The Swaziland Medical Aid Fund (Swazimed) is a Section 21 company (registered as a noneprofit making open-scheme) which was formed in 1980. Membership cards are accepted by all local service providers (Hospitals, Doctors and most Pharmacies) and widely accepted in South Africa. The scheme is self-administered since January 2017, there is no change in
acceptance of cards and benefits access.
ESWATINI MEDICAL AID FUND (Eswatini Med)
Vision
To be the preferred provider and facilitator of viable, affordable medical aid and healthcare management services at national and regional level.
Mission
To provide members with diverse, quality and affordable healthcare products and services in a transparent and client centred manner through a sustainable fund
WHO CAN JOIN?
Swazimed is an open-scheme which can be joined by anyone whether employed or unemployed. Group members have (1) month waiting period and three months waiting period for individuals (Direct Paying Members), terms and conditions apply.
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FREQUENTLY ASKED QUESTIONS
Your spouse or any other immediate family members for whom the members is liable for family care and support.
Your children as long as they are under 21, not married not earning more than E100 per month.
Your benefits will be pro-rated. For example, should you join the fund in July you will only be entitled to 50% of the allocated benefit value.
You stop being a member if you leave your job or if your employer withdraws from the fund. When you leave, you must give your membership card to your employer who will send it back to the fund .For individuals and government employees, termination may only be allowed at the end of the year with a three month notice of termination. Subject to approval of the scheme.
Yes, you can only claim for the second month after you have joined the fund. For individuals and companies with less than ten members, the waiting period is three months .For aged parents the waiting period is three months .The financial year for benefits begins on 1 January each year.
Retired members and spouses of deceased members are entitled to the same benefits as other members and pay the same contributions. Retirement age 60 is considered useless retired due to ill-health.
In the event of an emergency treatment/admission to hospital over a weekend, public holiday or at night you MUST contact the Authorisation Centre on the first working date after the incident. If you are still in hospital on the first working day after your admission to the hospital, your hospital will contact the Authorisation Centre on your behalf.
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