SAMWUMED Bulletin Issue 1 February 2018

ISSUE 1 I FEBRUARY 2018
PAGE
OUR BUSINESS
2• SAMWUMED Highlights
• Report Fraud
• Possible reasons why your
medical scheme is not
paying your bill
PAGE
3OUR PEOPLE
• Sales & Marketing
Consultants
• New Appointments
PAGE
4
OUR COMMUNITY
• Pensioner meetings
• Letters from Members
• Competition
SAMWUMED is one of the top three most
sustainable medical schemes in SA
We are pleased to announce that SAMWUMED has done it
again, for a third time!
In the recent Alexander Forbes Health Medical Schemes Sustainability Index, which was
released last year in December. SAMWUMED was ranked third most sustainable medical
scheme in South Africa.
The index measures key factors that contribute to the sustainability of the 10 largest open
and the 10 largest closed medical schemes in South Africa. This is based on; size and scale,
membership growth and profile, financial results, as well as the scheme’s solvency levels.
According to the results, SAMWUMED was recognised for its improvements in its operating
results in a tough economic climate, as well as substantial increases in both the Scheme’s
reserves and solvency ratio.
The award is testament of the Scheme’s dedication to creating affordable healthcare for its
members, as well as for its commitment to promoting universal healthcare in the country.
MESSAGE FROM THE PRINCIPAL OFFICER
Dear SAMWUMED Member (and dependants),
Water Crisis Interventions:
Name & Governance Changes:
Welcome to the first edition of our 2018 newsletter, where we aim
to provide you with important information from the Scheme. We
trust that this edition will be of value to you and your beneficiaries
– we also remind you to ensure that you download the 2018
Member Guide either from our website (www.samwumed.org) or
using the link we have sent to you.
High cost claims
Improvements to the cost benefit of our members, remains our
number one priority. We have thus embarked on a project to
improve our risk management efforts for improved overall health
outcomes, and in this way improve our risk profile and make the
Scheme more affordable and sustainable for all our members.
The issue of high cost claiming remains a critical one, which
contributes significantly to the sustainability of our medical
scheme. We believe that by raising awareness we could improve
both health and cost outcomes to the benefit of all.
Analysis of claiming trends is a key focus of the project that the
Scheme is undertaking and will help us improve our risk profile.
The programme will focus on our high cost claimers, with the
intention of, inter-alia: -
1. Sharing key information about your claims cost.
2. Examining your utilisation which may allow us to improve
our approach to better managing your healthcare needs, by
improving your level of awareness, such as the identification
of chronic conditions.
3. Review of claiming patterns of your treating medical practitioners.
4. Investigation into the important area of fraud, waste and abuse
of benefits, via our forensics management programme.
Confidentiality shall be observed.
As a responsible Corporate Citizen, the Scheme is implementing
measures to reduce our water consumption. An important
objective for the Scheme is that our response to the water crises
must create a sustained awareness by our members and society
at large. Water must remain a public resource – to this end we
support all progressive efforts to ensure that our government
deals with this crisis responsibly and in consideration of all
citizens. We also support interventions which are non-partisan
and in the best interest of our society.
The Scheme is implementing measures to ensure that we
contribute to conservative water consumption in a calm and
responsible manner including but not limited to the plans is:
• To ensure responsible and conservative consumption of water
at our workplace, without compromising personal hygiene.
Remember good personal hygiene leads to good health!
• We have commissioned our building management service
providers to undertake a water strategy that will consider long
term utilisation and indeed cover emergency situations.
• Installation of water tanks (and possible filtration systems),
from ethical water sources, that would supply the ablution
facilities and daily consumption requirements, to reduce our
dependency on the municipal water supply.
• To ensure that we would capture any rainfall water to separate
storage units on the premises.
We encourage all our members to be water-wise – we must remind
you though that good hygiene must never be compromised.
Through interventions by the Council for Medical Schemes,
the Board has agreed to place this matter on hold. The CMS
has invited us to firstly allow the trade union, SAMWU to
make changes of their delegates to the Board of Trustees,
where-after Trustee elections will take place at the Annual
General Meeting, scheduled for June 2018. The newly
constituted Board may then deliberate on these important
matters.
Introduction of our new Sales Department Manager:
Our Sales Department has evolved over the past few years and we are
pleased to announce the appointment of our new Sales and Marketing
Manager, Adele Hansen (see back page). This appointment coincides
with a reinvigorated sales and marketing strategy.
We thank you for staying informed by reading the information we
provide to you and for your co-operation in ensuring that we all
manage our benefits more prudently, such that we may all enjoy
affordable premiums.
