CLIENT COMMUNIQUES

NotificationDateClientOverview
N32/201831/08/18 Basil Read Medical PlanWith effect 1 September 2018, Mediscor will apply the rules applicable to Namibian pharmacies and dispensing doctors for Basil Read Medical Plan.
N31/201831/08/18 Basil Read Medical PlanWith effect 1 September 2018, Mediscor will apply the rules applicable to pharmacies and dispensing doctors for Basil Read Medical Plan.
N30/201813/08/18 Unity HealthWith immediate effect, Mediscor will apply the medical insurance rules applicable to pharmacies for Unity Health.
N29/201820/07/18 Humanity D1HWith immediate effect, Mediscor will apply the rules applicable to pharmacies and dispensing doctors for Humanity D1H (Day1 Health Namibia).
N28/201812/07/18 Affinity HealthWith immediate effect, Mediscor will apply the Insurance Funder rules applicable to pharmacies for Affinity Health.
N27/201811/07/18 Unity HealthWith immediate effect, Mediscor will apply the medical insurance rules applicable to pharmacies for Unity Health.
N26/201825/06/18 Prime Cure HealthWith effect 1 July 2018, Mediscor will apply the scheme rules applicable to pharmacies for Prime Cure Health.
N25/201825/06/18 Affinity HealthWith effect 1 July 2018, Mediscor will apply the Insurance Funder rules applicable to pharmacies for Affinity Health.
N24/201812/06/18 CareCross HealthWith effect 30 June 2018, termination of Option OLD MUTUAL STAFF MEDICAL AID FUND (CCH0006). Mediscor will process resubmissions for service dates prior to 1 July 2018 until 30 November 2018. The stale period is managed by MMI.
N23/201812/06/18ENGEN Medical Benefit FundWith effect 27 June 2018, ENGEN Medical Benefit Fund (MDS0111) medicine claims will no longer be processed by Mediscor.
All pharmacy and doctor medicine claims, irrespective of service date, must be submitted to Discovery Health.
N22/201810/05/18 Rand Water Medical SchemeWith immediate effect, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Rand Water Medical Scheme.
N21/201825/04/18 MEDiPOS Medical SchemeWith immediate effect, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for MEDiPOS Medical Scheme.
N20/201809/04/18 Imperial Group Medical SchemeWith immediate effect, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Imperial Med.
N19/201810/04/18 Genesis Medical SchemeWith immediate effect, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Genesis Medical Scheme.
N18/201806/04/18 MOTO Health CareWith immediate effect, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for MOTO Health Care.
N17/201829/03/18 Grintek Electronics Medical Aid SchemeWith effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Grintek Electronics Medical Aid Scheme.
N16/201829/03/18 Building and Construction Industry Medical AidWith effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for BCIMA.
N15/201829/03/18 Transmed Medical FundWith effect 1 April, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Transmed Medical Fund.
N14/201829/03/18 Bestmed Medical SchemeWith effect 1 March 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Bestmed Medical Scheme.
N13/201829/03/18 CareCross HealthWith immediate effect, Mediscor will apply the scheme rules applicable to pharmacies for CareCross Health options.
N12/201829/03/18 Wooltru Healthcare FundWith effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Wooltru Healthcare Fund.
N11/201826/03/18 MEDiPOS Medical SchemeWith effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for MEDiPOS Medical Scheme.
N10/201826/03/18 Alliance-Midmed Medical SchemeWith immediate effect, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Alliance-Midmed Medical Scheme.
N9/201826/03/18 Topmed Medical SchemeWith immediate effect Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Topmed Medical Scheme.
N8/201823/03/18 BP Medical Aid SocietyWith effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for BP Medical Aid Society.
N7/201823/03/18 ENGEN Medical Benefit FundWith effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for ENGEN Medical Benefit Fund.
N6/201823/03/18 Golden Arrows Employees’ Medical Benefit With effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Golden Arrows Employees’ Medical Benefit.
N5/201823/03/18 Fishing Industry Medical Scheme With effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Fishing Industry Medical Scheme (Fishmed).
