Affordable medical aid cover JOIN NOW

JOIN US TODAY

  1. Download the application form below.
  2. Complete both sides of this application form to avoid a delay in registration.
  3. Send the completed form to the following email: membership@medschemeswaziland.com

All quoted amounts are in Emalangeni
CONTRIBUTIONS
Employer Groups M0 M1 M2 M3 M4 M5 PARENT
All 367 515 576 605 619 658 367
Medscheme Eswatini 2021 Primary Care Plan

OVERALL ANNUAL DAY-TO-DAY LIMIT (DTD)

Not applicable

FUNERAL POLICY

Optional

CONSULTATIONS AND SERVICES
General Practitioners, Nurses or clinics (no specialists)

100% NPL / NHRPL (SA)
5 Consultations per beneficiary per annum

MEDICINES & INJECTION MATERIAL

Chronic Medicines No benefit
Acute Medicines
Limited to prescribed/dispensed medicine during an acute care visit/consultation
Subject to formulary
100% Cost
2 650 per family
1 900 per beneficiary
Pharmacy Advised Therapy (OTC)
Schedule 0, 1 and 2 only
Subject to formulary
100% Cost
1 320 per family
800 per beneficiary

PATHOLOGY AND MEDICAL TECHNOLOGY

Out of Hospital
Basic pathology required to deliver acute care
Subject to referral from consultation
100% NPL / NHRPL (SA)
3 500 per family
2 000 per beneficiary

RADIOLOGY & RADIOGRAPHY

Out of Hospital
Black and White X-Rays and ultrasound
Subject to referral from consultation
Combined limit with Pathology above
100% NPL / NHRPL (SA)
Subject to available DTD
3 700 per family
2 120 per beneficiary

DENTISTRY

Advanced Dentistry/Oral Surgery No benefit
Basic/Ordinary & Restorative 100% NPL / NHRPL (SA)
2 Consultations per beneficiary per annum

OPTOMETRY

Eye Examinations 100% NPL / NHRPL (SA)
1 eye test per beneficiary every 2 years
Frames, Lenses, Readers 100% NPL / SAOA
1 pair of single or bifocal vision lenses and standard
frame per beneficiary every 2 years

General 3 month waiting period and 12 month condition specific waiting period for Private members and dependants of Group members which join more than 3 months after main member.

This Plan is subject to underwriting as per the Scheme Rules. Underwriting will be done at application stage.

NPL: Medscheme Eswatini Price List
NHRPL (SA): National Health Reference Price List (inside South Africa)
SAOA: South African Optometrists Association

DOWNLOAD PDF JOIN NOW

JOIN US TODAY

  1. Download the application form below.
  2. Complete both sides of this application form to avoid a delay in registration.
  3. Send the comleted form to the following email: membership@medscheme-eswatini.com/medscheme

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