Neil Nair
Principal Officer
That SAMWUMED has implemented a ZERO
PERCENT INCREASE IN 2018 FOR
MEMBERSHIP CONTRIBUTION when
you earn R5 500.00 or less on our Option A
plan. This is Real Health Care for Real People.
Our proposed 2018 membership contribution
is either 0% or lower than inflation on all our
options. In fact you are paying less than in 2017.
Our Benefits can be grouped into two
categories:
DAY TO DAY BENEFITS: This refers to benefits that you can access outside of
hospital such as doctor and specialist consultations and visits, dental procedures, medication
and optical care. Each benefit category is subject to limits as specified in the Scheme Rules. These
benefits allow you and your family to access a wide range of healthcare services.
SECONDARY OR TERTIARY CARE: includes hospitalisation and the treatment
of prescribed Minimum Benefit (PMB) conditions. The hospitalisation and the treatment of
provision for in-hospital admission and/or transfers to rehabilitation and step-down facilities.
*NOTE: The Chronic Disease List (CDL) can be found on the full compact Member Guide 2018 which is
available on the Scheme website: www.samwumed.org or alternatively, you can contact our Call Centre on
0860 104 117, if you have any questions.

Our
HEALTH
HEALTH UPDATE
South Africa is heading for a disaster if the number of people living with chronic
lifestyle diseases does not change.’ That’s what both the Human Sciences
Research Council (HSRC) and the Medical Research Council warned two years
ago. The Council described the problem of these non-communicable diseases as
an ‘emerging epidemic’.
If you look at the exponential growth of chronic lifestyle diseases then it is not difficult to understand
why Health Minister, Dr Aaron Motsoaledi, maintains chronic diseases such as hypertension and
diabetes are putting a huge strain on the country’s health care system.
all people with diabetes have Type 2 and many people who have this condition are undiagnosed. This
can result in serious damage to the delicate parts of the body and lead to blindness, heart attack\
stroke, kidney failure, impotence and amputation so it’s vital to be checked.
Obesity and being overweight are major risk factors for the development of chronic diseases.
1. Cholesterol
What is cholesterol?
It is a soft, waxy substance – one of the blood fats made naturally in the body. It helps to form cells,
hormones and bile (that helps us digest food). Cholesterol is found mostly in animal products such
as meat, cream and butter.
What is high cholesterol?
This is when you have too much ‘bad’ cholesterol in your blood. This, in turn, can cause narrowing
and blockages of the arteries – the blood vessels that carry blood to your heart muscle and to other
parts of your body. In time, the narrowing of the arteries to your heart can lead to a heart attack, while
blockages in the arteries of your brain can cause a stroke.
The test
Called a fasting lipogram it measures the exact amount of different types of cholesterol you have.
Good to know:
• If your total cholesterol is greater than 5mmol/L on your fasting lipogram this indicates raised
cholesterol
• Your low density lipoprotein (LDL) - the ‘bad cholesterol’ - should not be greater than 3mmol/L. LDL
causes the build-up of cholesterol in the arteries which means a greater chance of heart disease
• High density lipoprotein (HDL), if less than 1.2mmol/L, means you don’t have enough good
cholesterol which prevents build up in the arteries and transports cholesterol to the liver
• If your triglycerides (fat stored in the body) are higher than 1.5mmol/l, this is also indicative of a
possible cholesterol problem.
4. Blood pressure
What is blood pressure?
Blood pressure is the pressure of blood in your arteries – the blood vessels that carry blood away
from your heart.
The blood pressures numbers mean the following: The first (or top) number is your systolic blood
pressure. It is the highest level your blood pressure reaches when your heart beats. The bottom figure
is your diastolic blood pressure and is the lowest pressure exerted as your heart relaxes between
beats.
What is high blood pressure?
High blood pressure or hypertension is when blood pressure stays elevated over time. Hypertension
is often known as the “silent killer”, since nearly 33% of people who have it, don’t know it. The only
way to know if you have high blood pressure is to have yours measured.
2. Weight and BMI
Your Body Mass Indicator (BMI) calculator checks if you’re at a healthy weight.
The test
You can calculate yours by:
If your blood pressure is too high, it puts extra strain on your arteries (and your heart) and
if it’s not treated, hypertension can cause kidney failure, eye problems, heart disease and stroke.
• Dividing your weight in kilograms (kg) by your height in metres (m)
• Then dividing the answer by your height again to get your BMI.
3. Diabetes
What is diabetes?
