Suremed Health Medical Aid Scheme
Overall, Suremed Health is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and comprehensive gap cover to up to 3 Family Members. The Suremed Health Plans start from R1,150 ZAR.
Suremed Health Medical Aid Scheme has the following plans:
| 👤 The average number of members | 1,000+ |
| 1️⃣ Number of Markets | 1 |
| 👥 Number of Employees | 150+ |
| 2️⃣ Average Customer Rating | 2.1 |
| 🔟 Average Number of Reviews | <10 |
| 1️⃣ Market Share | <1% |
| 4️⃣ The number of plans offered | 4 |
| Number of Hospitals in Network | 150+ |
| 💙 Mobile App | ☑️ Yes |
| ➡️ Medical Claims Portal | ☑️ Yes |
| 🅰️ Chronic Illness Benefits | ☑️ Yes |
| 🅱️ Number of PMB Diagnoses | 271 |
| ↪️ Number of PMB Chronic Conditions | 25 (44 on Challenger) |
| 📉 Screening and Prevention offered | ☑️ Yes |
| 🍼 Maternity Benefit | ☑️ Yes |
| 💶 Medical Aid Contribution Range (ZAR) | 1,150 – 6,245 ZAR |
| ⏰ Average Waiting Period | 12 months |
| ⛔ Late-joiner penalties charged | ☑️ Yes |
Suremed Health Medical Aid – Analysis of Medical Aids’ Main Features
- ✅ Suremed Health Plan Overview
- ✅ Suremed Health Advantages Over Competitors
- ✅ How to apply for Medical Aid with Suremed Health
- ✅ How to Submit a Claim with Suremed Health
- ✅ How to Submit a Compliment or Complaint with Suremed Health
- ✅ How to Switch My Medical Aid to Suremed Health
- ✅ Overview of Suremed Health Gap cover
- ✅ How to apply for Gap Cover with Suremed Health
- ✅ Suremed Health Medical Savings Account
- ✅ Suremed Health Customer Support
- ✅ Suremed Health vs Notable Competitors – A Comparison
- ✅ Suremed Health Customer Reviews
- ✅ Suremed Health Pros and Cons
- ✅ Our Verdict on Suremed Health
- ✅ Suremed Health Frequently Asked Questions
Medical Aid Suremed Health Plan Overview
| 🅰️ Plan | 💴 Contributions (Main) | 💵 Contributions (+Adult) | 💶 Contributions (+Child) | 💷 Medical Savings (Up to) |
| 🥇 Shuttle | R1,150 – R2,465 | R1,150 – R2,465 | R613 – R1,263 | None |
| 🥈 Explorer | R1,405 – R3,510 | R1,245 – R3,510 | R649 – R1,090 | None |
| 🥉 Navigator | R3,884 | R3,040 | R1,148 | Main – R6,300
Adult – R4,860
Child – R2,028 |
| 🏅 Challenger | R6,245 | R4,655 | R1,230 | None |
Suremed Health Advantages Over Competitors
- ✅ Suremed Health offers various medical aid plans to suit individuals’ and families’ unique needs and budgets.
- ✅ The plans cover a comprehensive list of benefits, including hospitalization, chronic medication, specialist consultations, and preventative care.
- ✅ Suremed Health provides affordable healthcare solutions without compromising on quality or service excellence.
- ✅ The scheme offers personalized service and support, with a friendly and knowledgeable staff available to assist members with their queries and concerns.
- ✅ Suremed Health members can access an extensive network of healthcare providers, including hospitals, doctors, and pharmacies.
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How to apply for Medical Aid with Suremed Health
Medical Aid Quote Suremed Health Medical Scheme process explained
To apply for Medical Aid through Suremed Health, you must:
- Visit the Suremed Health website at https://www.suremedhealth.co.za/ and navigate to the “Join Us” section on the homepage.
- Choose the appropriate plan that suits your medical needs and budget by clicking the “View Plan Options” button under the respective plan.
- Review the plan details and benefits to ensure that it meets your requirements.
- Click on the “Join Now” button to proceed with the application.
- Complete the online application form by providing your personal and contact details and those of your dependents, if applicable.
- Upload any required supporting documents, such as a copy of your ID, proof of income, and proof of address.
