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