Sasolmed Medical Aid (🇿🇦2025*)

  Overall, Sasolmed offers 2 medical aid plans (Comprehensive Network and Restricted Network) starting from R8,000 per month. Additionally, Sasolmed offers 24/7 emergency support and offers a comprehensive gap cover on every policy through Momentum Admed.        

Sasolmed Medical Aid - Analysis of Medical Aids' Main Features

 

1. ✅ Sasolmed at a Glance
2. ✅ Sasolmed Regulation
3. ✅ Sasolmed Plan Overview
4. ✅ Sasolmed Benefits
5. ✅ Sasolmed – Advantages over Competitors
6. ✅ Overview of Sasolmed Gap Cover
7. ✅ How to apply for Medical Aid with Sasolmed
8. ✅ How to Submit a Claim with Sasolmed
9. ✅ How to Submit a Compliment or Complaint with Sasolmed
10. ✅ How to Switch my Medical Aid to Sasolmed
11. ✅ Sasolmed Customer Support
12. ✅ Sasolmed vs Discovery Health vs BestMed – a Comparison
13. ✅ Sasolmed Member Reviews
14. ✅ Sasolmed – Our Verdict
15. ✅ Sasolmed Pros and Cons
16. ✅ Sasolmed Frequently Asked Questions

   

Sasolmed at a Glance

     

Sasolmed Regulation

  💙 The Council for Medical Schemes regulates Sasolmed Medical Scheme.  The Council governs South Africa's medical plan business for Medical Schemes (CMS), a regulating body set up under the Medical Schemes Act, No. 131 of 1998 (the Act).   💙 The CMS is responsible for a range of tasks related to the oversight of medical insurance plans, such as:  

• ☑️ Responsible for registering medical insurance plans and ensuring they comply with the medical aid law and other laws.
• ☑️ Making sure healthcare plans have the money to pay claims.
• ☑️ Examining and authorizing proposed price hikes for medical plans.
• ☑️ Accepting and examining member complaints and initiating disciplinary action against medical plans that violate the Act or other applicable rules.
• ☑️ Helping medical insurance plans follow the law and other laws.

  👉🏾 Furthermore, if a medical scheme is found to violate the law, the CMS has the authority to issue administrative fines and penalties.    

Sasolmed Plan Overview

    👉🏾 Download the Sasolmed 2025 Brochure  

Sasolmed Comprehensive Network Plan

  💙 You and your family can use any primary care physician (PCP) and any pharmacy you prefer for all your long-term care needs. However, you will be responsible for paying a standard contribution depending on your income and family size.   💙 Furthermore, on the comprehensive plan, long-term treatment medication will fall under the purview of a more extensive drug formulary.  Compared to the Restricted Network Formulary, which is only valid for the Restricted Network Option, the Comprehensive Network Formulary provides more comprehensive benefits.   💙 Note that the other benefits and limits will remain the same whether you select the Comprehensive Network Option or the Restricted Network Option.  

Sasolmed Restricted Network Plan

  💙 Suppose you opt for the Restricted Network Option of Sasolmed. In that case, you must agree to use General Practitioners from a limited network of providers and the Medipost courier pharmacy as the designated service providers for your and your family's chronic needs.   💙 It is imperative to nominate a preferred General Practitioner as the care coordinator. Furthermore, in exchange for this agreement, you will receive a discounted contribution, estimated to be 10% less than the Comprehensive Network Option.   💙  You must also agree to use medicine from a restricted medicine formulary, known as the Restricted Network Formulary, for your and your family's chronic medication needs.   💙 However, if you use non-network GPs, a pharmacy other than Medipost, or medicine not listed on the Restricted Network Formulary, you may incur additional co-payments or claims shortfalls.   💙 The other benefits and limits will remain unchanged under the Restricted Network Option, like the Comprehensive Network Option.   💙 For further information, kindly refer to the Summary of Benefits for GP consultation and chronic medicine benefits for 2025.  Suppose you or any family member has a chronic condition. In that case, it is advisable to take the following steps before choosing the Restricted Network Option:  

• ✅ Assess whether the Restricted Network Option will meet your needs and determine if you can financially cover any potential shortfalls. If not, the Comprehensive Network Option should be considered.
• ✅ Verify if your preferred GP is on the Restricted Network GP list. If you are unwilling to switch to a GP on the restricted network, you should consider the Comprehensive Network Option to avoid additional co-payments.
• ✅ Consult the Medipost brochure for information on how to order chronic medicine through the Medipost courier pharmacy. Suppose you prefer to continue using your current pharmacy. In that case, you should consider the Comprehensive Network Option to avoid additional co-payments.