- Review and accept the terms and conditions of the plan before applying.
- Once submitted, a Suremed Health consultant will contact you to discuss the application and any further requirements.
Pay the required premiums to activate your coverage, and your membership with Suremed Health will commence.
Get a Suremed Health Medical Aid quote from our Dedicated Medical Aid Specialists Broker
How to Submit a Claim with Suremed Health
Your medical service provider will probably handle your claim on your behalf. Therefore, you might only need to sign the invoice after your consultation or treatment. Subsequently, the service provider will send the claim to MomentumTYB for processing and contact you to pay any member portion due. If you have paid the service provider directly, you should send the proof of payment and the service provider’s invoice to MomentumTYB. The scheme will then process the claim and reimburse you accordingly.
How to Submit a Compliment or Complaint with Suremed Health
If you want to submit a compliment or complaint to Suremed Health, you can follow these steps:
- Contact Suremed Health’s call center at 086 008 0888 or email them at [email protected] to submit your compliment or complaint.
- Provide your membership details to the consultant, including your name, ID number, and plan option.
- Explain the nature of your compliment or complaint and provide any relevant information, such as the dates and names of staff members involved.
- The consultant will provide you with a reference number for your compliment or complaint and inform you of the next steps in the process.
- If you submit a complaint, the consultant will also explain Suremed Health’s internal complaints process and inform you of the expected timeline for resolution.
- Suremed Health may request additional information from you to investigate your complaint further.
- The scheme will update you on the progress of your complaint and provide a resolution once it has been reached.
If you submit a compliment, the scheme will acknowledge and use your feedback for internal purposes or share it publicly with your consent.
How to Switch My Medical Aid to Suremed Health
Here is a step-by-step guide on how to switch your medical aid to Suremed Health:
- Research and compare medical aid plans Suremed Health offers to find the one that best suits your needs and budget.
- Contact Suremed Health’s call center at 086 008 0888 or email them at [email protected] to request a quote for the plan you are interested in.
- Provide the consultant with your personal and contact details, including your name, ID number, and current medical aid plan.
- Provide any additional information Suremed Health requires, such as proof of income or medical history.
- The consultant will provide you with a quote for the selected plan and explain the benefits and terms of the plan in detail.
- Compare the quote and benefits with your current medical aid plan to determine if the switch benefits you.
- If you decide to switch to Suremed Health, complete the application form provided by the consultant and submit any required supporting documents.
- Once your application has been processed and accepted, you will receive confirmation of your new membership with Suremed Health.
- Cancel your current medical aid plan with your previous provider if necessary.
Start paying the required premiums for your new Suremed Health plan, and your cover will become active from the start of the next billing cycle.
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Overview of Suremed Health Gap cover
While being a medical scheme member provides some cover, it does not always guarantee full cover, especially when hospitalized. Furthermore, some medical practitioners may charge more than the Medical Scheme Tariff (MST), resulting in a shortfall or gap between the actual cost of medical expenses and the MST during hospitalization and certain procedures in a day clinic. In such cases, members may be personally responsible for the difference in cost, which can be significant for specialists, surgeons, and other medical practitioners.
To address this issue, Gap Shield offers a specifically designed product that provides supplementary cover to help with shortfalls in hospitalization involving surgery or medical treatment.
Gap Shield aims to bridge the gap between the amount covered by the medical scheme and the actual cost of medical expenses. Members of Suremed Health can apply for Gap Shield gap cover, which offers the following benefits:
- ✅ The Suremed Health Gap Shield provides a medical expense shortfall Benefit for in-hospital and out-of-hospital procedures. The scheme covers policyholders for the shortfall between the specialist’s fee and the amount paid by their medical scheme, up to three times the amount paid. Prescribed Minimum Benefit (PMB) procedures are also included in this benefit.
- ✅ Additionally, Suremed Health Gap Shield covers policyholders for specific medical procedures up to three times the amount paid by their medical scheme for out-of-hospital procedures performed in day clinics or other registered facilities. PMB procedures are also included in this benefit.
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How to apply for Gap Cover with Suremed Health
To apply for Gap Cover with Suremed Health and Gap Shield, you can follow these steps:
- Visit the Suremed Health website at https://www.suremedhealth.co.za/ and navigate to the “Gap Cover” section on the homepage.
