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MedAccess scheme is an answer to people who are currently exposed because they have no medical aid, those vulnerable and uninsured or cannot afford the high cost of medical aid contributions charged for the traditional medical aid schemes. Each membership account (cell phone line) will cover the member, the spouse (1 Adult dependent) and maximum of 4 children under 18 years.
This scheme gives one a flexible payment arrangement during the course of the month. You can buy the Premium Payment Recharge cards of any amount at a given time. Subscriptions can be staggered over a thirty day period as long as one beats the cut-off date of the 28th every month to pay the total amount due. The scheme covers emergencies and hospitalisation at all mission, government and municipal clinics nationwide.
Your cell phone number becomes your medical aid number and authorisations can be done through the network via SMS.
Benefits and benefit limits
|Annual Cover per person||Annual Limit US$2 000|
|Emergency Medical expenses in Hospital||Hospitalisation, surgeries, specialist consultants, laboratory test and X-rays done at municipal clinics, government and mission hospitals are covered in full.|
|Emergency Casualty||Emergency casualty treatment at municipal, government and mission hospital is covered in full.|
|Evacuation by Ambulance||Evacuation by road to a nearby selected health centre by EMRAS, Municipal, Mission and Government ambulances only.|
|Exclusions||Maternity, haemodialysis, chemotherapy|
The table below illustrates the monthly subscription per person per month.
|Principal Member||Adult Dependent||Maximum 4 children under 18 years|
|$3.00||$3.00||$2.00 per child|