N4/201823/03/18 PG Group Medical Scheme With effect 1 April 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for PG Group Medical Scheme.
N3/201821/02/18 Oneplan With effect 1 March 2018, Mediscor will apply the health insurance rules applicable to pharmacies for Oneplan Health Insurance.
N2/201826/01/18 De Beers Benefit Society With effect 1 February 2018, Mediscor will apply the scheme rules applicable to Namibia pharmacies and dispensing doctors for De Beers Benefit Society.
N1/201815/01/18 Prime Cure Health With effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies for Prime Cure Health.
N85/201718/12/17 Umvuzo Medical Scheme With effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies for Umvuzo Medical Scheme (managed by Rx Health).
N84/201718/12/17 Grintek Electronics Medical Aid SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Grintek Electronics Medical Aid Scheme.
N83/201715/12/17 Humanity D1HWith effect 1 January 2018, Mediscor will apply the rules applicable to pharmacies and dispensing doctors for Humanity D1H (Day1 Health Namibia).
N82/201715/12/17 Renaissance Health Medical Aid FundWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for RHMAF.
N81/201715/12/17 Renaissance Health Medical Aid FundWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to Namibian pharmacies and dispensing doctors for RHMAF.
N80/201715/12/17 RCC Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for RCC Medical Scheme.
N79/201715/12/17 RCC Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to Namibian pharmacies and dispensing doctors for RCC Medical Scheme.
N78/201715/12/17 NAPOTEL Medical Aid FundWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies for NAPOTEL Medical Aid Fund.
N77/201715/12/17 NAPOTEL Medical Aid FundWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to Namibian pharmacies and dispensing doctors for NAPOTEL Medical Aid Fund.
N76/201715/12/17 NAMDEB Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for NAMDEB Medical Scheme.
N75/201715/12/17 NAMDEB Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to Namibian pharmacies and dispensing doctors for NAMDEB Medical Scheme.
N74/201715/12/17 Prosperity Life InsuranceWith effect 1 January 2018, Mediscor will apply the rules applicable to pharmacies and dispensing doctors for Prosperity Life Insurance.
N73/201715/12/17 Prosperity Life InsuranceWith effect 1 January 2018, Mediscor will apply the rules applicable to Namibian pharmacies and dispensing doctors for Prosperity Life Insurance.
N72/201715/12/17 De Beers Benefit SocietyWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for De Beers Benefit Society (DBBS).
N71/201715/12/17 De Beers Benefit SocietyWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to Namibia pharmacies and dispensing doctors for De Beers Benefit Society (DBBS).
N70/201715/12/17 BP Medical Aid SocietyWith effect1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for BP Medical Aid Society.
N69/201715/12/17 TopMed Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for TopMed Medical Scheme.
N68/201715/12/17 Alliance-Midmed Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Alliance-Midmed Medical Scheme.
N67/201715/12/17 Medicall HealthWith effect 1 January 2018, Mediscor will apply the insurance funder rules applicable to pharmacies for Medicall Health Insurance.
N66/201715/12/17 Hosmed Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Hosmed Medical Scheme.
N65/201715/12/17 Unity HealthWith effect 1 January 2018, Mediscor will apply the medical insurance rules applicable to pharmacies for Unity Health.
N64/201715/12/17 Africa AssistWith effect 1 January 2018, Mediscor will apply the insurance funder rules applicable to pharmacies for Africa Assist.
N63/201715/12/17 Selfmed Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Selfmed Medical Scheme.
N62/201715/12/17 United General InsuranceWith effect 1 January 2018, Mediscor will apply the insurance funder rules applicable to pharmacies for United General Insurance (South African Providers).
N61/201715/12/17 United General InsuranceWith effect 1 January 2018, Mediscor will apply the insurance funder rules applicable for Swaziland pharmacies for United General Insurance (Swaziland Providers).
N60/201715/12/17 Enablemed AUH Primary HealthCareWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies for African Unity Health Primary HealthCare.
N59/201715/12/17 PG Group Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for PG Group Medical Scheme.
N58/201713/12/17 Prime Cure HealthWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies for Prime Cure Health.