- Click on the “Apply Now” button to proceed with the application.
- Choose the appropriate Gap Shield plan that suits your medical needs and budget by clicking the “View Plan Options” button under the respective plan.
- Review the plan details and benefits to ensure that it meets your requirements.
- Click on the “Join Now” button to proceed with the application.
- Complete the online application form by providing your personal and contact details and those of your dependents, if applicable.
- Upload any required supporting documents, such as a copy of your ID, proof of income, and proof of address.
- Review and accept the terms and conditions of the plan before applying.
- Once submitted, a Suremed Health consultant will contact you to discuss the application and any further requirements.
- Pay the required premiums to activate your cover, and your Gap Shield membership with Suremed Health will commence.
Suremed Health Medical Savings Account
Suremed Health’s designated plan with a Medical Savings Account is the Navigator option. Claims not covered by the scheme are paid from the MSA (subject to terms, conditions, and scheme rules/protocols). The funds in the MSA come from a portion of the monthly contribution, and it is available to the member from the first day of every new year.
Suremed Health Customer Support
There are several ways to reach Suremed Health customer support:
- ✅ Call their call center on 086 008 0888. This line is available Monday to Friday from 8 am to 5 pm.
- ✅ Email them at [email protected]. You can expect a response within 24 to 48 hours.
- ✅ Visit their website at https://www.suremedhealth.co.za/contact-us/ and fill in the contact form provided.
- ✅ Send a message to their Facebook page.
Medical Aid Comparisons : Suremed Health vs Notable Competitors – A Comparison
| 🅰️ Medical Aid | 🥇 Suremed Health | 🥈 CompCare | 🥉 Umvuzo Health |
| 🟥 Years in Operation | 47 years | 45 years | 19 Years |
| 🔴 Average # Members | 1,000+ | 1,000+ | 45,000+ |
| ❤️ GCR Rating | None | A | – |
| 📌 Number of Employees | 150+ | 500+ | 100+ |
| 📍 Market Share | <1% | <1% | <1% |
| 🅱️ Market Cover | South Africa | South Africa | South Africa |
| 🟥 Customer Rating | 2.1 | 3.4 | 3.5 |
| 🔴 Number of reviews | <10 | 200+ | 200+ |
| ❤️ Mobile App | ✅ Yes | ✅ Yes | ✅ Yes |
| 📌 Contribution Range (ZAR) | 1,150 – 6,245 ZAR | 520 – 9,187 ZAR | |
| 📍 International Travel Benefit (ZAR) | None | Subject to the benefits category per individual | None |
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Suremed Health Customer Reviews
Impressed.
On multiple occasions, I have reached out to Suremed’s call center and have been impressed by their swift response time and willingness to go above and beyond to resolve my inquiries. – Kobus Joseph
Committed Service Provider.
Since becoming a member of Suremed medical aid a year ago, I have been thoroughly impressed by their commitment to patient care and the general well-being of people. In addition, their service has been exceptional, covering my medication and specialist doctor visits. – Julian Britz
Invaluable Assistance.
I am grateful to Suremed Health for their invaluable assistance and guidance throughout my illness this past year. – Rene De Bruin
Suremed Health Pros and Cons
| ✅ Pros | ❎ Cons |
| Offers a range of medical aid plans | Plans can be more expensive than other medical aids and offer fewer benefits |
| Provides a range of benefits, including cover for hospitalization, chronic medication, and day-to-day medical expenses | The choice of healthcare providers can be limited to the scheme’s networks on certain plans |
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Our Verdict on Suremed Health
Suremed Health is a medical aid scheme offering its members various healthcare services. Suremed Health has a strong reputation for providing excellent service and has received several awards and recognitions in the industry. One of the key features of Suremed Health is its range of medical aid plans, which are designed to suit the needs and budgets of different individuals and families. Members can choose from various options, including hospital, comprehensive, and savings plans. Suremed Health’s plans come with various benefits, including cover for in-hospital treatment, chronic medication, day-to-day medical expenses, and preventative care.
