
Benefit
21 days per beneficiary per annum including psychiatric consultations and 6 in-hospital consultations by a clinical or counselling psychologist.
4 additional out-of-hospital visits in lieu of hospitalisation subject to managed protocols.
Subject to pre-authorisation, PMB and DSPs
Subject to pre-authorisation, registration on the Hospital Benefit Management Programme and Managed Care Protocols.
Specialised Radiology (MRI/CAT scan/Angiogram)
100% Sizwe rates for diagnostic procedures performed by a General Practitioner or Medical Specialist, combined in-hospital and out-of-hospital benefit limit of R 7 530 per family per annum for radiology and pathology. Includes all specialised radiology out-of-hospital. PMB applicable.
RADIOLOGY AND RADIOGRAPHY
Subject to pre-authorisation, Hospital Benefit Management Programme. Disease Management Programme and PMB protocols.
% Benefit
General Radiology
100% Sizwe Rate
100% Sizwe Rate
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HUMAN IMMUNODEFICIENCY VIRUS AND ACQUIRED IMMUNE DEFICIENCY SYNDROME (HIV & AIDS)
% Benefit
Benefit
100% Sizwe Rate
Subject to PMB, pre-authorisation and Managed Care Protocols, registration on Disease Management Programme.
Benefit is payable within the hospital annual limit and limited to PMB level of care.
Benefit No benefit
REFRACTIVE SURGERY INCLUDING RADIAL KERATOTOMY
Subject to pre-authorisation and Managed Care Protocols.
Benefit
Benefit
RENAL DIALYSIS: Benefit is restricted to requirements set out in PMBs at a DSP.
ORGAN TRANSPLANTS AND RENAL DIALYSIS
Subject to PMB, pre-authorisation, DSP providers and Managed Care Protocols.
ORGAN TRANSPLANT: 100% Sizwe rate of organ transplantation and cost of post-operative anti-rejection medicines. Harvesting, transport and donor fees are covered as PMB even if donor is not a Sizwe member. Coverage for post-transplant complications beyond 3 months of surgery limited to the recipient. Only organs and donors from within RSA are covered. Transplant PMBs subject to pre-authorisation, minimum benefit package, treatment protocols and DSPs.
Sizwe Medical Fund is proudly administered by 3Sixty Health.
Sizwe Copper Core Plan is our
entry-level option that offers you
good value for money.
DID YOU KNOW?
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01 01
Payment of your healthcare provider will be at 100% of the Sizwe Rate.Prescribed Minimum Benefits are paid at cost in accordance with prescribed rules and guidelines.
A co-payment of R500 applicable for all casualty(Emergency Rooms) consultations.
This overview presentation is for Sizwe Medical Fund product information purposes only, it is not advice and does not supersede the registered rules of the Fund. To view full benefit guide please visit www.sizwe.co.za
BENEFITOUT-OF-HOSPITAL
Sizwe Medical Fund is proudly administered by 3Sixty Health.
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DAY - TO - DAY
Includes GP, specialist (excluding psychiatrists), physiotherapy, radiology, pathology and acute medication.A co-payment of R1 300 is applicable to all General Endoscopic Investigations when out-of-hospital.
% Benefit 100% DSP Network Provider Rate
Benefits for the year subject to provider network managed care rules, formulary and clinical protocols. Each beneficiary to select a GP.
MemberMember +1Member +2Member +3Member +4Member +5Member 6+
GENERAL PRACTITIONERS
Limited to stipulated number of visits
All visits to be within DSP. Four (4) out of area visits per beneficiary per annum.
Subject to the day-to-day limit with the following sub-limits:
MemberMember +1Member +2Member +3Member +4Member +5Member 6+
ACUTE MEDICINES & PHARMACY ADVISED THERAPY (PAT)
Required benefits for year subject to formulary & Managed Care Protocol of network provider.
Over-the-counter or out-of-area: R320 per family within the DSP provider network.
DENTISTRY
Subject to network provider protocols and Dental Benefit Management, clinical protocols, formulary and managed care rules.
General Radiology & Pathology
Combined in-hospital and out-of-hospital benefit limit of R 7 530 per family per annum for radiology and pathology. Includes all specialised radiology out-of-hospital. PMB applicable.
RADIOLOGY & PATHOLOGY
Subject to the day-to-day limit with the following sub-limits:
Limited to stipulated number of visits
Required benefits for the year within Network Provider managed care rules. A GP referral and Pre-authorisation from Network Provider is mandatory except in the case of PMB emergency.
