The Medpages Database – Medpages service, medihelp claims.#Medihelp #claims


The Medpages Database

Medihelp claims

Incomplete, incorrect and out of date information, versus the Medpages Database complete, accurate and up to date.

404,439 actively managed healthcare records

Mrs Daleen Kitt

Windhoek, Windhoek, Khomas

Ms Marjen Coetzer

Windhoek, Windhoek, Khomas

Dr Zanele Rejoice Dlamini

General Practitioner (GP)

Empangeni, Empangeni, KwaZulu-Natal

Mrs Dhashini Ramsamy

Escombe, Queensburgh, KwaZulu-Natal

Sr Shakeera Mathadeen

Mayville, Durban, KwaZulu-Natal

Dr Elias Johannes Pretorius

Claremont, Cape Town, Western Cape

Mayville, Durban, KwaZulu-Natal

Sr Nokuthula Ndlela

Mayville, Durban, KwaZulu-Natal

Mr Chobe Wangario

Nairobi Central, Nairobi, Nairobi

Mr Abraim Moadi

Nairobi Central, Nairobi, Nairobi

Sr Caroline Lepele

Katlehong, Katlehong, Gauteng

Dr Kantilall Bhowon

Vacoas-phoenix, Vacoas-Phoenix, Plaines Wilhems

Dr Vishwadev Ganpath

Durban, Durban, KwaZulu-Natal

Mrs Johanna Magdalena Jacobs

Nylstroom, Modimolle, Limpopo

Mr Dalin Gcebo Christopher Mdluli

Clinical Technologist – Neurophysiology Technician

Umbilo, Berea, KwaZulu-Natal

Dr Khathutshelo Ramalata

General Practitioner (GP)

Giyani, Giyani, Limpopo

Sr Greater Mhlongo

Moleleki, Katlehong, Gauteng

Mrs Caron Anne Jocum (Macdonald)

Camps Bay, Cape Town, Western Cape

Sr Kantha Naidoo

Mayville, Durban, KwaZulu-Natal

Sr Thobane Patrick Ngcobo

Bulwer, Berea, KwaZulu-Natal

Dr Doodnath Heeralall (Manoj) Bagwandeen

General Practitioner (GP)

Bellville, Cape Town, Western Cape

Windhoek, Windhoek, Khomas

Dr Yunus Yakoob Vahed

General Practitioner (GP)

Vryheid, Vryheid, KwaZulu-Natal

Dr Jean Charles Moreau

Dakar, Dakar, Dakar

Dr Gisela Van Rooyen

Centurion, Centurion, Gauteng

Mrs Susan Marie Schutte

Windhoek, Windhoek, Khomas

Dr Rihana Roshan

Three Anchor Bay, Cape Town, Western Cape

Ms Davida Van Der Merwe

Newcastle, Newcastle, KwaZulu-Natal

Morningside, Sandton, Gauteng

Sr Subbumah (Nella) Pillay

Glenwood, Berea, KwaZulu-Natal

Mrs Claudette Busschau (Francey)

Morningside, Sandton, Gauteng

Ms Michelle Singleton

Woodmead, Sandton, Gauteng

Ms Fatima Moosa Seedat

Woodmead, Sandton, Gauteng

Dr Mary Midgolo

General Practitioner (GP)

Okahao, Okahao, Omusati

Dr Johannes Hendrik De Haast

Otjiwarongo, Otjiwarongo, Otjozondjupa

Mr Bazilio Kango

Luanda, Luanda, Luanda

Mrs Annelies Cramer

Die Hoewes, Centurion, Gauteng

Rondebosch, Cape Town, Western Cape

Mrs Verena Zita Strydom

Pinelands, Cape Town, Western Cape

Sr Beata Aukongo

Okahao, Okahao, Omusati

Dentist At Health

Despatch, Despatch, Eastern Cape

General Practice (GP)

Ezulwini, Ezulwini, Hhohho

General Practice (GP)

Lenasia Ext 7, Lenasia, Gauteng

Queensdale Surgery (Matanhike L)

General Practice (GP)

Harare, Harare, Harare

General Practice (GP)

Wierdapark Ext 1, Centurion, Gauteng

Clinics – Private General Practice (GP) Hospital & Clinic Groups – Medicross Healthcare

Roodepoort, Roodepoort, Gauteng

Warren Park Surgery (Matanhike L)

General Practice (GP)

Warren Park 1, Harare, Harare

FMCG – Shoprite Stores

Steynsrus, Steynsrus, Free State

Eastview Medical Centre

General Practice (GP)

Ruwa, Ruwa, Mashonaland East

P S M I Medical Clinic – Cameroon Street

Harare, Harare, Harare

General Practice (GP)

