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Overall, SEDMED Medical Aid is a trustworthy and comprehensive medical aid provider that offers its services to individuals who are in regular and full-time employment at the Seventh-day Adventist Church in the Republic of South Africa, Namibia, and Lesotho. SEDMED Medical Aid has a trust score of 3.2.
π€ The average number of members | 1,000+ |
1οΈβ£ Number of Markets | 1 |
π₯ Number of Employees | 150+ |
π― Average Customer Rating | 3.2 |
π Average Number of Reviews | <10 |
π Market Share | <1% |
1οΈβ£ A number of plans offered | 1 |
π₯ Number of Hospitals in Network | 100+ |
π€§ Chronic Illness Benefits | β Yes |
π Number of PMB Diagnoses | 271 |
π Number of PMB Chronic Conditions | 26 |
πΌ Maternity Benefit | β Yes |
π· Medical Aid Contribution Range | Variable |
β οΈ Average Waiting Period | 3 β 12 months |
πΆ Late-joiner penalties charged | β Yes |
π International Medical Cover | β Yes |
1οΈβ£ Service | 2οΈβ£ % Benefit | 3οΈβ£ Annual Limit |
π₯ Statutory PMB | Paid up to 100% of the cost | Unlimited |
π§ Private and Public Hospitals | Covered up to 100% | Limited to R500,000 per family |
π¨ Out-of-Hospital Benefits | Covered up to 100% | Limited to the following: Main Member β R8,000 Main +1 β R14,000 Main +2> – R20,000 |
π© PMB treated in DSP | Covered up to 100% | Unlimited |
π¦ PMB treated in non-DSP (voluntary) | Covered up to 100% | Unlimited |
πͺ PMB treated in non-DSP (involuntary) | Covered up to 100% | Unlimited |
π₯ Surgical Procedures (including Maxillo-Facial Surgery) | Covered up to 100% | Unlimited |
π§ Specialist Services | Covered up to 100% | Subject to OAL |
π¨ GP Services | Covered up to 100% | Subject to OAL |
π© Clinical Technologists | Covered up to 75% | Unlimited |
π¦ Dentistry | Covered up to 75% | Limited to R6,000 per family yearly |
πͺ Prescribed Medicine and Injection Material | Covered up to 75% | Limited to OAL and paid per the scheme tariff. PAT is limited to R350 per family monthly |
π₯ Chronic Disease List | Covered up to 80% – 100% | Unlimited and paid according to scheme tariff |
π§ Radiology | Covered up to 100% | Unlimited |
π¨ Pathology | Covered up to 75% | Subject to overall limit |
π© Oncology, Organ Transplants, and Kidney Dialysis | Covered up to 100% | Subject to private hospitalization limit |
π¦ Psychology and Psychiatry | Covered up to 75% | Subject to OAL |
πͺ Physiotherapy | Covered up to 75% | Subject to OAL |
π₯ Blood Transfusions | Covered up to 100% | Unlimited |
π§ Ambulance Services | Covered up to 100% | Unlimited |
π¨ Hospital Alternatives | Covered up to 100% | Unlimited |
π© Auxiliary Services | Covered up to 75% | Subject to OAL |
π¦ Prostheses | Covered up to 100% | Subject to OAL |
πͺ Medical and Surgical appliances | Covered up to 75% | Subject to OAL |
π₯ Hearing Aids | Covered up to 100% | Limited to R24,000 per beneficiary per year every 2 years |
π§ Optometry | Covered up to 75% | Subject to Optometry limits |
π¨ Acquired Immune Deficiency Syndrome and related illness | Covered up to 100% | Unlimited |
π© Rehabilitation for Alcoholism and Drug Dependency | Covered up to 100% | Limited to 21 days per beneficiary yearly |
π¦ Cochlear Implants | Covered up to 100% | Unlimited |
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Choosing SEDMED has the following advantages:
Members can access their benefits information and claim history online, making it easy to keep track of their healthcare expenses and claims.
