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You are a member of Medihelp Medical Scheme. Please see the table below for responsibilities and contact details.

Please download the relevant form here:

adult_HIVform_2016
paed_HIVform_2016
coverage

MEDIHELP HEALTH / LIFESENSE HIV COVERAGE RESPONSIBILITY AND CONTACT LIST

MEDICAL MANAGEMENT BENEFITS PAID FROM SERVICE PROVIDER CONTACT
HIV voluntary counselling and testing Core benefits (not day-to-day benefits) Clicks and Dis-Chem pharmacy clinics
Necesse: Necesse GP network
0860 100 678  (Medihelp
Customer Care Centre)
Co-trimoxazole as preventative treatment PMB (upon enrolment on the disease
management programme)
LifeSense Tel No: 0860 50 60 80
Screening and preventative therapy for TB PMB (upon enrolment on the disease management programme) Any appropriate service provider 0860 100 678  (Medihelp Customer Care Centre)
Diagnosis and treatment of sexually
transmitted infections
PMB (require pre-authorisation, if not pre-
authorised from available day-to-day benefits)
Any appropriate service provider 0860 100 678 (Medihelp
Customer Care centre)
Pain management and palliative care PMB (require pre-authorisation, if not pre- authorised from available day-to-day benefits) Any appropriate service provider (DSPs could apply depending on benefit option) 0860 100 678  (Medihelp Customer Care Centre)
Treatment for opportunistic infections PMB (upon enrolment on the disease
management programme)
LifeSense Tel No 0860 50 60 80
Prevention of mother-to-child transmission
of HIV
PMB (upon enrolment on the disease
management programme)
LifeSense Tel No 0860 50 60 80
Post-exposure prophylaxis following occupational exposure or sexual assault
(PEP)
PMB (upon enrolment on the disease management programme) LifeSense Tel No 0860 50 60 80
Pre-exposure prophylaxis (PrEP) PMB (upon enrolment on the disease
management programme)
LifeSense Tel No 0860 50 60 80
Medical management and medication, including the provision of anti-retroviral therapy, and ongoing monitoring for medicine effectiveness and safety, to the extent provided for in the national guidelines applicable in the public sector PMB (upon enrolment on the disease management programme) LifeSense Tel No 0860 50 60 80

Medihelp is an authorised financial services provider (FSP No 15738)