How we Pay for Medicine on the Smart Series
Overview
On the Smart plans, you have full cover for approved chronic medicine on our medicine list for all Chronic Disease List (CDL) conditions as well as cover for certain prescribed medicine and over-the-counter medicine, when you use a designated service provider (DSP). Cover depends on the plan you are on
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Smart Series 2026
Here's what you get: Unlimited private hospital cover in the Smart Hospital Network. Guaranteed full cover in hospital for specialists who we have a payment arrangement with, and up to 200% of the DHR on Classic and up to 100% of the DHR on Essential ...
Comprehensive Series 2026
Here's what you get: Unlimited private hospital cover in a general ward including private ward cover of up to R2,700 each day for your delivery. Guaranteed full cover in hospital for specialists who we have a payment arrangement with, up to 200% of ...
Cover for Medicine and Treatment of Chronic Conditions
The attached document explains how we cover you for approved chronic medicine and treatment for your condition from the Chronic Illness Benefit (CIB). It gives you details about: • What is included in your benefits • Why it is important to register ...
DHMS Menopause Medicine List Formulary
Please find attached the DMHS Menopause Medicine List
Specialised Medicine and Technology Benefit
Overview The Specialised Medicine and Technology Benefit gives members on the Executive and Classic Comprehensive Plan access to specific high-cost medicines and new technologies. This benefit is not available on the Classic Smart Comprehensive Plan. ...