SPECIALISTS (EXCLUDING PSYCHIATRISTS)
Out-of-hospital All visits subject to referral from network GP.
Subject to the day-to-day limit with the following sub-limits.
MENTAL HEALTH
MATERNITY
Subject to PMB, pre-authorisation and Managed Care Protocols.
Benefit subject to registration on the Maternity Programme within 24 weeks of falling pregnant.
% Benefit
% Benefit
Limit
Antenatal Consultations
Pregnancy Scans (excl. diagnostic sonar) & Tests
100% Sizwe Rate
100% Sizwe Rate
Subject to PMB pre-authorisation and Managed Care Protocols.
Within GP and specialist limit subject to managed care rules, formulary and clinical protocols of network DSP.
2 x 2D scans per pregnancy 2 x Haemoglobin test 1 x Blood group test 1 x VDRL test for Syphilis 1 x HIV Elisa test.
% Benefit
If authorisation is obtained after the procedure or treatment has been done a 20% co-payment will apply.
SPECIALISED DENTISTRY
Crowns and Bridges
Orthodontics (Braces)
Implants
Metal Frame Dentures
No benefit
% Benefit
CONSERVATIVE DENTISTRY
Subject to DSP network provider, managed care rules formulary, clinical protocols and annual benefit limit.
Consultations
Root Canal Treatment
Plastic Dentures
Subject to network provider, managed care rules and benefit limit.
One set per beneficiary every 4 years. Clinical protocols apply.
Member: R 2 920Member+1: R 3 370Member+2: R 3 660Member+3: R 3 960Member+4: R 4 230Member+5: R 4 530Member 6+ R 4 970
Sizwe Medical Fund is proudly administered by 3Sixty Health.
Scheme Rate 100%
Yes
Yes
Hospital Network
Provider Network (DSP)
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AUXILIARY
% Benefit
Limit
Subject to network provider, managed care rules and benefit limit and PMB.
Limited to physiotherapy, speech therapist, clinical psychologists, podiatrist, equipment and external prosthesis
Shared benefit for Auxiliary Services and Equipment and External Prosthesis of R 2 670per family
Benefit
ALCOHOLISM, DRUG ADDICTION, NARCOTISM
Subject to pre-authorisation, treatment protocols and PMBs
3 days withdrawal treatment plus 21 days rehabilitation at an appropriate facility on pre-authorisation.
% Benefit
Limit
100% Sizwe Rate
PMB at DSP network
ORGAN TRANSPLANT & RENAL DIALYSIS
Subject to pre-authorisation, treatment protocols and PMBs.
Limit
% Benefit
Limited to R 2 670 per family per annum subjet to PMB.
Subject to network provider, managed care rules and benefit limit and PMB.
CLINICAL AND MEDICAL TECHNOLOGISTS
Subject to network provider, managed care rules and benefit limit.
Benefit Combined family benefit limit Member: R 1 190 Member +1: R 1 370 Member +2: R 1 520 Member +3: R 2 180
Frames R 520 per beneficiary subject to the combined family limit.
FRAMES AND LENSES PER 24 MONTH CYCLE
OPTICAL
Subject to Optical Benefit Management Programme. Choose either spectacles (frames and lenses) or contact lenses once every two years.
% Benefit
Limit
Subject to network provider, managed care rules and benefit limit
1 test per beneficiary every 24 month cycle
EYE TEST
Sizwe Medical Fund is proudly administered by 3Sixty Health.
The Sizwe Copper Core Plan offers unsurpassed day-to-day
benefits. The plan offers good value for money, that gives you
peace of mind.
DID YOU KNOW?
Benefit 100% Sizwe Rate
AMBULANCE SERVICES
Europ Assistance pre-authorisation required 0860 11 77 99
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01 01
This overview presentation is for Sizwe Medical Fund product information purposes only, it is not advice and does not supersede the registered rules of the Fund. To view full benefit guide please visit www.sizwe.co.za
BENEFITCHRONIC
Sizwe Medical Fund is proudly administered by 3Sixty Health.
Subject to pre-authorisation and registration on the chronic programme. Subject to preferred providers and treatment protocols. Generic medicines, pricing and formulary applies.
Contact Centre: 0860 10 34 55Email: [email protected]
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CHRONIC MEDICINES
Subject to pre-authorisation and registration on the Chronic Programme. Generic medicines, pricing and formulary applies.
% Benefit
Benefit
Overall Family Limit
Per Beneficiary per annum
100% Sizwe Rate and network provider protocol.