N57/201713/12/17 EnablemedWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies for Sizwe Gomomo Care option.
N56/201713/12/17 EnablemedWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies for Malcor D.
N55/201713/12/17 EnablemedWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies for Makoti Health Plan.
N54/201713/12/17 DAY1 HealthWith effect 1 January 2018, Mediscor will apply the medical insurance rules applicable to pharmacies for DAY1 Health.
N53/201713/12/17 Genesis Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Genesis Medical Scheme.
N52/201713/12/17 ENGEN Medical Benefit FundWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for ENGEN Medical Benefit Fund.
N51/201713/12/17 Momentum HealthWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Momentum Health.
N50/201713/12/17 Wooltru Healthcare FundWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Wooltru Healthcare Fund.
N49/201713/12/17 MOTO Health CareWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for MOTO Health Care.
N48/201713/12/17 Affinity HealthWith effect 1 January 2018, Mediscor will apply the Insurance Funder rules applicable to pharmacies for Affinity Health.
N47/201713/12/17 Swaziland Medical Aid FundWith effect 1 January 2018, Mediscor will apply the Swaziland Medical Aid Fund (Swazimed) rules applicable to Swaziland pharmacies.
N46/201713/12/17 Swaziland Medical Aid FundWith effect 1 January 2018, Mediscor will apply the Swaziland Medical Aid Fund (Swazimed) rules applicable to South African pharmacies.
N45/201713/12/17 Momentum Health4MeWith effect 1 January 2018, Mediscor will apply the medical insurance rules applicable to pharmacies for Momentum Health4Me.
N44/201713/12/17 Imperial Group Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Imperial Med.
N43/201713/12/17 MEDiPOS Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for MEDiPOS Medical Scheme.
N42/201713/12/17 FishmedWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Fishing Industry Medical Scheme (Fishmed).
N41/201713/12/17 Metropolitan InternationalWith effect 1 January 2018, Mediscor will apply the insurance funder rules applicable to pharmacies for Metropolitan International.
N40/201713/12/17 Golden Arrows Employees’ Medical BenefitWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Golden Arrows Employees’ Medical Benefit.
N39/201713/12/17 SEDMEDWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to South African pharmacies and dispensing doctors for SEDMED Medical Scheme.
N38/201713/12/17 SEDMEDWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to Namibia and Lesotho pharmacies for SEDMED Medical Scheme.
N37/201713/12/17 Essential MedWith effect 1 January 2018, Mediscor will apply the medical insurance rules applicable to pharmacies for Essential Med.
N36/201713/12/17 BCIMAWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for BCIMA.
N35/201713/12/17 ThebeMed Medical Aid SchemeWith effect 1 January 2018, ThebeMed Medical Aid Scheme (MDS0033) medicine claims will no longer be processed by Mediscor.
N34/201713/12/17 Bestmed Medical SchemeWith effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Bestmed Medical Scheme.
N33/201713/12/17 NBCRFLI With effect 1 January 2018, Mediscor will apply the wellness funder rules applicable to pharmacies for NBCRFLI.
N32/201713/12/17 CDE With effect 1 January 2018, Mediscor will apply the managed care rules applicable to pharmacies and dispensing doctors for Centre for Diabetes and Endocrinology.
N31/201705/12/17 CareCross Health With effect 16 December 2017, Mediscor will apply the scheme rules applicable to pharmacies for CareCross Health.
N30/201730/11/17 GIWUSA With effect 1 December 2017, Enablemed Giwusa Insurance Product (MDS0106) medicine claims, will no longer be processed by Mediscor.
N29/201713/12/17 MSO InternationalWith effect 1 January 2018, Mediscor will apply the insurance funder rules applicable to pharmacies for MSO International.
N28/201713/12/17 Rand Water Medical Scheme With effect 1 January 2018, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Rand Water Medical Scheme.
N27/201723/11/17 GetSavvi Health With effect 1 January 2018, Mediscor will apply the medical insurance fund rules applicable to pharmacies for GetSavvi Health.
N26/201723/11/17 Transmed Medical Fund With effect 1 January, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Transmed Medical Fund.
