Suremed
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[Accessed July 10, 2023]
About Suremed
Suremed is committed to providing comprehensive medical aid plans that cater to the specific needs of its clients.
With its range of options, it's easy to find a plan that fits your budget and requirements. Each plan is designed to offer a unique set of benefits, ensuring that you get the care you need, when you need it.
Tailor-made options for every South African
One of the key advantages of Suremed is its tailor-made options for every South African. It recognizes that each individual's healthcare needs are unique and offers plans that cater to those needs.
Whether you're looking for basic coverage or comprehensive medical aid, Suremed has a plan that's perfect for you.
Award-winning professional care management
As a member of Suremed, you can rest assured that you're in good hands. The medical aid provider is administered by Momentum Thebe Ya Bophelo, an award-winning professional care management service provider.
This means that you can expect high-quality healthcare services and assistance with your medical claims.
Affordable and accessible healthcare
Suremed is committed to making healthcare accessible and affordable for all South Africans.
Its plans are designed to be affordable without compromising on the quality of care. By joining Suremed, you can access a range of benefits, including hospital cover, chronic medication, and preventative care.
Benefits of joining Suremed:
- Comprehensive medical aid plans to suit your unique needs
- Access to high-quality healthcare services and assistance with medical claims
- Affordable and accessible healthcare for all South Africans
- Tailor-made options that fit your budget and requirements
Suremed is one of the oldest and most trusted medical aid providers
With its range of comprehensive and affordable medical aid plans, it's easy to find a plan that fits your budget and requirements. As a member of Suremed, you can access a range of benefits and expect high-quality healthcare services.
Suremed Services
Suremed offers you a choice of four plans which provide you with a cost-effective option based on your specific needs.
Suremed has a three-tier regular plan option which gives you a choice of premium, middle-range, and entry-level plan options to suit your needs. Your choice of a plan should be based on your and your family’s needs rather than solely on the price.
They also have capitated plans which consider your monthly income as a plan option decider. This means you can choose a plan based entirely on your income. The lower your income the lower your monthly contributions can be. All benefits remain the same on the capitated plans.
All plans along with the concomitant pricing and associated benefits are available online. You can also compare plans, as well as options, from other medical aid providers.
Suremed offers four different medical aid plans
Challenger is a comprehensive medical aid plan that offers extensive major medical benefits and generous sub-limits for day-to-day benefits, with no annual limits. It is popular among high-income earners.
- Navigator also offers extensive major medical benefits, but with lower annual limits for conditions such as cancer and organ failure. This plan has lower day-to-day benefits than the Challenger option and is popular among white and some blue-collar workers with higher incomes.
- Principal member: R3,080 to R3,220
- Adult dependant: R2,420 to R3,220
- Child dependant: R900 to R1,055
- Shuttle provides extensive hospital cover and enhanced major medical benefits through a preferred provider network. This plan is designed for members who require comprehensive benefits that can be accessed via the member mobile app 24/7.
- Principal member: R1,029 to R2,343
- Adult dependant: R549 to R1,200
- Child dependant: R714 to R1,057
- Explorer offers comprehensive major medical benefits and day-to-day benefits that are delivered through a network of preferred providers. Hospitalisation is provided through the Netcare group of hospitals, and all other services are provided through the Prime Cure network. This plan is popular among blue-collar workers.
- Principal member: R1,290 to R3,220
- Adult dependant: R1,145 to R3,220
- Child dependant: R595 to R1,000
- Challenger is a comprehensive medical aid plan that offers extensive major medical benefits and generous sub-limits for day-to-day benefits, with no annual limits. It is popular among high-income earners.
- Principal member: R5,730
- Adult dependant: R4,270
- Child dependant: R1,130
Suremed – Medical aid scheme
- Product Medical Aid
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Medial aid plans
A full range of medical aid solutions caters to your specific needs, ensuring appropriate and cost-effective medical care.
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Committed to you
A long-standing track record in South Africa, having been established in August 1976 demonstrates their expertise and commitment to serving you.
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Assistance
They provide important information for you to review and encourage you to reach out to your broker or scheme administrators for any clarification or assistance.
Benefits of Suremed
- Access to the Multiply Wellness and Rewards Programme offers various benefits, incentives, and rewards to promote overall well-being.
- Offers four competitive and affordable medical aid options.
- No self-payment gap on Navigator option means that if you’re on this option you don’t need to make additional payments for certain services once your savings are depleted.
- Coverage for medical emergencies and necessary treatment when travelling outside the country.
How to join and maintain Suremed membership
Suremed has the option of additional benefits which include emergency medical care for private medical emergencies, hospitalization management particularly pre-hospital authorisation, and clinical management during hospitalization. They also have a program that allows diabetics a full range of management and care to ensure their ongoing health and wellness.
If you want to join Suremed as a new member, simply download the application form from the How-To tab on their website, complete and submit it.
You can also download a chronic medication application form if needed. Make sure to include all required documentation and authenticate it with your application form.
To change your membership status or type, complete the relevant form and submit it with the associated documentation. Forms are available for download on the website.
Terms and conditions of Suremed membership
Only members of Suremed can claim benefits. You can maintain your membership until you provide written instructions to terminate it. Monthly premiums become your responsibility if you opt to maintain membership after retirement or employment termination.
If the main member dies, registered dependant members can retain their membership without changes to their membership terms and conditions. The scheme will inform dependent members of the payable contributions necessary to retain their membership.
You can add additional dependents to your membership by downloading and completing the relevant form, and your contributions will be adjusted accordingly. You have 30 days from marriage or the birth/adoption of a child to apply to add them as dependents. You can also apply to add a parent as an adult dependent.
If you terminate your membership and reapply for membership, re-entry is not guaranteed. The scheme reserves the right to subject such re-applications to specific conditions.
How to make a claim with Suremed
Your service provider typically processes medical claims for you. You only need to sign the invoice provided, and they’ll submit the claim to the medical aid. If there is an outstanding amount not covered by the scheme, you will need to settle it with your service provider.
If you’ve settled your bill with your service provider, you can send your proof of payment along with the invoice to the medical aid for reimbursement. Ensure that all details, especially membership details, are correct to prevent any potential issues due to inaccurate or incomplete information.
Note: Child dependants age out at 21, but if you provide proof that the child dependant is registered as a student at a university or college, they can continue membership until they turn 24. Proof of continued registration every year will need to be provided until the child turns 24. Such membership will cease when the dependant turns 25.
Suremed Contact
Physical Address
- 399 Main Ave, Ferndale Randburg 2194 South Africa
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Opening Hours
- Monday 08:00 – 17:00
- Tuesday 08:00 – 17:00
- Wednesday 08:00 – 17:00
- Thursday 08:00 – 17:00
- Friday 08:00 – 17:00
- Saturday – Closed
- Sunday – Closed