Karoi, Karoi, Mashonaland West

General Practice (GP)

Central Kampala, Kampala, Central

Mthatha, Mthatha, Eastern Cape

Hermanus, Hermanus, Western Cape

Polyclinique Louis Pasteur

Libreville, Libreville, Estuaire

General Practice (GP)

Auckland Park, Johannesburg, Gauteng

Mdunge. Mnguni Radiologists & Partners

Sunningdale, Cape Town, Western Cape

Harare City Health

Information – Government Department

Harare, Harare, Harare

General Practice (GP)

Burgersfort, Burgersfort, Limpopo

Stanger, KwaDukuza, KwaZulu-Natal

Vythelingam J A

General Practice (GP)

Stanger, KwaDukuza, KwaZulu-Natal

Outapi, Outapi, Omusati

General Practice (GP)

Polokwane, Polokwane, Limpopo

General Practice (GP)

Polokwane, Polokwane, Limpopo

Newlands Ext 1, Pretoria, Gauteng

Dr Naeem Moosa and Partner

Clinics – Private General Practice (GP)

Protea North, Soweto, Gauteng

General Practice (GP)

Morningside, Sandton, Gauteng

Sunnyside, Pretoria, Gauteng

General Practice (GP)

Sterpark, Polokwane, Limpopo

FMCG – General Stores

Witbank, Emalahleni, Mpumalanga

General Practice (GP)

Thaba Tshwane, Centurion, Gauteng

Drs Kara and Twala

Mafikeng, Mmabatho, North West

Bloemdent Dental Laboratory

Bloemfontein, Bloemfontein, Free State

General Practice (GP)

Burgersfort, Burgersfort, Limpopo

General Practice (GP)

Tzaneen, Tzaneen, Limpopo

Jansen Van Vuuren K

General Practice (GP)

Richards Bay, Richards Bay, KwaZulu-Natal

General Practice (GP)

Amandelbult, Thabazimbi, Limpopo

General Practice (GP)

Tokai, Cape Town, Western Cape

General Practice (GP)

Elim Hospital, Louis Trichardt, Limpopo

General Practice (GP)

Duduza, Nigel, Gauteng

Sydenham, Berea, KwaZulu-Natal

Torga Optical – West Acres

West Acres, Nelspruit, Mpumalanga

General Practice (GP)

Maseru, Maseru, Maseru

General Practice (GP)

Lebowakgomo, Lepele-Nkumpi Rural, Limpopo

Durban North, Durban North, KwaZulu-Natal

General Practice (GP)

Durban North, Durban North, KwaZulu-Natal

Why do I need it?

Your company probably has a customer master – a single list of all your customers and their details. The problem is that it is enormously time‐consuming to keep it up to date and complete because your customers move, change numbers and change other information too. It is even more likely that different parts of your organisation are keeping their own customer masters; so work is duplicated and the view is fragmented.

Subscribing to the Medpages Database gives your entire organisation a coherent view of your customers and a continuously updated database of healthcare providers in South Africa and Africa.

Instead of you doing the work of maintaining a database, our dedicated team does it. This team are in daily telephonic contact with healthcare providers updating their information, or adding new providers to the database.

In the unlikely event that you find a healthcare provider that is missing from the database, or needs updating, you let us know, and we do the rest.

You get the benefit of all these updates, by receiving regular (daily or weekly) updates from us.



Medfin, Health Care for all, medihelp claims.#Medihelp #claims


medihelp claims

Medihelp claimsMedihelp claims

Welcome to Medfin

Providing Health Cover, Medical Schemes, Short term Insurance, Life Cover and retirement benefits to corporate employer groups, small businesses and individuals. Our quote system makes it possible to do comparisons between products of any company in the market. If you need to compare your existing product to any other product Medfin is able to provide you with detail on benefits, premiums etc.

Medical Aid Schemes

Providing Health Cover, Medical Schemes, Short term Insurance, Life Cover and retirement benefits to corporate employer groups, small businesses and individuals. Our quote system makes it possible to do comparisons between products of any company in the market. If you need to compare your existing product to any other product Medfin is able to provide you with detail on benefits, premiums etc.

Providing Health Cover, Medical Schemes, Short term Insurance, Life Cover and retirement benefits to corporate employer groups, small businesses and individuals. Our quote system makes it possible to do comparisons between products of any company in the market. If you need to compare your existing product to any other product Medfin is able to provide you with detail on benefits, premiums etc.

MEDFIN Health Care Consultants, started in 1996, is a financial services advisory and intermediary organization focusing on Health Care, Short term insurance and Life Insurance. Medfin provide advise and financial products to Corporate groups, small businesses and individuals.

