DISCOVERY HEALTH MEDICAL SCHEME - Open
Medical Aids or Schemes Administered by Discovery Health:
ANGLO MEDICAL SCHEME - Restricted - 0860222633
ANGLOVAAL GROUP MEDICAL SCHEME - Restricted - 0860100693
BANKMED - Restricted - 08002265633
BMW EMPLOYEES MEDICAL AID SOCIETY - Restricted - 0860002107
DISCOVERY ESSENTIAL SMART PLAN: the smart plans do not cover outpatient xrays unless sports-related
LA-HEALTH MEDICAL SCHEME - Restricted - 0219142103
LONMIN MEDICAL SCHEME - Restricted - 0860104883
REMEDI MEDICAL AID SCHEME - Restricted - 0860116116
RETAIL MEDICAL SCHEME - Restricted - 0860101252
TSOGO SUN GROUP MEDICAL SCHEME - Restricted - 0860100421
UNIVERSITY OF KWA-ZULU NATAL MEDICAL SCHEME - Restricted - 0860113322
Altron
FOSCHINI GROUP MEDICAL SCHEME
MMED OPTION OF THE NASPERS MEDICAL FUND
Edcon
QUANTUM MEDICAL AID SOCIETY
Naspers
BONITAS MEDICAL FUND - Open - 0113845100; Tel : 0860002378; 0860002108.
FEDHEALTH MEDICAL SCHEME - Open - 0860002153
Medscheme 0861100220
GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS) - Restricted - 0861114367;
08604367777 [email protected]
SOUTH AFRICAN POLICE SERVICE MEDICAL SCHEME (POLMED) - Restricted - 0128187500
AECI MEDICAL AID SOCIETY - Restricted - 0860002103
BARLOWORLD MEDICAL SCHEME - Restricted - 0860002106
HORIZON MEDICAL SCHEME - Restricted - 0860101103
MBMED MEDICAL AID FUND - Restricted - 0860002109
MEDSHIELD MEDICAL SCHEME
086 000 2120 or +27 10 597 4701
PARMED MEDICAL AID SCHEME - Restricted - 0860002126
SABC MEDICAL AID SCHEME - Restricted - 0860002136
SAMWUMED - Restricted - 0216979000
BP MEDICAL AID SOCIETY
CareCross Provider
CareCross Chronic
0860102182
CareCrosss Clinical
0860102183
FISHING INDUSTRY MEDICAL SCHEME (FISH-MED) -
GOLDEN ARROWS EMPLOYEES' MEDICAL BENEFIT FUND -
PG GROUP MEDICAL SCHEME
PICK N PAY MEDICAL SCHEME
PLATINUM HEALTH
SAPS Health Risk
To assist us in managing benefits for these products strictly we require members to call in for either an authorisation number (e.g., on Makoti) and/ or confirmation of benefits.
By doing this the members will be empowered with the necessary information to, together with their service providers, make informed decisions about their health and what to expect regarding the funding of the services.
Additional codes covered by National HealthCare (NHG)
* 30155 - Chest and ribs
* 61110 + 61115 - Scapula L + R
* 43250 + 43260 - Ultrasound
pregnant uterus on:
The following radiology codes are NOT covered by National HealthCare and Enablemed manage funds:
10100, 11100, 11120, 13110, 13130, 147120, 16110, 20100;
30150, 30160, 30170;
51130, 53120;
12110, 14100, 30180, 51130, 52110, 53130;
72120, 72125, 73100, 73105. 74140, 74145;
01100, 01200, 61140, 61145, 65150, 65155.
Makoti Primary: CXR, suspected fractures of extremities and two obstetric sonars per pregnancy (2-D)
Makoti Comprehensive: Pre-authorisation and referral by a chosen general practitioner are compulsory.
Sizwe-Hosmed (Essential Copper): Referral by chosen general practitioner compulsory.
A radiology limit applies (R945 per beneficiary).
