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

Please download the relevant form here:

adult_HIVform_2016
paed_HIVform_2016
coverage

MEDSHIELD / LIFESENSE HIV COVERAGE RESPONSIBILITY AND CONTACT LIST

MEDICAL MANAGEMENT BENEFIT PAID FROM SERVICE PROVIDER CONTACT DETAILS
HIV voluntary counselling and testing Wellness benefit Wellness Odyssey 010 007 2235
Co-trimoxazole as preventative treatment Immuno deficiency benefit which is unlimited. LifeSense 0860 50 60 80
Screening and preventative therapy for TB Screening -wellness benefit (culture) and the preventative therapy from Immuno deficiency benefit which is unlimited. Any Laboratory /LifeSense 0860 50 60 80
Diagnosis and treatment of sexually transmitted infections Wellness benefit -pap/liquid based cytology and blood tests from day to day/savings benefit Any Laboratory
Pain management and palliative care Hospice and sub-acute care will pay from the alternate to hospitalisation benefit. Counselling from mental health benefit. MSO 011 259 5000
Treatment for opportunistic infections Immuno deficiency benefit which is unlimited. LifeSense 0860 50 60 80
Prevention of mother-to-child transmission of HIV Immuno deficiency benefit which is unlimited. LifeSense 0860 50 60 80
Post-exposure prophylaxis following occupational exposure or sexual assault Immuno deficiency benefit which is unlimited. LifeSense 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 Immuno deficiency benefit which is unlimited. Active engagement of members by case managers, practitioners and MSO medical advisor.

Non-compliance flagged by LifeSense but currently the scheme imposes no penalties/restrictions to the member in this respect.

LifeSense

MSO

0860 50 60 80

011 259 5000

 

For further information on HIV PMB’s please contact Medshield via their website: www.medshield.co.za