  💙 Please remember that if you choose the Restricted Network Option and pay the lower contribution, you will be liable for additional co-payments if you do not use the Restricted Network GPs or the Medipost courier pharmacy for chronic consultations and medication.  

👉🏾 POLL: 5 Best Medical Aids under R3000

   

Sasolmed Benefits

  💙 Sasolmed makes a wide range of benefits available, including:  

• ✅ Preventative Care
• ✅ Childhood Immunizations
• ✅ Additional Programs and Support
• ✅ Allied Health and Alternative Healthcare Services (Both in and Out-of-Hospital)
• ✅ Ambulance Services (ER24 is the Contracted Provider)
• ✅ Medical Appliances and Devices in and Out-of-Hospital
• ✅ Blood, Blood Equivalents, Blood Products, and Transportation of Blood
• ✅ GP and Specialist Consultations In-Hospital
• ✅ GP and Specialist Consultations Out-of-Hospital
• ✅ Dentistry – Anesthesia and Conscious Sedation for Procedures
• ✅ Basic Dentistry
• ✅ Advanced Dentistry
• ✅ In-hospital Services

   

Sasolmed – Advantages over Competitors

  💙 Sasolmed is a medical aid scheme in South Africa that provides its members with a range of benefits aimed at helping them cover the cost of medical expenses. Some of the benefits offered by Sasolmed include:  

• ☑️ Comprehensive Cover: Sasolmed offers a range of medical aid options with varying levels of coverage, including an in-hospital, day-to-day, and emergency cover.
• ☑️ Network of healthcare providers: Sasolmed has a network of healthcare providers, including doctors, specialists, and hospitals, that members can access for medical services.
• ☑️ Cover for chronic conditions: Sasolmed offers cover for various chronic conditions, including diabetes, asthma, and hypertension, among others.
• ☑️ Preventive care benefits: Sasolmed offers its members various preventive care benefits, including annual check-ups, flu shots, and pap smears.

   

Overview of Sasolmed Gap Cover

  💙 Sasolmed Gap Cover is provided through Momentum and Admed Gap Cover.  Admed Gap Cover is an additional product available to Sasolmed members and their dependents to cover medical expense shortfalls. Furthermore, the goal is to provide you with the tranquility necessary to concentrate on yourself and your loved ones.   💙 Admed Gap Cover offers the following options:  

• ☑️ R185 per family per month.
• ☑️ R189 per family per month.

  💙 The Admed Gap application link, FAQ document, and benefits information can be obtained from the Sasol Intranet site.   💙 Furthermore, it is recommended to access the site using Google Chrome instead of Internet Explorer.  Additionally, attaching your medical aid certificate to the application form is important. Lastly, for any inquiries, please email [email protected] or call 011 269 2690.   👉🏾 READ more about the 5 Best Gap Cover Options for Under R300    

How to apply for Medical Aid with Sasolmed

  💙 It is mandatory for all Sasol employees to be a member of a registered medical scheme, either as the principal member of Sasolmed or as a registered dependent of a spouse or partner's medical scheme. Furthermore, employees who retire from Sasol's service or are declared medically disabled are eligible for membership.   💙 All membership application forms or changes to membership details must be submitted directly to the HR department or Pension Fund Office, not to Momentum Health Solutions. This rule applies to all members except those who are direct-paying members of Sasolmed.   💙 To apply, Sasol employees can follow these steps:  

• How to apply for Medical Aid with Sasolmed
• ✅ Go to the official Sasolmed website and click on “Documents” and “Read More” from the list of options.
• ✅ Click on the “Application for Membership Form” to download the application.
• ✅ Print the application and complete the application form.

   

How to Submit a Claim with Sasolmed

 

• ☑️ Submit invoices and receipts to Sasolmed as soon as possible (post, scan, email, or use the Sasolmed app).
• ☑️ Claims must be received within 4 months of treatment.
• ☑️ Send the first account received, not the statements.
• ☑️ Mark the account "paid by member" if you have already paid and attach the receipt.

   

How to Submit a Compliment or Complaint with Sasolmed

  Sasolmed does not have a comprehensive dispute resolution procedure. Therefore, those who have compliments or complaints must submit them directly to Sasolmed’s customer support via email, telephone, fax, or mail.    

