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