N25/201723/11/17 Essential Employee Benefits (EEBS)With effect 1 January 2018, Mediscor will apply the medical insurance rules applicable to pharmacies for Essential Employee Benefits
N24/201723/11/17 FURNMED Sick Benefit SocietyWith effect 1 January 2018, Mediscor will apply the sick fund benefit rules applicable to pharmacies for FURNMED Sick Benefit Society.
N23/201723/11/17 Medihelp Medical SchemeEffective 4 December 2017 all medicine claims for Medihelp Medical Scheme with a service date of 4 December 2017 onwards, must be submitted directly to Medihelp.
N22/201703/11/17 EnablemedWith immediate effect, Enablemed Gesture (MDS0103) medicine claims, will no longer be processed by Mediscor.
N21/201723/10/17 EnablemedMediscor will be processing medicine claims from pharmacies for African Unity Health Primary HealthCare (administered by Enablemed), effective 1 November 2017.
N20/201729/09/17 Unity HealthWith immediate effect, Mediscor will apply the medical insurance rules applicable to pharmacies for Unity Health.
N19/201704/08/17 COMMEDWith effect 07 August 2017, COMMED (MDS0038) medicine claims and medicine authorisations should be submitted to Medscheme, as they will no longer be serviced by Mediscor.
N18/201711/07/17 Affinity HealthWith effect 1 July 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Affinity Health.
N17/201704/07/17 Metropolitan Medical SchemeThe Council for Medical Schemes has approved the incorporation of Metropolitan Medical Scheme into Momentum Health, effective 1 July 2017. Momentum Health processes will apply in the routing of claims and enquiries
N15/201708/06/17 MedStartWith effect 1 July 2017, Mediscor will no longer process medicine claims for MedStart Insurance.
N14/201726/05/17 EnablemedWith immediate effect, Enablemed Grooms Cover Health Insurance (MDS0081) medicine claims, will no longer be processed by Mediscor.
N13/201724/05/17 Affinity HealthWith effect 1 June 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Affinity Health.
N12/201720/04/17 Prime Cure HealthWith effect 1 May 2017, Mediscor will apply the Prime Cure capitated rules for the new client option Auto & General.
N11/201720/04/17 Affinity HealthWith effect 1 May 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Affinity Health.
N10/201713/03/17GetSavvi HealthPlease note, with immediate effect, additional options GetSavvi B Top Up, GetSavvi B+ Top Up and GetSavvi C Top Up, effective 01 February 2017.Only acute medicine restricted to a formulary may be dispensed by pharmacies. Chronic related medicines must be referred to the Blackbird Group.
N9/201703/03/17Prime Cure HealthWith immediate effect, Prime Cure Health's Thlakano name, will change to MyHealth for the Base, Elite, Core, Vital and Plus options.
N8/201703/03/17Seventh Day Adventist Medical Scheme (SEDMED)With immediate effect, Mediscor will apply the scheme rules applicable to Namibia and Lesotho pharmacies for SEDMED Medical Scheme.
N7/201703/03/17Seventh Day Adventist Medical Scheme (SEDMED)With immediate effect, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for SEDMED Medical Scheme.
N6/201721/02/17Oneplan Health InsuranceWith effect 1 March 2017, Mediscor will apply the health insurance rules applicable to pharmacies for Oneplan Health Insurance.
N5/201713/02/17Medicall Health InsuranceWith effect 1 February 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Medicall Health Insurance.
N4/201702/02/17United General InsuranceWith effect 1 February 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for United General Insurance (South African Providers).
N3/201702/02/17United General InsuranceWith effect 1 February 2017, Mediscor will apply the insurance funder rules applicable for Swaziland pharmacies for United General Insurance (Swaziland Providers).
N2/201713/02/17Unity HealthWith immediate effect, Mediscor will apply the medical insurance rules applicable to pharmacies for Unity Health.
N1/201720/01/17Affinity HealthWith effect 1 February 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Affinity Health.
N87/201622/12/16Swaziland Medical Aid Fund (Swazimed)With effect 1 January 2017, Mediscor will apply the Swaziland Medical Aid Fund (Swazimed) rules applicable to Swaziland pharmacies.
