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