Malcor Plan D: Referral by chosen general practitioner compulsory.
A radiology limit applies (R1,150 per beneficiary)
List of Medical Aids accepted at See Through Radiology with contact details
1. AECI MEDICAL AID SOCIETY - Restricted - 0860002103
2. ALLIANCE-MIDMED MEDICAL SCHEME - Restricted - 0128450080
3. ANGLO MEDICAL SCHEME - Restricted - 0860222633
4. ANGLOVAAL GROUP MEDICAL SCHEME - Restricted - 0860100693
5. BANKMED - Restricted - 08002265633
6. BARLOWORLD MEDICAL SCHEME - Restricted - 0860002106
7. BESTMED MEDICAL SCHEME
8. BMW EMPLOYEES MEDICAL AID SOCIETY - Restricted - 0860002107
9. BONITAS MEDICAL FUND - Open - 0113845100
10. BP MEDICAL AID SOCIETY - Restricted
11. BUILDING & CONSTRUCTION INDUSTRY MEDICAL AID FUND - Restricted - 0112081000
12. CAPE MEDICAL PLAN - Open - 0219378300
13. CHARTERED ACCOUNTANTS (SA) MEDICAL AID FUND (CAMAF) - Restricted - 0861700600
14. COMPCARE MEDICAL SCHEME - Open - 0112081000
15. DE BEERS BENEFIT SOCIETY - Restricted - 0538073111
16. DISCOVERY HEALTH MEDICAL SCHEME - Open
17. ENGEN MEDICAL BENEFIT FUND - Restricted - 0800001615
18. FEDHEALTH MEDICAL SCHEME - Open - 0860002153
19. FISHING INDUSTRY MEDICAL SCHEME (FISH-MED)
20. FOODMED MEDICAL SCHEME - Restricted - 0219303550
21. GENESIS MEDICAL SCHEME - Open - 0214429900; 0126828000
22. GLENCORE MEDICAL SCHEME - Restricted - 0860002141
23. GOLDEN ARROWS EMPLOYEES' MEDICAL BENEFIT FUND
24. GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS) - Restricted - 0861114367
25. HEALTH SQUARED MEDICAL SCHEME - Open - 08617966400
26. HORIZON MEDICAL SCHEME - Restricted - 0860101103
27. IMPALA MEDICAL PLAN - Restricted - 0145694748
28. IMPERIAL AND MOTUS MEDICAL AID
29. KEYHEALTH -
30. LA-HEALTH MEDICAL SCHEME - Restricted - 0219142103
31. LIBCARE MEDICAL SCHEME - Restricted - 0800122273
32. LONMIN MEDICAL SCHEME - Restricted - 0860104883
33. MAKOTI MEDICAL SCHEME - Open - 0112081000
34. MALCOR MEDICAL SCHEME - Restricted - 0860100698
35. MASSMART HEALTH PLAN - Restricted - 0860002117
List of Medical Aids accepted at See Through Radiology with contact details
36. MBMED MEDICAL AID FUND - Restricted - 0860002109
37. MEDIHELP - Open
38. MEDIMED MEDICAL SCHEME - Open - 0413954400
39. MEDIPOS MEDICAL SCHEME - Restricted - 0860100078
40. MEDSHIELD MEDICAL SCHEME
41. MOMENTUM MEDICAL SCHEME
42. MOTOHEALTH CARE - Restricted - 0861329800
43. MULTICHOICE MEDICAL AID SCHEME - Restricted - 0860116633
44. NETCARE MEDICAL SCHEME - Restricted - 0861638633
45. OLD MUTUAL STAFF MEDICAL AID FUND - Restricted - 0860100076
46. PARMED MEDICAL AID SCHEME - Restricted - 0860002126
47. PG GROUP MEDICAL SCHEME
48. PICK N PAY MEDICAL SCHEME
49. PLATINUM HEALTH - Restricted - 0874630660
50. PROFMED
51. RAND WATER MEDICAL SCHEME - Restricted - 0116820985
52. REMEDI MEDICAL AID SCHEME - Restricted - 0860116116
