You are a member of Medshield. Please see the table below for responsibilities and contact details.
Please download the relevant form here:
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.
|0860 50 60 80
011 259 5000
For further information on HIV PMB’s please contact Medshield via their website: www.medshield.co.za