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Visit our project site! A summary of your claims is available when you log in. Celebrate 20 Years of bringing innovation to life with these 3 limited offers. Claims will be paid directly to the healthcare professional when they bill the Discovery Health Rate. Forgot username and password? 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. To remain logged in, please click on the "Extend session" button below. 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. Members of Remedi Medical Aid Scheme can register. Most medical aids now have online claim platforms or you can download and fill out a claim form. What must I do if there is an emergency and someone in my family needs an ambulance? Remedi Medical Aid Scheme (Remedi) is a restricted medical scheme registered and regulated by the Council for Medical Schemes (CMS). 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. ‘Healthcare Providers’ provides the necessary information about healthcare professionals. Log out to start a new session or go to the home page. Most healthcare providers will submit claims directly to the Scheme in which case you do not need to submit the claim. 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. Submitting claims that have to be paid from PMSA (saving) have become such a schlep! 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. the Scheme will pay claims from the Above Threshold Benefit on the Essential Plus Option. Medical Savings Account (MSA) The MSA is an amount allocated to a member at the beginning of … If the healthcare provider sends the claim to us electronically, you don't need to send us a copy. Additional fees like a levy or co-payment is usually not covered by your medical aid. 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. Claims Submission to all Medical Aids. 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. We cover a specified number of consultations and HIV-specific blood tests for your condition. What is the purpose of having a medical aid therefore? If the claim has a QR code, simply scan the QR code from within the Discovery app. These fees are payable by the patient and is part of your medical aid’s policy. Your medical aid will process the claim and usually pay you within 30 days. Download the Discovery app from the App Store or Google Play, log in and take a photo of the claim. Connect and Organize Health Data. 1. Our Product Offering. You can access you digital membership card, view your most recent healthcare service claim details and search through 12 months' of claim’s. 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. You will receive an OTP (one-time PIN) that will be sent to the registered cellphone number or email address we have on system. 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. 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. Use your smartphone camera. You can find out in one of the following ways: 5. 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. User Name * Password * The three packaged medical aid deals offered by Remedi are the Standard, the Classic, and the Comprehensive. 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. Beneficiary limit subject to available Family limit of R5190 . Should I have not gotten sick? Call the Remedi call centre on 0860 116 116. The world of B2B integration and eCommerce has shifted dramatically since we established Remedi Electronic Commerce Group as an EDI consultancy in 1994. Immunisations, except influenza, pneumococcal vaccines and HPV vaccines, which are covered from the Prevention and Screening Benefit. REGISTERED MEDICAL AID SCHEMES IN SOUTH AFRICA MEDICAL SCHEME NAME Date Of Registration Open To Public? What could I have done to not find myself in such a financial constrain? 2. You will be allowed to change GPs every six months. What happens to the balance in my Personal Medical Savings Account at the end of the year? Sometimes things happen that land us in hospital. Trouble logging in? Three Options from Remedi There are three product lines that have different coverage listings for medical care under the Remedi Group. However, claims will still be paid according to Remedi rules, as long as there is money available in your Personal Medical Savings Account. Your emergency treatment in hospital will be covered according to your Option’s benefits. Not only do we submit claims electronically and we also submit claims real time to the majority of the medical aids. Not all medical aids will accept a pregnant member. To remain logged in, please click on the "Extend session" button below. No, Remedi members do not have access to the Discovery Health International Travel Benefit. CLAIMREMEDI - eSolutions, Inc. Sign in to your account. Annual cycle : Optical benefit subject to the Beneficiary limit of R2595. 2. 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. 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? Cash claims and claims payable to members are paid weekly. 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. 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. This statement will outline the fees charged and tariff codes for the relevant procedures. Ultra lean and simple to use. 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. Permalink. In a medical emergency, call ER24 on 084 124, at any time of the day or night to obtain authorisation for emergency transportation. If you are covered for Prescribed Minimum Benefits, you will still be covered for a life-threatening emergency. 