Our bodies produce insulin all day - a hormone that creates energy by converting sugar, starches
and other foods. Without insulin, cells cannot absorb sugar (glucose), which they need to produce
energy. When there isn’t enough of this hormone in your body, or it’s not used as it should be, sugar
(or ‘glucose’) can’t be moved to your other body cells to supply them with energy. This means that
you have higher than normal blood-glucose levels, resulting in diabetes.There are two main types of
diabetes: Type 1 and Type 2. They are different conditions but are both serious and need to be treated
and managed properly.
• Type 1 diabetes occurs when the pancreas stops producing insulin. It usually starts very quickly
and in younger people. If you have Type 1 diabetes you need insulin injections to survive as well as
having a carefully balanced food intake and exercise programme
• Type 2 diabetes (formerly called adult-onset or non-insulin-dependent diabetes) occurs when the
pancreas makes too little insulin or your body can’t use the insulin effectively. It usually develops in
adulthood and is often caused by being overweight and not exercising. Approximately 85–90% of

Our
BUSINESS
SAMWUMED
HIGHLIGHTS
A
s one of the most affordable medical
aid schemes in South Africa catering
specifically to local government employees
and associated industries, we strive to deliver
the best healthcare cover through two different
medical aid plans that include essential
healthcare benefits at low contributions.
Herewith reasons why we are the best medical
aid for you:
1 MONTH WAITING PERIOD: We have reduced the general waiting
period from 3 months to 1.
LOWEST CONTRIBUTION INCREASES IN THE INDUSTRY: Our
contribution increases are about the lowest in the industry. Whilst we have
reviewed the Overall Annual and Hospital Limits - our analysis indicates that
this may only adversely affect at approximately R30 000.00–so in simple
logic a million rands worth of benefits not generally going to be consumed
by the average family–except being used to woo and impress members. The
only incentive this creates is for opportunistic service providers. In the event
that a member does require high level care for PMB conditions - THERE
ARE NO LIMITS.
ACCESS TO PRIVATE HOSPITALS: Our hospital contracts have been
reviewed to include PMB level of care in private hospitals, subject to terms
and conditions.
NO SAVINGS ACCOUNT: we do not subscribe to Savings
Accounts–this ensures that members are not double billed.
NO LATE JOINER FEES: You do not pay late joiner fees when
you join with us.
WE ARE ABLE TO PROVIDE PERSONALISED SERVICES:
We have our own marketing infrastructure–this means that we are
able to provide personalised services on an exclusive and consistent
basis. We have our own offices and rolling out more offices around
the country.
WE ARE FINANCIALLY STABLE: We have been independently
judged as the 2nd most sustainable medical scheme in South Africa by
Alexander Forbes in 2015. In 2017 we again received this accolade as
one of the top three most sustainable medical Scheme in South Africa.
REPORT
FRAUD
WHAT IS FRAUD?
Fraud can be defined as the intentional misrepresentation of the facts in order to illegally or unethically
obtain financial gain at the expense of someone else. In healthcare, this is most often done through
performing unnecessary test or procedures, claiming for services not rendered, tariff code manipulation or
collusion between healthcare providers and members. Some members may even “loan” their membership
card to a friend or relative, so that they may receive healthcare services. Another example of a fraudulent
claim is where a member receives cash or grocery items at a pharmacy, whilst medicines are claimed
from the Scheme.
HOW TO REPORT FRAUD
You can report any
suspicious claims to the
Fraud Hotline at 0800 112 811
or
SMS 33490
(R1.50) or
email: fraud@medscheme.co.za
MEMBER RESPONSIBILITY
Members must be vigilant when accessing healthcare services to ensure you are only billed for
what was done and all queries should be raised with the treating healthcare provider. Alternatively advise
the Scheme if there is any suspicion of undue claims being submitted on your membership number. This
would include:
• Checking the medicine received at a pharmacy against the invoice you sign.
• Making sure that all practitioners claiming whilst in hospital were actually seen in hospital and that those
claims accurately reflect what was done.
*The abstract of this article has been contributed by Dr Gregory Pratt, Medical Advisor at Medscheme
POSSIBLE
REASONS WHY
YOUR MEDICAL
SCHEME IS NOT
PAYING YOUR
BILL
C
ape Town - There are few things as frustrating as
trying to negotiate the administrative labyrinth
of a medical scheme. But one thing that is worse,
is having to pay the bill yourself.
Chat to any medical scheme member, and you will find that just
about everybody has a story to tell about a bill they expected to be
paid, and which was not. But contrary to popular belief though, the
fault does not always lie with the scheme – sometimes members do
not follow the correct claiming procedures or rules, and sometimes
the fault lies with the doctor’s billing practices.
