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

South Africa is currently enjoying being one of the most productive nations in the world and with our growing economic success has come improvements in health care and medical services. Naspers Medial Aid is just one of many schemes on offer to help South African’s to meet the cost of improved health services. With so many programs on the market it can be difficult to stand out from the crowd, which is why Naspers has opted for a diverse range of features and benefits designed to provide a functional medical aid program to members.

In general, Naspers medical aid is only available to employees and family members of Media24 and their affiliates although in certain cases continuous membership is also available, albeit under certain restrictions.

Conditions Of Continuous Membership

On of the main reasons why continuous membership to the Naspers Medial Aid scheme may be applied is that if the employee loses their job due to illness or disability, they will continue to receive benefits even after termination of employment. Another situation in which continuous membership might apply is where member has been retrenched due to cut backs in the department that they work in. Lastly, continuous membership may be offered to those who have retired.

Basic Health Plan Options

Naspers Medical Aid offers two basic care plans to the general public, the N Option Plus and the N Option Basic. The plans each comes with their own set of benefits. On both products, one of the key features is the Chronic Illness coverage which has proved very popular with many members who are used to medical aid programs charging additional fees for this service. There is a long list of diseases which are covered by Naspers medical aid plans including, but not limited to:

Asthma
Parkinson’s Disease
Rheumatoid Arthritis
Chronic Kidney Disease

Naspers medical aid offers sufficient benefits for members to receive adequate medical care for most issues that they will encounter, although there are some diseases which will have limitations applied to them. Overall, the programs offer a good choice in medical aid with N Option Plus members getting hospitalization benefits of up to R2 million per family and Basic plan members being entitled to up to R1 million. If you are employed by Media24 or one of their subsidiaries then the Naspers medical aid program is well worth looking into.

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