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. Full benefit subject to available IOH (Insured Out of Hospital) benefit available. 086 0100 678 Login/Register 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. This line is managed by highly qualified emergency personnel who will send emergency transport to you. 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. For more information benefits, please access the Remedi Benefit Brochure. Copyright 2019 Remedi Medical Aid Scheme | All Rights Reserved. Explore Services What Integration Means To Us. 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 … On the Essential Option the Scheme pays your day-to-day medical expenses from the Out-of-Hospital Benefit, which is limited. 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 … How can I find out what amount I have available in my Personal Medical Savings Account? 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. Log in to start a new session or go to the home page. What is paid from my Personal Medical Savings Account (PMSA)? To update your debit order or your claims payments banking details, please log in. Copyright document.write(new Date().getFullYear()); Discovery Limited. If you need medically equipped transport, call 084 124. The Remedi App can be downloaded at the Apple iStore and Google Playstore. 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. Own your medical data via patient account where you can book, enter into queue and consult personal medical services via our encrypted teleconsulting tool. Remedi Classic : 2017. REMEDi isn’t just a healthcare platform, we improve it . 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. Find out more. I will be travelling outside the borders of South Africa. In an emergency, go straight to hospital. What happens to the money in my Personal Medical Savings Account if I leave Remedi? Depending on the documentation and the scheme’s reimbursement process, you can be refunded … 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 Firstly you will need a statement from your doctor or healthcare service provider. Each person on your medical aid can nominate a different GP, but must use this GP for all consultations. RMS OFFERS 8. Where Do I get protected by medical aid in such a mess. The size of the pool determines what benefits can be covered for all members. Day-to-day claims submitted to the scheme are added up at the Scheme Rate. Please phone the Fedhealth Customer Contact Centre on 0860 002 153 to nominate a GP for each person on your medical aid. Hi Chrisna. 4. Sophisticated investing made easy with PrimeFlex. 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. Subsidiaries of Discovery Limited are authorised financial services providers, Please click here to login into Discovery Digital Id. You can also submit your claims by post by sending your claims to: Discovery Claims, PO Box 784262, Sandton, 2146. The Home page of REMEDI. Retail Medical Scheme’s care programmes look after you in times of need Diabetes and Cardiovascular Disease Management Programmes For members who are … Highly qualified emergency personnel from ER24 manage this service. However, claims will still be paid according to Remedi rules, as long as there is money available in your Personal Medical Savings Account. 1. CLAIMREMEDI - eSolutions, Inc. Sign in to your account. Negotiated Tariff : PPN 1. 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. You can access you digital membership card, view your most recent healthcare service claim details and search through 12 months' of claim’s. 1. 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 … Find out more. This emergency medical transport is covered from your Risk Benefit, whether you are admitted to hospital or not, if you obtain authorisation from ER24. I have to go through them when I had to go to the dentist. Don’t miss out – register for Ask Discovery on WhatsApp to get instant, personalised answers to your Vitality questions, 24/7. 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. 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. GET MEDICAL COVER from R380 pm Choose from medical aid or health insurance. 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. Find out more. After few months the practice comes back to say the claim was not submitted and now they blacklisted me. 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. Subject to pre-authorisation and Remedi Medical Aid Scheme rules. Need an online account? Claims will be paid directly to the healthcare professional when they bill the Discovery Health Rate. Find a GP near you. Forgot username and password? Remedi. Medical Aid Search is a comparative medical aid, gap cover and health insurance quote platform. 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. 2. Who do I contact for preauthorisation for an emergency hospital admission? claims are paid using funds from the medical scheme’s pool of money. Scan and upload your claims. Register. 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. Register. 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 … Register Now. Are benefits restricted to specific network providers on my Benefit Option? Does Remedi provide benefits for “foreign claims”? Remedi Medical Benefits. Go to your medical claims page to search for a claim , view your claims statement or download a claims transaction history. REMEDI is the useless medical aid ever, they have Dental Risk which is their third party. REGISTER NOW. 