Important to Remember!

How to get the most out of your option

• Have an annual check-up at your general practitioner to make sure that you are healthy and, if there are any concerns, request your doctor to start treatment sooner rather than later.
• Remember to check if your option has network providers – using these providers will reduce or even prevent a co-payment.
• Where possible, use a day clinic for day procedures, e.g. for a tonsillectomy or adenoidectomy.
• Register on the chronic medicine programme as soon as you’ve been diagnosed with a chronic condition.
• Visit www.mhcmf.co.za for any new or updated information.

Member online access (Web-based self-help facility)

Using the Scheme’s self-help facility at www.mhcmf.co.za allows you to check your personal and medical scheme information. You can update your contact details, language preferences and other information and view your benefit information and claims statements.

Network Providers

The Scheme has negotiated rates with preferred and designated service providers to ensure that these providers do not charge you more than the agreed rate. This will ensure that your benefits last longer and you get value for money.

Depending on the option you selected, the network providers have agreed to charge negotiated rates, which means that you will not incur a co-payment unless you select a non-network provider.

Members on the Optimum, Classic and Hospicare options have the choice to select their own general practitioners and specialists for non-PMB treatment. It is recommended that one of the preferred providers is used, as this will reduce or eliminate out-of-pocket payments.

Members on the Custom, Classic Network and Hospicare Network options must use the Life Healthcare Group of hospitals as the network provider for in-hospital treatment; alternatively a 30% co-payment will apply.

On the Classic Network and Hospicare Network options, members must use the Medipost Pharmacy network for chronic medication to avoid incurring a 30% co-payment.