53. RETAIL MEDICAL SCHEME - Restricted - 0860101252
54. RHODES UNIVERSITY MEDICAL SCHEME - Restricted - 0861727773
55. SABC MEDICAL AID SCHEME - Restricted - 0860002136
56. SAMWUMED - Restricted - 0216979000
57. SASOLMED - Restricted - 0860002134
58. SEDMED - Restricted
59. SISONKE HEALTH MEDICAL SCHEME - Restricted - 0413954400
60. SIZWE HOSMED MEDICAL SCHEME - Open - 0112981500; 0860 100 871; [email protected]
SIZWE HOSMED BENEFIT PORTAL: https://online.sizwehosmed.co.za/SizweWeb/index.jsp
61. SOUTH AFRICAN BREWERIES MEDICAL SCHEME - Restricted - 0860002133
62. SOUTH AFRICAN POLICE SERVICE MEDICAL SCHEME (POLMED) - Restricted - 0128187500
63. SUREMED HEALTH - Open - 0860080888
64. TFG MEDICAL AID SCHEME - Restricted - 0215271159
65. THEBEMED - Open - 115448899
66. TIGER BRANDS MEDICAL SCHEME - Restricted - 0112081000
67. TRANSMED MEDICAL FUND
68. TSOGO SUN GROUP MEDICAL SCHEME - Restricted - 0860100421
69. UMVUZO HEALTH MEDICAL SCHEME - Restricted - 0128450000: Universal Healthcare Administrators
(Pty) Ltd. (011) 208 1000; e-mail: [email protected]; website: www.universaladministrators.co.za
70. UNIVERSITY OF KWA-ZULU NATAL MEDICAL SCHEME - Restricted - 0860113322
71. WITBANK COALFIELDS MEDICAL AID SCHEME - Restricted - 0136561407
72. WOOLTRU HEALTHCARE FUND
BENEFIT CONFIRMATION PORTAL
https://crm.affinityhealth.co.za/bcp/login.php
Preferred Provider:
Find a Pathologist or Radiologist
NBCRFLI
Phone: 011 703 7000
0861 001 131
Momentum Ingwe
Contact:
Email: [email protected]
Radiology Referral Forms (All Providers)
RADIOLOGY REFERRAL FORMS
Momentum health4me
0860102903
AGS HEALTH NOT ACCEPTED
Notice: Patients are required to pay in cash. AGS Does NOT Fund Radiology. Black and white x-rays are important and without radiology we caution you before you consider AGSHEALTH for your family.
Contact:
PRIMECURE;
KAELO;
DISCHEM
NOT ACCEPTED
AS AT 2023/11/01
wf_226314182
wf_226314181
23m08 @14h37 20240124
Day1 Health NOT ACCEPTED
Notice: Patients are required to pay in cash.
Day1 Health (PTY) LIMITED FSP 11319 CMS DM1074
Website confirms Basic Radiology is Covered: Learn More
Contact:
The Office of the Ombudsman for Short-Term Insurance: [email protected]
STRATUM HEALTH NOT ACCEPTED
They working on their systems but are not yet strong enough to be part of the See Through Radiology Network.
BASIC CODES NOT COVERED
53120 LUMBAR SPINE
2023-Annexure_B_BonCap(ID_1080265).pdf
PARA D5.1.3 Subject to the BonCap radiology and pathology formulary.
Ingwe Radiology benefits for Momentum Medical Scheme (png)
DownloadBONCAP RULES 2023-Annexure_B_BonCap(ID_1080265) NO COPAY FOR RADIOLOGY (pdf)
DownloadHealth4Me Radiology Codes (pdf)
DownloadAffinity Health Radiology Operations Guide 2024 - Lion (pdf)
Downloadradiology_benefits_guide_for_schemes_administered_by_dh (pdf)
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