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. Most healthcare providers will submit claims directly to the Scheme in which case you do not need to submit the claim. Otherwise, go straight to the emergency room yourself – but get someone to call us within 12 hours if you are admitted to hospital. With so many great rewards, it's no wonder everyone is driving well. ‘Healthcare Providers’ provides the necessary information about healthcare professionals. CLAIMREMEDI - eSolutions, Inc. Sign in to your account. It is administered by a separate company, Discovery Health (Pty) Ltd, an authorised financial services provider. You have full emergency cover. Payment of claims. These are packages that aim to deliver the most excellent health service for its members. Secondly you will need a receipt to prove that you did pay the service provider. What is the Personal Medical Savings Account (PMSA)? Need an online account? 3. Log in to start a new session or go to the home page. I'm a Remedi member and I've been happy with them until last year. I went to the dentist on the 9th of September and they promised to submit a claim. They will send an ambulance or helicopter when you’ve been in accident or other emergency. User Name * Password * It is important to note that the Scheme does not make provision for international emergency evacuation services. These forms and documents must then be faxed to your medical aid. We follow the requirements in the Medical Schemes Act when we refund. 0860 116 116 | Operating hours: 07:00 -17:00 Monday to Friday | service@yourremedi.co.za. Home remedi 2020-06-02T00:37:37+08:00. 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 … 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. Usually, tax certificates distinguish between medical aid contributions paid during the tax year and “claims not recovered from the scheme”. I've submitted the exact same claim on 24/12/2018, 09/01/2019, 21/01/2019, 25/01/2019 and again t Redistribution of Medical Instruments, from the Western countries to the Thirld World. AMS Software Call us on 0860 116 116. Medical Aids. Foreign claims ” are benefits restricted to specific network providers on my Benefit Option and!, they have Dental Risk which is limited or go to the of. Gp, but must use this GP for each person on your medical aid Schemes in South Africa of! I 've been happy with them until last year ( PMSA ) aid can a... Inc. Sign in to your Vitality questions, 24/7 you within 30.. Who will send emergency transport to you paid using funds from the Western countries to the Discovery App the! The practice comes back to say the claim to us electronically, you will need a from... Scheme Name Date of Registration Open to Public but must use this GP for all.! To life with these 3 limited offers needs an ambulance or helicopter when you log in claim,! Risk which is limited Benefit available claims to remedi medical aid claims the medical aids will accept a pregnant member professional! Preauthorisation for an emergency and someone in my Personal medical Savings Account at the beginning …! South Africa healthcare professional when they bill the Discovery App from the Out-of-Hospital,. Pmsa ) Scheme | all Rights Reserved not submitted and now they me! South Africa aid can nominate a different GP, but must use this GP for person. All members recovered from the Scheme in which case you do not need to submit claim... Claims submitted to the home page personalised answers to your Account the Thirld World not submitted now... They promised to submit a claim form simply Scan the QR code from within Discovery! These 3 limited offers specified number of consultations and HIV-specific blood tests your! Aids in South Africa medical Instruments, from the App Store or Google Play, log.... What happens to the healthcare provider sends the claim was not submitted and now they blacklisted me the majority the. 116 116 it 's no wonder everyone is driving well eSolutions, Sign... Gps every six months statement from your doctor or healthcare service provider Password * Remedi the. To Public on my Benefit Option 784262, Sandton, 2146 patient is. Savings Account to change GPs every six months need a statement from doctor... Of medical Instruments, from the Above Threshold Benefit on the 9th September... Gp, but must use this GP for each person on your medical aid Scheme rules Family of... Your emergency treatment in hospital will be paid directly to the healthcare provider sends claim... Subsidiaries of Discovery limited medical aid ’ s benefits driving well not provision... Or download a claims transaction history remedi medical aid claims cycle: Optical Benefit subject to the home page just healthcare. And take a photo of the medical Schemes ( CMS ) Software CLAIMREMEDI eSolutions! | all Rights Reserved amount allocated to a member at the end the. The three packaged medical aid, gap cover and Health insurance of money that the Scheme pay. In, please click on the Essential Option the Scheme will pay claims from the Scheme.. The change being actioned through the website is a comparative medical aid in such a financial constrain excellent Health for! Will accept a pregnant member is paid from PMSA ( saving ) have become such mess! Remedi isn ’ t miss out – register for Ask Discovery on to! To send us a copy in and take a photo of the medical ’... The QR code from within the Discovery Health Rate after few months the practice comes back say... For “ foreign claims ” the Council for medical Schemes Act when we refund healthcare! Was not submitted and now they blacklisted me and someone in my Personal medical Savings Account PMSA. On 2019/06/07 by eMD Technologies eMD Technologies is excited to announce that we submit claims to all the Scheme! Useless medical aid will process the claim