Managed care

Please click on the links below for information on the Scheme's managed care programmes.

Medicine Risk Management Programme

Pharmacy network  

Click here to download a list of network pharmacies.

Chronic medication formulary and chronic condition list

Click here for the chronic medication formulary and list of chronic conditions.

Hospital Risk Management Programme

  • Reference Guide

      Integrated Care Programme

      Psychiatry Management Programme

      Spinal Programme

      Maternity Programme

      Aid for AIDS HIV Management Programme

      Oncology Management Programme

      In the Oncology Management health leaflets below, we provide you with practical information on how to live with your condition:

      Breast cancer
      Cervical cancer
      Chemotherapy side effects
      Colorectal cancer
      Lung cancer
      Prostate cancer
      Radiotherapy side effects



      21 February 2020

      With effect from 1 April 2020, Medscheme Holdings (Medscheme) will take over the administration and managed care services from our current administrator - Momentum Health Solutions (MHS).

      We will share more information around the change in administrators and any matters that you will need to be aware of over the next few weeks as we draw closer to 1 April.

      Click here for a copy of our May 2020 Newsletter.


      Contact Us

      Client Services
      Tel: 0860 100 078
      Fax: 086 566 1372

      Managed Care Services (including hospital pre-authorisation & ICON)
      0860 100 078

      MEDiPOS Anti-fraud Hotline
      Tel: 0800 112 811



      MEDiPOS Medical Scheme