Medfin is accredited to market and sell a huge variety of products from various companies including: Discovery, Liberty, Sanlam, Old Mutual, Momentum, Genesis, Sizwe, Topmed, Bonitas, Bestmed, Medshield, Medihelp, Selfmed, Ambledown.

Medfin believe in a model where we are present on the premises of our clients to support HR in the smooth administration of employee benefits and also to support the employees with any queries from claims to product training. The success of any product is only as good as the back-up and support provided by the Consultants or Brokers.



Compare the Medihelp Medical Aid Scheme on, medihelp claims.#Medihelp #claims


Hippo Partners – Medihelp

Medihelp claims

Medihelp is one of the 5 largest medical schemes in South Africa and provides cover for approximately 200 000 people.

It offers a choice of 10 different options and premiums for a single member range from R438 (students) to R6936. Members have the option of using a hospital of their choice or a plan that uses a network of hospitals (this lowers the contribution rate and makes these options more affordable). Dimension Prime 3 is the most popular option.

Preventative care benefits and a rich maternity programme are offered and through HealthPrint (a free wellness programme) and members can track their health activity, access their health and benefit data and enjoy benefits/discounts from certain retailers.

Medihelp Plus is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%.

Day to day costs are subject to defined annual limits and / or an annual benefit pool limit.

The Elite option is suited for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 100%. Co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures.

Day to day costs are subject to defined annual limits and / or an annual benefit pool limit.

Dimension Prime 3

This all round general cover plan offers unlimited hospital cover and is suitable for young families. In-hospital specialist bills are paid at 100% and co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures.

Day to day costs are subject to defined limits.

Dimension Prime 2

This plan offers unlimited hospital cover and is suitable for young families. In-hospital specialist bills are paid at 100% and co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures.

Day to day claims are payable from savings whilst optometry claims are paid from risk.

Dimension Prime 1

This plan offers unlimited hospital cover and is suitable for young, health individuals. In-hospital specialist bills are paid at 100% and co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures.

This is mainly a hospital plan which also provides some preventative care benefits and limited cover for GP and specialist consults, physiotherapy, acute and over the counter meds.

This plan offers unlimited hospital cover and is suitable for young, health individuals. In-hospital specialist bills are paid at 100% and co-payments are applied to specialized radiology and / or scopes and a few other in-hospital procedures.

Day to day claims are payable from savings with a separate benefit for specialised radiology preventative care benefits.

Necesse is an entry level capitated network plan which is an affordable plan, ideal for low earning individuals or for full time students. All treatments are subject to provider network protocols.



Hospital Admission and Claims, medihelp claims.#Medihelp #claims


medihelp claims

Hospital admission Procedure

Hospital pre-authorisation: 0860 10 11 76

Before you are admitted to hospital, you must phone for pre-authorisation except in the case of a life threatening medical emergency. This telephone call is important because it helps the administrator to confirm the procedure and appoint a designated case manager who will ensure that the rate charged by the hospital is correct. This will help you avoid having to settle an account or make co-payments when you are discharged from hospital.

How to submit a claim?

Following a consultation with, or treatment by, a provider, your account should reflect

if it has been submitted directly to Sizwe. If you are not sure, please enquire with your provider. If the account has not been submitted please follow the procedure below. Be sure to submit your claims correctly in order to avoid any delays in payment. Mail or deliver your account as quickly as possible to your nearest Sizwe branch or your Broker.

1. Send only the original account you receive. Do not send statements or duplicate invoices.

2. Some doctors offer a discount if you settle the account immediately. If you have already paid the account, attach your receipt and mark the account Refund Member .

3. All accounts must show full details of your membership.

Please check that your account reflects the following:

Provider’s name and practice number

Principal (main) member’s name and initials

Principal member’s medical aid number

Patient’s name (as listed on your membership card). If the patient is not the main member, please list their date of birth and ID number as well.

Tariff code (the doctor will fill in the ICD-10 code); and

Diagnosis made by the doctor or specialist.

As proof that you have received the treatment that is being charged for on the account, please sign the account before submitting it to Sizwe. Claims are paid to providers every week and you will receive a monthly statement that shows all claims received and paid for since the previous statement. Pharmacies can submit claims in real time, on-line. This means that when receiving your medication at the pharmacy, you will know almost immediately whether Sizwe has accepted your claim.

Only claims received within four months of date of treatment will be paid.

Why wait for your refund cheque to be sent to you in the mail?

Sizwe can transfer any money owing to you electronically so that it appears directly in your cheque or savings account. To benefit from this electronic funds transfer (EFT) service, please fill in the special eft form, available at your nearest Sizwe branch or on the website.