N86/201622/12/16Swaziland Medical Aid Fund (Swazimed)With effect 1 January 2017, Mediscor will apply the Swaziland Medical Aid Fund (Swazimed) rules applicable to South African pharmacies.
N85/201621/12/16Unity HealthWith effect 1 January 2017, Mediscor will apply the medical insurance rules applicable to pharmacies for Unity Health.
N84/201621/12/16Community Medical Aid Scheme (COMMED)With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for COMMED.
N83/201621/12/16Metropolitan Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Metropolitan Medical Scheme.
N82/201621/12/16MEDiPOS Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for MEDiPOS Medical Scheme.
N81/201621/12/16Wooltru Healthcare FundWith effect 1 January, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Wooltru Healthcare Fund.
N80/201621/12/16Imperial Group Medical Scheme (Imperial Med)With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Imperial Med.
N79/201621/12/16Transmed Medical FundWith effect 1 January, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Transmed Medical Scheme.
N78/201621/12/16Essential MedWith effect 1 January 2017, Mediscor will apply the medical insurance rules applicable to pharmacies for Essential Med.
N77/201621/12/16DAY1 HealthWith effect 1 January 2017, Mediscor will apply the medical insurance rules applicable to pharmacies for DAY1 Health.
N76/201620/12/16MedStartWith effect 1 January 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for MedStart
N75/201620/12/16ThebeMed Medical Aid SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for ThebeMed Medical Aid Scheme
N74/201621/12/16Prime CureWith effect 1 January 2017, Mediscor will apply the capitated rules applicable to pharmacies and dispensing doctors for Prime Cure scheme.
N73/201620/12/16Hosmed Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Hosmed Medical Scheme.
N72/201620/12/16MSO InternationalWith effect 1 January 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for MSO International.
N71/201620/12/16De Beers Benefit Society (DBBS)With effect 1 January 2017, Mediscor will apply the scheme rules applicable to Namibia pharmacies and dispensing doctors for De Beers Benefit Society (DBBS).
N70/201620/12/16De Beers Benefit Society (DBBS)With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for De Beers Benefit Society (DBBS).
N69/201620/12/16United General InsuranceWith effect 1 January 2017, Mediscor will apply the insurance funder rules applicable for Swaziland pharmacies for United General Insurance (Swaziland Providers).
N68/201620/12/16United General InsuranceWith effect 1 January 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for United General Insurance (South African Providers).
N67/201615/12/16Centre for Diabetes and Endocrinology (CDE)With effect 1 January 2017, Mediscor will apply the managed care rules applicable to pharmacies and dispensing doctors for Centre for Diabetes and Endocrinology (CDE).
N66/201615/12/16Momentum Health4MeWith effect 1 January 2017, Mediscor will apply the medical insurance rules applicable to pharmacies for Momentum Health4Me.
N65/201615/12/16Momentum HealthWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Momentum Health.
N64/201615/12/16Rand Water Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Rand Water Medical Scheme.
N63/201615/12/16Umvuzo Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies for Umvuzo Medical Scheme (managed by Rx Health).
N62/201615/12/16Metropolitan InternationalWith effect 1 January 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Metropolitan International, previously known as Momentum Africa Healthcare Insurance.
N61/201615/12/16Essential Employee Benefits (EEBS)With effect 1 January 2017, Mediscor will apply the medical insurance rules applicable to pharmacies for Essential Employee Benefits (EEBS).
N60/201615/12/16GetsureWith effect 1 January 2017, Mediscor will apply the medical insurance rules applicable to pharmacies for Getsure
N59/201612/12/16MOTO Health Care With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for MOTO Health Care.
N58/201612/12/16PG Group Medical SchemeWith effect 16 December 2016, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for PG Group Medical Scheme.
N57/201612/12/16Affinity HealthWith effect 1 January 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Affinity Health.
N56/201612/12/16NAMDEB Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies for NAMDEB Medical Scheme.
N55/201612/12/16NAMDEB Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to Namibian pharmacies and dispensing doctors for NAMDEB Medical Scheme.
