You will have a co-payment under the following circumstances: If an item is not on the scheme’s formulary If you prefer the original item and there is a generic replacement available. If your medical aid funds are depleted. The normal scheme rules and exceptions are applied to all prescriptions. Members have to follow the normal procedures with regards to registering their chronic medication. MMAP (Maximum Medical Aid Pricing) applies according to Scheme rules. Should your Medical Scheme for any reason reject payment of a claim, you as the member become responsible for any outstanding amounts. Should you run out of medication benefits before the end of the year you can continue to obtain your medication from us, as a private member.

Members’ co-payment value will be communicated via their preferred communication method. Once POP of co-payment was received, the parcel will be dispatched.