Another feature of Suremed Health is its Gap Shield gap cover, designed to assist members with shortfalls in hospitalization involving surgery or medical treatment. Furthermore, gap cover intends to bridge the gap between the amount covered by the medical scheme and the actual cost of medical expenses. One of the benefits of being a Suremed Health member is access to a range of networks of healthcare providers, including GPs, specialists, and hospitals. This allows members to receive high-quality healthcare services at affordable rates.
Suremed Health also provides a range of wellness programs and health risk assessments to help members stay healthy and prevent illness. One potential drawback of Suremed Health is that it may not be the market’s most affordable medical aid scheme. As a result, its plans may be relatively expensive compared to other providers, especially for those seeking more comprehensive coverage. Additionally, some members may find that Suremed Health’s networks limit their choice of healthcare providers.
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You might also like: Suremed Health Explorer
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Suremed Health Frequently Asked Questions
Where can I find reviews of Suremed Health?
You can find reviews of Suremed Health on various online platforms. You can also visit the Suremed Health website to read testimonials from satisfied members.
What is the contact number for Suremed Health’s medical aid services?
You can contact Suremed Health’s medical aid services at 086 008 0888. The call center is available from Monday to Friday, 8 am to 5 pm.
How do I find a list of network hospitals for Suremed Health?
You can find a list of network hospitals on the Suremed Health website or by contacting their call center.
What is a Suremed Shuttle?
The Suremed Shuttle is the entry-level medical aid plan offered. The plan starts from R1,150 for the main member and includes some basic medical cover.
What are the benefits of Suremed Health’s plans for 2024?
The benefits of Suremed Health’s plans for 2024 include cover for in-hospital treatment, chronic medication, day-to-day medical expenses, and preventative care. Some plans also include cover for dental and optometry services, wellness programs, and health risk assessments.
Does Suremed Health cover optometry services?
Yes, Suremed Health offers coverage for optometry services as part of some of its medical aid plans.
What does Suremed Health’s hospital plan cover?
Suremed Health’s hospital plan covers in-hospital treatment, including accommodation, theatre fees, and medication. Some plans also include coverage for chronic medication, limited day-to-day medical expenses, and preventative care.
Does Suremed Health cover dental services?
Yes, Suremed Health offers coverage for dental services as part of some of its medical aid plans.
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How do I log in to my Suremed Health account?
You can log in to your Suremed Health account on the scheme’s website. Click the “Member Login” button on the homepage and enter your login details.
What are the Navigator, Explorer, and Challenger plans offered by Suremed Health?
The Navigator, Explorer, and Challenger plans are medical aid plans offered by Suremed Health with different levels of coverage and benefits. For example, the Challenger plan is a comprehensive option. In contrast, the Explorer plan is a hospital option/plan with limited day-to-day benefits. Finally, the Navigator plan is a savings plan that allows members to save for medical expenses.
Who administers Suremed Health?
Momentum Health Solutions, a Momentum Metropolitan Holdings Limited subsidiary, administers Suremed Health.
What does Suremed Health cover?
Suremed Health covers a range of healthcare services, including in-hospital treatment, chronic medication, day-to-day medical expenses, preventative care, dental and optometry services, wellness programs, and health risk assessments.
What chronic medication is covered by Suremed Health?
Suremed Health covers a range of chronic medications for its members. The list of medications covered depends on the specific plan chosen by the member. Members can check their plan benefits or contact Suremed Health for more information.
How do I use Suremed Health?
To use Suremed Health, choose a medical aid plan that suits your needs and budget. You can then access the benefits and services the plan provides, including cover for medical expenses, access to networks of healthcare providers, and wellness programs. To make a claim or seek assistance, you can contact Suremed Health’s call center or use the online services provided on their website.
What is Suremed Health’s savings plan?
Suremed Health’s savings plan is called the Navigator plan, which allows members to save for medical expenses. The plan covers some day-to-day medical expenses, including GP visits and acute medication. In addition, members can use their savings to pay for medical expenses not covered by their plan.
How do I Downgrade My Plan with Suremed Health?
Contact Suremed Health’s call center at 086 008 0888 or email them at [email protected] to request a plan downgrade.
How do I add a Beneficiary to Suremed Health?
If you want to add a child or adult dependent, you can log into your Suremed Health profile or Contact Suremed Health’s call center to request to add a beneficiary.
