Find Out How To JoinA GUIDE TO CLAIMINGSwazimed Plans

Find Out How To Join

Complete the membership application form and send it to Swazimed.

A GUIDE TO CLAIMING

Nothing is more annoying than wondering where your refund cheque is, or not knowing what you are allowed to claim for.

Swazimed Plans

Swazimed offers five benefit options and each individual should choose an option according to his/her health care needs.

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How do I join?

Complete the membership application form and send it to Swazimed.
On the membership form you must register your dependents and attach marriage/birth certificates, member’s ID and proof of banking details. You will receive a membership to Swazimed.
The following information is printed on the membership card;

  • your membership number
  • principal members details
  • the names and surnames of your registered dependents
  • the date from which you are entitled to receive benefits
  • the address of the fund

 

Please look after your medical aid card. Do not lend it to anyone other than your registered dependents. Fraudulent use of membership cards may lead to suspension or termination of your membership.

 

Swazimed Plans

Swazimed offers five benefit options and each individual should choose an option according to his/her health care needs. For all the options benefits are paid at 100% of scale of benefits with adequate annual limits.

Note: Swazisave members can claim a 20% saving balance only if the member has 12 months membership from the beginning of the year. Swazimed will only pay this if the member has a tax directive issued by the tax authorities.


Wellness Benefits

The objective is early identification of common risk factors, reduction in co morbities and general improvement in the health status of members.
ServiceClinical Criteria for Access
Pap SmearFor all female beneficiaries aged 21 years and older limited to one test every two years
Total CholesterolFor all beneficiaries aged 40 years & older
PSAFor all male beneficiaries aged 45 years & older, limited to one test every two years
Colo-rectal Screening (faecal occult blood)For all beneficiaries aged 50 years & older, every year
Consultation with general practitionerAll beneficiaries aged 21 and older. During this consultation, the DR will assess blood pressure, body mass index and glucose


Important:

  • You may not be a member or dependant of more than one medical scheme at a time. You may not join the fund if your age is above 60, unless in case of a parent of an active member.
  • Contact your Swazimed offices before undergoing any treatment. Should you sustain injuries as a result of an accident, an assault or an injury on duty, please contact your Swazimed offices to discuss what you should do.

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