Cover for 26 PMB chronic conditions.
Subject to pre-registration, formulary & clinical protocols of network DSP.
R 8 736
% Benefit
Limit
100% Sizwe Rate
No limit but subject to treatment protocols and PMBs
PMB benefit is subject to registration on the Disease Management Programme, members are encouraged to register with the programme. This benefit includes relevant consultations, counselling, medication and the cost of blood tests.
Sizwe Medical Fund is proudly administered by 3Sixty Health.
Sizwe Copper Core Plan is named after the metal, Copper. The plan is
likened to Copper because this mineral has stood the test of time, first used
by man over 10 ,000 years ago.
DID YOU KNOW?HUMAN IMMUNODEFICIENCY VIRUS AND ACQUIRED
IMMUNE DEFICIENCY SYNDROME (HIV & AIDS)
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01 01
This overview presentation is for Sizwe Medical Fund product information purposes only, it is not advice and does not supersede the registered rules of the Fund. To view full benefit guide please visit www.sizwe.co.za
CAREPREVENTATIVE
Sizwe Medical Fund is proudly administered by 3Sixty Health.
The lasting strength of copper pays tribute to the trade unionist and stalwart for the liberation of South Africa, ubaba Phumzile John Gomomo.
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% Benefit
Limit
No benefit
PREVENTATIVE CARE
% Benefit
% Benefit
Mammogram (women above 40 years), pap smear (women above 21 years) one test every two years. Prostate Specific Antigen (PSA) restricted to men over 40 years once per annum subject to benefit limit.
Preventative care: Screening tests (Blood Sugar, Cholesterol, Blood Pressure, BMI, HIV testing) once per beneficiary per annum.
Benefit subject to wellness protocol
WELLNESS CONSULTATIONS
WELLNESS AND OTHER SCREENING TESTS
WELLNESS SCREENING TESTS
FEMALE CONTRACEPTIVES
Limit
Limit - Per beneficiary
Vaccinations
No benefit
Subject to provider network protocols.
No benefit
No benefit
Subject to PMB level of care
OTHER BENEFITS
NON-MOTORISED WHEELCHAIRS
ASSOCIATED HEALTH SERVICES
% Benefit
Chiropractic Treatment
Family Limit
No benefit
No benefit
Sizwe Medical Fund is proudly administered by 3Sixty Health.
Sizwe Medical Fund
is one of the Top 10 open medical
schemes in South Africa.
DID YOU KNOW?% Benefit
Family Limit
No benefit
No benefit
HEARING AIDS
Subject to combined Auxiliary, Equipment and External Prosthesis benefit.
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IMPORTANTCONTACT DETAILS
Sizwe Medical Fund is proudly administered by 3Sixty Health.
2020CONTRIBUTIONS
COPPER CORE PLAN
Income Bracket
R 0 - R 9 250
R 9 251 - R 13 735
R 13 736+
R 1 060
R 1 305
R 2 395
R 1 060
R 1 230
R 2 155
R 430
R 455
R 600
Principal Member Adult Dependant Child Dependant
Sizwe Medical Fund has over 47 000
covered principal members
and it is still growing.
DID YOU KNOW?
Hospital Pre-Authorisation,Hospital Benefit Management Programme Tel: 0860 101 176Email: [email protected] Dental Benefit Management Tel: 0860 109 556Fax: 0866 770 336Email: [email protected]
Out Of Hospital\Day-to-day Benefits Network ProvidersUitenhage: UDIPATel: 041 991 0455Port Elizabeth: ECIPATel: 041 395 4482All other areas - ENABLEMEDTel: 0860 00 24 00
Wellness Programme Helpline For Asthma, Cardiovascular Disease,Diabetes and Mental HealthTel: 0860 103 455Fax: 011 221 5238Email: [email protected]
HIV/AIDS Management ProgrammeTel: 0860 103 454 Fax: 011 221 5235 / 56Email: [email protected]
EUROP Assistance SA, Medical Emergencies,24-Hour Ambulance Services and Medical Advice Tel: 0860 117 799
Sizwe Baby ProgrammeFax: 011 221 5218Email: [email protected]
Tip-Offs Anonymous Fraud LineTel: 0800 204 702Fax: 0800 007 788Email: [email protected]
Chronic Medication ProgrammeTel: 0860 103 455 / 011 353 0030 Fax: 011 353 0352 / 0076Email: [email protected] Uitenhage: UDIPAFax: 041 991 1915Email: [email protected] Elizabeth: ECIPAFax: 086 680 8855Email: [email protected] other areas - ENABLEMEDFax: 086 666 0228Email: [email protected]
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GLOSSARYAcute Medicines:
Medicines for short-term illnesses and medical problems. Adult Dependant: A dependant from the age of 21 who is not a full-time student or financially dependent on their parent, and is in receipt of an income more than the state pension. Adult rate will be charged. AIDS:
Acquired Immune Deficiency Syndrome.