How to Switch my Medical Aid to Sasolmed

  💙 To switch your medical aid to Sasolmed, you may follow these steps:  

• ☑️ Research and compare different medical aid options offered by Sasolmed to determine which one best fits your needs and budget.
• ☑️ Contact Sasolmed customer service to confirm the details of the plan you want to switch to and to initiate the switching process.
• ☑️ Provide the necessary information, including your current medical aid details and personal information.
• ☑️ Sign any necessary forms or agreements provided by Sasolmed.
• ☑️ Pay any required fees or deposits, if applicable.
• ☑️ Wait for the switch to be processed by Sasolmed. This can take a few days to several weeks.
• ☑️ Confirm with Sasolmed that the switch was successful and that you are now a member of their medical aid plan.

   

Sasolmed Customer Support

  💙 Customer support can be reached through a range of channels, including:  

• ☑️ Walk-in centers
• ☑️ Online request form
• ☑️ Telephone
• ☑️ Fax
• ☑️ Email
• ☑️ Post

 

Sasolmed vs Discovery Health vs BestMed - a Comparison

     

Sasolmed Member Reviews

  Exceptional Support. 💙 My mother has been a member of Sasolmed for the past 5 years. This year, she underwent major cardiac surgery and experienced subsequent complications, requiring re-admission.   💙 Throughout this challenging time, Sasolmed provided exceptional support through every phone call and email communication.   💙 Their responses were accurate and timely, demonstrating a high competence level. Each consultant I interacted with was remarkable in their friendliness, patience, and kindness, even after numerous inquiries. The level of care and support provided by Sasolmed was truly overwhelming. It is a privilege to be a patient under their care.   💙 The medical aid keeps me updated with every claim, and the member zone provides a convenient platform to follow up on claims and inquiries. I highly commend Sasolmed for their exceptional service. - Herbert Trujillo     Quality Service. 💙 I am extremely impressed with the quality of service provided by Sasolmed medical aid. I joined the medical aid a year ago. Since then, I have been thoroughly impressed by their commitment to caring for their patients. In addition, they have paid for my medications and specialist doctor appointments, demonstrating a genuine concern for my well-being. - Pauline Brock     Happy Member. 💙 I have been a member of Sasolmed for a considerable time and have had several medical emergencies. Sasolmed has ensured that I receive the best possible care in each instance, and they have paid all related bills without hesitation.- Julia Calderon      

Sasolmed - Our Verdict.

  💙 Sasolmed is a medical aid scheme based in South Africa. Furthermore, it provides health insurance exclusively to Sasol employees and their dependents. Sasolmed offers two medical plans: a Comprehensive and Restricted Network Option.  Each plan has unique features, benefits, and limits according to the member’s needs.   💙 Furthermore, extensive coverage is given for in- and Out-of-Hospital procedures and treatments.  However, while this medical aid is only dedicated to Sasol employees, there is no clear indication regarding the contributions paid on the two options. Furthermore, the two options might be limited in benefits, percentage cover, and overall annual limits.   💙 Therefore, while Sasolmed is a well-established and reputable medical aid scheme that offers a wide range of plans and a large network of healthcare providers, it's cost and waiting periods for certain benefits can be a disadvantage.  

Sasolmed Pros and Cons

   

Sasolmed Frequently Asked Questions

 

Who is Sasolmed administered by in South Africa?

Momentum Health Solutions (Pty) Limited administers Sasolmed in South Africa.  

How can I contact Sasol Medical Aid?

You can call Sasolmed on 0860 002 134.  

Where can I find the Sasolmed Momentum contact details?

You can find it under the “Contact Us” section on the official Sasolmed website.  

What is the Sasolmed authorization contact number?

You can call 0860 002 134 for pre-authorization for hospitalization and all other in-hospital services or 0800 252 666 for after-hours authorizations.  

Where can I find the Sasolmed provider registration?

You must contact Sasolmed directly to obtain more information on how to register as a provider.  

How do I Downgrade my Plan with Sasolmed?

Except for direct-paying members of Sasolmed, all membership application forms and changes to membership information must be submitted directly to your HR department or Pension Fund Office and not to Momentum Health Solutions.  

How do I add a Beneficiary to Sasolmed?

If you want to add a child or adult dependent, you can log into your Sasolmed profile and click on “Documents” and “Read More” from the list of options.  Click on the “Member Record Amendment/Dependent Registration Form” to download the application.