To apply for Medical Aid through SEDMED, you must:
Next, you can utilize your SEDMED membership to gain access to healthcare services such as doctor visits, hospitalization, and chronic medication.
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Submitting a claim with SEDMED is a straightforward process. Here are the steps to follow:
Claims are typically processed within a few days by SEDMED. Logging into the member portal and visiting the “Claims” section will allow you to view the status of your claim.
If you wish to submit a compliment or complaint to SEDMED, you can do so by following these steps:
If you have filed a complaint, SEDMED will investigate the situation and provide you with a report of their findings and any subsequent actions.
If you wish to switch your medical aid to SEDMED, you can follow these steps:
If your application is accepted, SEDMED will send you a letter of confirmation, your membership card, and information about your coverage and benefits.
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SEDMED offers several communication channels that can be used, including the following:
Finally, a postal address is made available where queries, complaints, and compliments can be mailed.
Excellent Customer Service.
I would like to commend the SEDMED representative whom I spoke with (even though her name eludes me) for the excellent customer service she rendered. I gave birth in September and have been experiencing invoicing issues, which have gone unresolved despite my persistent calls to SEDMED. However, the helpful agent I spoke to three weeks ago was able to resolve the issue, which resulted in my being handed over to debt collectors. – Basil Jooste
Exceedingly Pleased!
I am exceedingly pleased with the service offered by SEDMED. They fully covered the cost of my medication under the PMB benefit, and their overall service delivery is admirable. Thank you! – Christine Khoza
Hassle-Free.
My maternity cover with SEDMED was hassle-free. I had no issues when my daughter was hospitalized. Thank you for providing excellent service! – Janine Bennett
π Medical Health Plan | π₯ SEDMED | π₯ Platinum Health | π₯ Discovery Health |
π Years in Operation | 28 years | 22 Years | 30 Years |
π Average # Members | 1,000+ | <55,000 | 3.3 million |
π GCR Rating | None | A+ | AAA |
π₯ Number of Employees | 150+ | 100+ | 13,500 |
π Market Share | <1% | <5% | 56.7% |
π Market Cover | South Africa and abroad | South Africa | 40 Markets |
β€οΈ Customer Rating | 3.2/5 | 3/5 | 4.4/5 |
π Number of reviews | <10 | 3,000+ | 20,000+ |
π± Mobile App | No | No | β Yes |
π΄ Contribution Range | Variable | 1,213 β 4,688 ZAR | 930 β 8,298 ZAR |
π΅ International Travel Benefit | β Yes | n/a | Up to 5 million ZAR |
πΆ Market Capitalisation | n/a | n/a | 86.2 billion ZAR |
β Pros | β Cons |
Comprehensive cover for in-hospital procedures | Waiting periods apply |
Cover for chronic medication | Some treatments are only covered up to 75%, leaving members with a 25% payment |
SEDMED is a South African medical aid scheme that provides comprehensive benefits for its members. Some of the scheme’s key features include cover for in-hospital procedures, chronic medication, and emergency medical evacuation.
However, the scheme also has some drawbacks, including limitations on certain benefits and exclusions for pre-existing conditions. Overall, SEDMED offers a well-rounded package of benefits for its members. However, it may not be the best choice for everyone, depending on their needs and medical histories.
SEDMED is a South African medical aid scheme that provides comprehensive benefits for its members.
SEDMED covers in-hospital procedures, including treatment, surgery, and hospitalization.
Yes, SEDMED provides cover for chronic medication for its members.
Yes, SEDMED includes cover for emergency medical evacuation in the event of a medical emergency.
Yes, there may be certain limitations on the benefits offered by SEDMED.
Yes, SEDMED may have exclusions for pre-existing conditions.
SEDMED offers a well-rounded package of benefits for its members. However, it may not be the best choice for everyone, depending on their needs and medical histories.
SEDMED currently offers a single option for members that is all-inclusive. Therefore, downgrading is not possible.
If you want to add a child or adult dependent, you can log into your SEDMED profile and onΒ the “Membership” tab, choose “Add a Beneficiary” from the drop-down menu.
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