N54/201612/12/16NAPOTEL Medical Aid FundWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies for NAPOTEL Medical Aid Fund
N53/201612/12/16NAPOTEL Medical Aid FundWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to Namibian pharmacies and dispensing doctors for NAPOTEL Medical Aid Fund.
N52/201612/12/16RCC Medical Scheme With effect 1 January 2017, Mediscor will apply the scheme rules applicable to Namibian pharmacies and dispensing doctors for RCC Medical Scheme.
N51/201612/12/16RCC Medical Scheme With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies for RCC Medical Scheme.
N50/201612/12/16Renaissance Health Medical Aid Fund (RHMAF) With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for RHMAF.
N49/201612/12/16Renaissance Health Medical Aid Fund (RHMAF) With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies for RHMAF.
N48/201612/12/16Prosperity Life Insurance With effect 1 January 2017, Mediscor will apply the rules applicable to Namibian pharmacies and dispensing doctors for Prosperity Life Insurance.
N47/201612/12/16Prosperity Life Insurance With effect 1 January 2017, Mediscor will apply the rules applicable to pharmacies for Prosperity Life Insurance.
N46/201612/12/16Humanity D1H (Previously Day1 Health Namibia)With effect 1 January 2017, Mediscor will apply the rules applicable to pharmacies for Humanity D1H (Day1 Health Namibia).
N45/201612/12/16Genesis Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Genesis Medical Scheme.
N44/201612/12/16Makoti Health Plan of The Good Hope Medical Aid SocietyWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies for Makoti Health Plan.
N43/201612/12/16Grooms Cover Health InsuranceWith effect 1 January 2017, Mediscor will apply the medical insurance rules applicable to pharmacies for Grooms Cover Health Insurance.
N42/201612/12/16Sizwe Gomomo Care OptionWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies for Sizwe Gomomo Care option.
N41/201612/12/16GIWUSA Health Benefit FundWith effect 1 January 2017, Mediscor will apply medical insurance rules applicable to pharmacies for Giwusa Health Benefit Fund.
N40/201612/12/16BP Medical Aid Society (BPMAS)With effect 16 December 2016, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for BP Medical Aid Society.
N39/201612/12/16Golden Arrows Employees’ Medical BenefitWith effect 16 December 2016, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Golden Arrows Employees’ Medical Benefit.
N38/201612/12/16Fishing Industry Medical Scheme (Fishmed)With effect 16 With effect 16 December 2016, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Fishing Industry Medical Scheme (Fishmed).
N37/201612/12/16ENGEN Medical Benefit FundWith effect 16 December 2016, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for ENGEN Medical Benefit Fund.
N36/201612/12/16MultiplyWith effect 1 January 2017, Mediscor will manage the Multiply Health Assessment benefit for claims received from participating MMI network pharmacies.
N35/201612/12/16National Bargaining Council for the Road Freight and Logistics Industry (NBCRFLI)With effect 1 January 2017, Mediscor will apply the wellness funder rules applicable to pharmacies for NBCRFLI.
N34/201612/12/16Malcor – Malcor D optionWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies for Malcor D.
N33/201612/12/16Selfmed Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Selfmed Medical Scheme.
N32/201606/12/16Alliance-Midmed Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Alliance-Midmed Medical Scheme.
N31/201606/12/16Seventh-day Adventist Medical Scheme (SEDMED)With effect 1 January 2017, Mediscor will apply the scheme rules applicable to Namibia and Lesotho pharmacies for SEDMED Medical Scheme.
N30/201606/12/16Seventh-day Adventist Medical Scheme (SEDMED)With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for SEDMED Medical Scheme.
N29/201606/12/16Medicall HealthWith effect 1 January 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Medicall Health Insurance.
N28/201606/12/16TopMed Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for TopMed Medical Scheme.
N27/201605/12/16Africa and Worldwide Medical Assistance ServicesWith effect 1 January 2017, Mediscor will apply the insurance funder rules applicable to pharmacies for Africa Assist.
N26/201605/12/16Bestmed Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Bestmed Medical Scheme.