Child Dependant:
A child dependant is considered an adult dependant and will be billed at an adult rate from the age of 21 unless the child is between the ages of 21 and 24 years, is a full-time student, in which case a letter must be submitted from an accredited learning institution confirming that they are registered as a full-time student. The child is mentally or physically disabled; The child is still financially dependant on the member, in which case an affidavit is required.
Chronic Benefit Entry Criteria:
Diagnostic tests to confirm a chronic illness, e.g. blood tests or ECG reports, etc.
Chronic Disease List:
A list of chronic illnesses that are covered in terms of legislation.
Chronic Medicines:
Medicines used to manage conditions as listed on the Sizwe chronic conditions list.
Conservative Dentistry:
Simple dental services, such as fillings, tooth removal (extractions) and teeth cleaning.
Consultation:
A visit to your doctor, surgeon or other service Provider to obtain a diagnosis and/or treatment.
CT and MRI Scans:
CT scans, uses X-rays, MRI scans use powerful magnetic fields and radio frequency pulses to produce detailed pictures of organs, soft tissues, bone and other internal body structures.
Day-to-day Benefit:
A combined Out-of-hospital benefit which may be used by any registered family member in respect of GPs, Specialists, Acute medicines, Pathology, Radiology and Physiotherapy.
Dental Benefit Management Programme:
A behind-the-scenes cost and quality programme managed by Dental Information Systems (Denis).Designated Service Provider: Providers of Medical Services with whom Sizwe has negotiated special rates.
Formulary:
A list of medicines that will be paid by Sizwe Medical Fund according to the specific chronic illness and option chosen.
Generic:
A medicine that has the same ingredients and which works the same as a well-known brand medicine.
HIV:
Human Immunodeficiency Virus.
Medical Emergency:
An emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical treatment and/or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs or other body parts, or even death.
MMAP:
This refers to the Maximum Medical Aid Price which is the maximum price Sizwe Medical Fund is prepared to pay for specific categories of generic medicine.
Occupational therapy:
Mental or physical activity designed to help you recover from an injury or a disease.
Complaints Escalation Process
Contact the Sizwe call centre and inform the agent of the complaint
Forward the complaint to Sizwe via email to [email protected]
If not resolved, forward escalation to Sizwe’s Principal Officer via email on
[email protected] will acknowledge receipt within 48 hours of receipt and try to resolve the matter
within 120 days.
Sizwe’s CDRC will review the query/ complaint and communicate the committee’s decision to the Complainant in writing within
seven days after the CDRC meeting.
If the decision of the Sizwe CDRC is not acceptable to the complainant, the complainant may appeal against such a decision to the Council for Medical Schemes (CMS) in terms of Section 48 of the Medical Schemes Act. The scalation to CMS can be
sent via email, fax or letter.
COMPLAINANT
PRINCIPAL OFFICERESCALATION
CDRC ESCALATION
CDRC REVIEW
CMS ESCALATION
Sizwe Medical Fund takes price in providing its members with service excellence. The Fund also understands that things may not go according to plan and in that instance, as an added effort to improving our communication with you our valued member, the Fund has enhanced the query and escalation process.
Sizwe Medical Fund has made these avenues available to you, kindly pay attention to the following contact points for query resolution.
▒ Regional walk in centres (locations are available on
the scheme’s website www.sizwe.co.za
▒ National call centre 0860 100 871 (operating hours
are between 08:00 -17:00)
▒ Email all queries to [email protected]
▒ Submit claims to [email protected]
▒ Submit your query online to www.sizwe.co.za
Should your query not be resolved, then you have the options below to further assist you. Note that the steps below require a reference number that you would be given to you on your initial query.