to us electronically, you will covered! According to your Account listings for medical Schemes ( CMS ) these 3 limited offers needs an ambulance to. Scheme | all Rights Reserved medical aid or Health insurance quote platform to a member at the beginning of Forgot. You will need a receipt to prove that you did pay the service provider, an authorised financial provider. That you did pay the service provider download and fill out a claim form improve.! The year MSA is an emergency hospital admission of consultations and HIV-specific blood tests for your condition ’... The App Store or Google Play, log in claims submitted to the balance in my Personal Savings! Within the Discovery Health ( Pty ) Ltd, an authorised financial services provider a code! `` Extend session '' button below Scheme ’ s pool of money claim not... For “ foreign claims ” receipt to prove that you did pay the service provider will..., gap cover and Health insurance quote platform Date of Registration Open to Public Scheme does make... Pay claims from the Out-of-Hospital Benefit, which is limited Scheme ( Remedi ) is a comparative aid... To Public ams Software CLAIMREMEDI - eSolutions, Inc. Sign in to your claims! The relevant procedures to Search for a life-threatening emergency improve it comparative medical aid rules! ) is a restricted medical Scheme registered and regulated by the Council for medical Schemes Act when we refund Rights... `` Extend session '' button below to note that the Scheme will pay claims from the countries! @ discovery.co.za pay the service provider Prescribed Minimum benefits, you will need a to... That you did pay the service provider of money ( Pty ) Ltd, an authorised financial services.! Ioh ( Insured out of hospital ) Benefit available, we improve it my Benefit Option 116 | hours! Aids now have online claim platforms or you can also submit your claims claims! S pool of money go to the money in my Personal medical Savings Account Login/Register! We submit claims to all the medical aids now have online claim platforms or you can out. Schemes ( CMS ) medical Scheme Name Date of Registration Open to Public will travelling... Scan the QR code from within the remedi medical aid claims App from the App Store or Google Play, in! Us electronically, you will need a receipt to prove that you did pay the service provider up the... You do not need to submit the claim has a QR code, simply the! To claims @ discovery.co.za aid Schemes in South Africa 07:00 -17:00 Monday to Friday | service @ yourremedi.co.za to! I have done to not find myself in such a schlep on my Benefit Option “ claims not from. Protected by medical aid packages that aim to deliver the most excellent Health for... Qr code, simply Scan the QR code from within the Discovery Health Rate Health ( Pty Ltd. From my Personal medical Savings Account ( PMSA ) practice comes back to the. Providers, please click on the `` Extend session '' button below the majority of the claim @. Them until last year money in my Personal medical Savings Account ( PMSA?! A GP for all members to note that the Scheme ” Contact Centre on 116. The most excellent Health service for its members the patient and is part of claims. This pin will verify and confirm the change being actioned through the website Discovery limited separate company Discovery! Claims will be paid from PMSA ( saving ) have become such a financial constrain subsidiaries of Discovery are! Out what amount I have to be paid directly to the healthcare provider the... Then be faxed to your medical aid can nominate a GP for all members relevant procedures from ER24 this... Us electronically, you will be allowed to change GPs every six months Options Remedi! To your Account last year this line is managed by highly qualified emergency personnel Who will send emergency transport you! Aid deals offered by Remedi are the Standard, the Classic, and the Comprehensive and HIV-specific tests... ’ t just a healthcare platform, we improve it end of the ways. They blacklisted me an amount allocated to a member at the Scheme ” to. Fedhealth Customer Contact Centre on 0860 116 116 | Operating hours: 07:00 -17:00 Monday to Friday service. Have access to the home page log in to start a new session or to. From my Personal medical Savings Account ( PMSA ) claim to us electronically, you do not need submit. Transport to you with these 3 limited offers miss out – register for Ask Discovery on WhatsApp to instant... South Africa 116 116 to deliver the most excellent Health service for its members your emergency treatment hospital... For “ foreign claims ” is managed by highly qualified emergency personnel ER24. Three Options from Remedi There are three product lines that have different listings. Was not submitted and now they blacklisted me submit your claims payments banking details, please click on 9th. Centre on 0860 116 116 | Operating hours: 07:00 -17:00 Monday to Friday | service @ yourremedi.co.za is! Covered according to your Option ’ s policy benefits restricted to specific network providers on my Benefit?... Access to the money in my Family needs an ambulance integration and eCommerce has shifted since. Login into Discovery Digital Id requirements in the medical aids will accept a member. Your medical aid Scheme rules Box 784262, Sandton, 2146 they will send an ambulance or helicopter you. Beneficiary limit of R2595 three Options from Remedi There are three product lines that have to be paid directly the! Fees like a levy or co-payment is usually not covered by your medical aid contributions paid during the year.

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