N25/201605/12/16GetSavvi HealthWith effect 1 January 2017, Mediscor will apply the medical insurance fund rules applicable to pharmacies for GetSavvi Health.
N24/201605/12/16FURNMED Sick Benefit SocietyWith effect 1 January 2017, Mediscor will apply the sick fund benefit rules applicable to pharmacies for FURNMED Sick Benefit Society.
N23/201605/12/16Netcare Medical SchemeWith effect 1 January 2017, Netcare Medical Scheme (MDS0075) medicine claims will no longer be processed by Mediscor.
N22/201605/12/16SAMWUMED With effect 1 January 2017, SAMWUMED Medical Scheme (MDS00092) medicine claims will no longer be processed by Mediscor.
N21/201605/12/16Grintek Electronics Medical Aid SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Grintek Electronics Medical Aid Scheme.
N20/201605/12/16Building and Construction Industry Medical Aid Fund (BCIMAF)With effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for BCIMAF.
N19/201605/12/16Medihelp Medical SchemeWith effect 1 January 2017, Mediscor will apply the scheme rules applicable to pharmacies and dispensing doctors for Medihelp Medical Scheme.
N18/201614/11/12Unity Health With effect 15 November 2016, Mediscor will process medicine claims for two options under Unity Health.
N17/201621/10/16Medicall HealthWith effect 1 November 2016, Mediscor will apply medicine benefit rules for Medicall Health Insurance as outlined below. Only acute medicine, restricted to a formulary, as well as authorised chronic medicine for certain conditions may be dispensed by network pharmacies.
N16/201612/10/16GIWUSA Health Benefit FundWith effect 15 October 2016, Mediscor will apply medicine benefit rules for Giwusa Health Benefit Fund as outlined below.
N15/201627/09/16Unity HealthWith effect 1 October 2016, Mediscor will process medicine claims for new options under Unity Health. Kindly refer to the highlighted additions:
N14/201619/09/16Affinity Health (Medical Insurance)With effect 01 October 2016, Mediscor will process medicine claims for additional funder options under Affinity Health: Group Silver, Group Gold, Group Platinum, Group Platinum Plus, Mining Group and Security Services. Mediscor will no longer process medicine claims for Intertransoil Combined Plan from 16/07/2016. Only acute and authorised chronic medicine restricted to a formulary, may be dispensed by pharmacies.
N13/201602/09/16Prime CureMediscor will apply the scheme rules for Prime Cure scheme options Thlakano MyHealth (effective 5 September 2016) as outlined below. • Prime Cure contracted provider and prescriber network rules will apply.
• The Prime Cure medicine formularies will apply.
N12/2016
29-08-16Unity HealthWith effect 1 September 2016, Mediscor will process medicine claims for new options under Unity Health. Kindly refer to the highlighted additions and terminations:
N11/201615/07/16Prime CurePlease note: Effective 01 August 2016, Prime Cure Liberty Traditional Basic option (MDS0358) name, will change to Prime Cure LMS Medical Fund Traditional Basic option. Mediscor will apply the scheme rules for Prime Cure scheme options as outlined below. • Prime Cure contracted provider and prescriber network rules will apply.
• The Prime Cure medicine formularies will apply.
N10/2016
29/06/16Unity HealthWith effect 1 July 2016, Mediscor will process medicine claims for an additional employer group under the following new Funder Clients and options under Unity Health:
N9/2016
11/04/16GetsureWith effect 1 January 2016, Mediscor will apply the medicine claims processing rules for Getsure as outlined below.
N8/2016
11/03/16Unity HealthWith effect 1 April 2016, Mediscor will process medicine claims for an additional Funder client and options under Unity Health:
N7/2016
11/03/16Affinity Health (Medical Insurance)With effect 15 March 2016, Mediscor will process medicine claims for an additional funder option under Affinity Health: Petrol Attendants Combined Plan. Only acute and authorised chronic medicine restricted to a formulary, may be dispensed by pharmacies.
N6/2016
29/02/16Unity HealthWith effect 1 March 2016, Mediscor will process medicine claims for an additional Funder client and option under Unity Health: UNITY D Voluntary Group