1. Ensure that you have utilised one of the contact methods above before embarking on the escalation process
2. Email your query with a reference number to [email protected] If your query has not been attended to, then the matter can be escalated further to the complaints and disputes resolution committee (CDRC), all the above actions must be taken before escalation. CDRC escalations forwarded to [email protected]
3. For escalation to the Council for Medical Schemes (CMS), The following contact details apply
▒ Contact Centre number 0861 123 267
▒ Email address: [email protected]
▒ Website address: www.medicalschemes.com
If Principal Officer fails to resolve the complaint, the complainant can further escalate the complaint to the Sizwe Complaints Dispute Resolution Committee (CDRC) within 60 days of receiving the Principal Officer’s notification of findings.
28 29Sizwe Medical Fund is proudly administered by 3Sixty Health.
CONTACT DETAILSOncology:
Is a branch of medicine that deals with the prevention, diagnosis, and treatment of cancer.
Pharmacy Advised Therapy (PAT):
Medicine recommended by your pharmacist and which falls within the self-medication category.
Pre-authorisation:
Obtaining permission from Sizwe Medical Fund before receiving treatment.
Preferred Provider:
A Provider recommended by Sizwe Medical Fund that offers cost- effective treatment to members.
Prescribed Minimum Benefits (PMBs):
The Registrar of Medical Schemes requires all medical schemes to offer a number of minimum benefits to all its members.
Reference Pricing:
This refers to a medicine cost control mechanism used by schemes and assists schemes to manage the high costs of medicines. Members are given a formulary list of medicines that are paid for by the Scheme. Where a member chooses a medicine off the formulary, the reference price refers to the Co-payment between the cost of the formulary medicine and the non-formulary medicine.
Rehabilitation:
Treatment to help you get back to a normal life following injury or disease. SAOPA Rates: The tariff charged by the South African Orthoptic and Prosthetic Association.
Sizwe Rates:
The rate negotiated by Sizwe Medical Fund with groups of Providers.
Specialised Dentistry:
Reconstructive surgery providing, for example, caps, crowns and bridges. This typically requires the services of a Dental Technician.
Scheme rate:
When In-Hospital, it is the difference between Sizwe rates and the amount charged by practitioners. Scheme rate pays up to 200% over the Sizwe rate. Scheme rate comes into effect immediately when you are admitted to hospital. Only available on the Full Benefit Care Option and must be claimed within three months of hospitalisation.
Treatment Protocols:
The rules and processes that are followed for treating a specific condition.
UPFS Rates:
Uniform Patient Fee Schedule - the tariffs charged by public hospitals.
NATIONALCALL CENTRE
Monday to Friday8am- 5pm
0860 100 [email protected]
CAPE TOWNGround Floor Shop 13Norton Rose House8 Riebeek StreetCape Town, 8000021 402 9600021 418 1400
DURBAN7th Floor Royal Towers30 Dorothy Nyembe StreetDurban, 4000031 304 4829031 304 4839
EMALAHLENI (WITBANK) 71 Mandela DriveCnr. Plumer and Mandela DriveEmalahleni, 1034.013 690 3342013 690 3187
JOHANNESBURG 7 West Street
Houghton EstateJohannesburg, 2198
011 725 0040
PORT ELIZABETHGround Floor, Block ESouthern Life Gardens70 – 2nd AvenueNewton ParkPort Elizabeth, 6000041 503 1000041 503 1302
WELKOMCorner House Corner Buiten & Graaf Street Welkom CBD, 9459057 353 1475057 353 1478
LEPHALALEShop 11 Stand 2633EllisrasX16 onverwacht014 880 0614
30 31
SIZWE MOBILE APPLICATION
Sizwe has a brand new mobile app to help you manage your health on
the go.
DID YOU KNOW? FUNCTIONALITY OF THE APP
• View member profile• Upload member picture• Request member certificate, additional card and tax certificate• View benefits• Submit a new pre-authorisation• Register new chronic conditions.• Update chronic condition• View claims• Submit new claims• View nearest hospitals• Navigate to the nearest hospitals• View national branches
Sizwe Medical Fund has developed a new mobile app. The main aim of developing the Mobile App is to enhance the user experience and to revive the technical approach to the solution.
The Sizwe Mobile App is intended to offer members the ability to manage their membership details, access self-service functions related to their membership and perform a number of basic functions related to the benefits that they are covered for.
The app serves as an extension of services received by members through various channels such as email and telephonic assistance. The app also provides information about service providers. The app is available for both Android and iOS platforms.
Subject to CMS approval.
Sizwe Medical Fund is regulated by the Council for Medical Schemes. Sizwe Medical Fund number 1486, administered by 3Sixty Health; registration number 1978/001109/07, An accredited administration and Managed Care Service Provider.
Version Number 2