One of the main focuses for SAB medical aid this year is to make sure that all of their members and beneficiaries get the medical care that they need to manage any conditions that they may have including those of a chronic nature. One of the the new initiatives they are introducing is a system that is designed to identify those taking chronic medication and claiming it through acute medicine benefits. Under the new process, pharmacists will receive a message asking them to let the patient know that they should register their condition with the chronic managed care department of SAB medical aid.
There are a number of benefits to registering for this program:
- When you transfer the expense of your chronic medication away from your acute benefit you will be able to make sure that your acute benefit lasts much longer.
- Your condition will be managed by a team of qualified professionals who will be able to monitor your condition and ensure that you are getting appropriate care.
- When you are registered as having a chronic condition, the level of benefit you receive will be extended so that you will not exceed your medication benefits.
- You will be able to access disease management services which will help to manage treatment.
It is important that if you are a SAB medical aid member, you understand that your pharmacist will wish to discuss this with you if you claim chronic medication via your acute benefits.
As a medical aid member you will be entitled to minimum level of health care services. With the SAB medical aid scheme this includes the treatment of 26 Chronic diseases as listed below:
1. Addison’s Disease
2. Asthma
3. Bipolar Mood Disorder
4. Bronchiectasis
5. Cardiac Failure
6. Cardiomyopathy
7. Chronic Renal Disease
8. Chronic Obstructive Pulmonary Disease
9. Coronary Artery Disease
10. Crohn’s Disease
11. Diabetes Insipidus
12. Diabetes Mellitus Types 1 & 2
13. Dysrhythmias
14. Epilepsy
15. Glaucoma
16. Haemophilia
17. HIV/AIDS
18. Hyperlipidaemia
19. Hypertension
20. Hypothyroidism
21. Multiple Sclerosis
22. Parkinson’s Disease
23. Rheumatoid Arthritis
24. Schizophrenia
25. Systematic Lupus Erythematosis
- Ulcerative Colitis
If you opt for the Comprehensive plan from SAB medical aid then you will alsobe covered for additional diseases including:
1. Acne
2. ADHD
3. Allergic Rhinitis
4. Alzheimers
5. Ankylosing Spondylitis
6. Benign Prostatic Hypertrophy
7. Carcinoid Syndrome
8. Cardiac Dysrhythmias
9. Cerebral Palsy
10. Cerebrovascular Disease
11. Congenital Malformation of Heart
12. Depression
13. Deep Vein and Other Thrombosis
14. Eczema
15. Endocarditis
16. Gastro-Oesophageal Refl ux
17. Gout
18. Heart Valve Disease
19. Hepatomyalgy & Splenomyalgy
20. Hypoparathyroidism
21. Menopause
22. Osteoarthritis
23. Osteoporosis
24. Paraplegia/Quadraplegia
25. Polycystic Ovarian Syndrome
26. Psoriasis
27. Pulmonary Hypertension
28. Stroke
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Often when people think about their medical aid they are often thinking about treatment that they might need in future when they fall ill or sustain an injury, but often medical aid programs also offer preventative benefits to help members to keep healthy. Pharos medical aid provides a wide range of preventative benefits which are designed to help keep members healthy and prevent any serious illness. Let’s take a closer look at the benefits on offer.
Access To Vaccines And Immunisations
One of the main preventative benefits offered by Pharos medical aid is immunisations. Children up to the age of 6 years old who are registered on the ‘our-baby’ program are eligible for all baby and childhood immunisations as per the schedule set out by the Department of Health. In addition to this, any member who is over the age of 60 year old or who is at a higher level of risk because of a chronic condition is eligible for flu and pneumococcal vaccines on an annual basis.
Well Woman Preventative Care
The preventative benefits offered by Pharos medical aid also include some preventative measures that every woman needs to take into consideration. The first of these is cervical cancer screening which is available to all female members of child-bearing age every 3 years, or every 2 years for those at a higher risk. Pap smears are carried out by either a GP or a registered nurse and includes consultation and pathology. All women over the age of 35 years, and those at a particular level of risk, are also eligible for mammograms or breast ultrasounds. Basic screening is offered to those aged 35-39 years and those aged 40-49 years are eligible for screening every 2 years. Those over 50 years and those at risk because of a strong family history of breast cancer can take advantage of yearly screening.
Early Identification Of Serious Conditions
One of the best ways to ensure that you stay healthy is to catch serious conditions as early as possible. Some of the preventative benefits offered by the Pharos medical aid program include:
- Prostate Cancer Screening
- Colon Cancer Screening
- Blood Pressure Monitoring
- Cholesterol Testing
- Blood Glucose Testing
- HIV Antibody Testing
- Annual Health Risk Assessment
Maternity & Baby Program
Pharos medical aid also offer the ‘our-baby’ program which offers a range of pregnancy and baby related benefits to members. The our-baby program offers cover for services including antenatal visits, urine tests and ultrasound scans. Members can also take advantage of baby massage classes, nanny training and other benefits.
These are just a fraction of the preventative benefits that are offered to Pharos medical aid members. It is important to take a proactive approach to your health and benefits like these can help you to achieve this. We have used Pharos medical aid as a case study, but many medical aid programs also offer preventative benefits so be sure to use our comparison tool to find the right program to meet your needs.
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With Nampack medical aid, members and their beneficiaries are able to access a number of benefits designed to assist in the treatment and management of HIV and AIDS. These benefits can be accessed by registering on the Your Life HIV Management Program, which is administered by Momentum Medical Scheme.
Nampack medical aid are dedicated to the ethos that HIV sufferers should be able to live a normal and productive life wherever possible. They believe that discrimination and misunderstanding through ignorance is not acceptable. In today’s modern society we have access to advanced medical care which means that both HIV and AIDS are now considered to be a manageable chronic disease instead of the death sentence that it once was. With the Your Life management program Nampack medical aid members will have the support they need to remain healthy, something that is especially important for HIV/AIDS sufferers due to their lower immune systems.
The benefits offered by the Your Life program are designed to address total wellness, not just the HIV virus. AIDS and HIV manifest differently in different patients meaning that all patients registered on the program have their own specific needs. When registering on the program each member is allocated a dedicated consultant who will create a management program within your allocated budget.
Post Exposure Treatment Benefits
Members can access advice and recommended antiretroviral treatments which are intended to prevent infection by the HIV virus in the case of accidental exposure. This has to be done within two to six hours of the exposure to the virus for the best treatment results. An HIV diagnosis can be devastating and it brings with it many emotions and social burdens. Staff involved with the program are trained to a very high standard and are fully experienced in these issues. Members will be given support every step of the way in overcoming your fears. The main goal is to help members of the program to learn how they can live a positive and more importantly healthy life even after contracting HIV or AIDS.
Confidentiality Guaranteed
Nampack medical aid reassure their members that confidentiality is of the utmost importance. They state that anyone who has the courage to disclose that they have a condition like HIV or AIDS deserves only respect and all staff will offer this to those members. Your condition will be disclosed only to your medical team so there is no need to be concerned that other people, including your employer, would ever learn of your condition.
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