These rules can sometimes be very difficult to understand, as I recently
found out when it took me three months to sort out a hospital bill for
a relative – and after all these years I know my way around medical
scheme processes. (It eventually turned out they needed two quotations
for a piece of medical equipment, and not just the one.)
This is by no means a comprehensive list of possible obstacles,
but the things below could give you some idea of what the problem
might be. Sometimes you could be lucky in that a service consultant
might be able to give you an answer in five minutes, or you could
struggle for three months, as I did.
Also remember that things are different for every option, and within
every medical scheme, but there are certain rules everyone needs
to adhere to. Mostly, schemes will tell you the reasons for nonpayment.
If you disagree with them, read the small print in your
benefit schedule, and if you feel you still have a case, you can
contact the Council for Medical Schemes. Here’s more detail about
the complaints procedure.
Possible reasons for non-payment of your claim to the scheme:
Your membership contributions are not up to date. Make doubly
sure that your debit order has gone through, or that your employer
has indeed paid the money over to your medical scheme if it gets
deducted from your salary. Non-payment of contributions can lead
to non-payment of claims.
The cut-off date for that claim has expired. You have to send a
copy of the account to the medical scheme before the end of the
fourth month from the last date of the service rendered. The date
must be on the account. So if you see the doctor on the 20th of
January, you can submit that account until the 20th of May. After
that, the claim will not be settled.
Your benefits have been exhausted. If something has to be paid
from your medical savings account (MSA), and there are no funds
left, you may be in a self-payment gap and you have to pay the bill
yourself. Or you don’t have day-to-day cover and your treatment
was not in a hospital.
There are strict regulations on benefits (such as how much you can
spend on dentistry, new glasses and so forth) and if that has been
exhausted, your scheme will not pay. Read the small print carefully
when you choose an option on the scheme.
There is no referring doctor named on the specialist’s account.
You cannot refer yourself to a specialist – a GP has to do that, if you
want the scheme to pay any portion of the bill. This is to prevent
people going straight to a specialist when a GP might have been
able to sort out their problem at a fraction of the cost. Repeat visits
to a specialist after that will always still have the name of the original
referring doctor on the account.
Your membership number is not on the account. Unless the right
membership number is on the account, the scheme has no proof
that it was you who had the treatment. This is especially important to
remember if you change schemes. Make sure the doctor’s records
are changed to contain the new information.
The condition you were treated for is not a PMB. Certain hospital
procedures are not prescribed minimum benefits (PMB), such as
in the case of certain cosmetic surgeries, or some rare conditions.
Check with your scheme before you go for treatment. Also, if you go
to the doctor, and the condition with which you are diagnosed is not a
PMB, you will have to pay the account yourself, if your benefits have
run out or your scheme does not cover you for diagnosis of
certain conditions.
You are still subject to a waiting
period. When you join a new
scheme, you can be subjected
to a waiting period of three
months before you can claim
(this excludes hospital emergencies
such as in the case of an accident). Also, based on your medical
history, your scheme can exclude you from treatment for certain
conditions for a maximum of 12 months. If you claim during that
time, the bill will not be settled.
Your prescribed medication is not on the medicines formulary.
Schemes use a medicines formulary (list of approved medication
– often generics) to determine which chronic medications they will
fund. This can either be a list of medications, or a rand value per
condition. All medical schemes have to pay for the treatment of 25
chronic conditions.
Ask your pharmacist for the generic medication – it might save you
lots of money.
You did not get pre-authorisation before your hospital visit.
Unless it is an emergency, in which case the hospital will contact the
medical scheme, you need to phone your scheme before you are
admitted to hospital for treatment. Without an authorisation number,
the scheme will not foot the bill.
You went to an out-of-network hospital/doctor. Some schemes
have network hospitals and network doctors, who guarantee
members of certain scheme treatment without co-payments. If you
choose to go to another hospital you could be landed with a large
portion of the bill. The same goes for private doctors.
The ICD10 codes on the account are not valid. These are diagnosis
codes for specific conditions, which your doctor has to indicate on
the bill. If there is no ICD10 code, or it is for a condition that is not
covered, you might have to pay for this treatment yourself.
The medical practitioner does not have a valid practice number.
Before a scheme will pay a medical practitioner, he/she and the
practice has to be registered with t h e
Health Professions Council o f
South Africa. Without
that practice
n u m b e r ,
schemes will
not pay the
bill.

Our
PEOPLE
SALES AND MARKETING
CONSULTANTS
CHRISTINAH HLATSHWAKO
Mpumalanga
C: 079 4903 350
E: christanahh@samwumed.org
LUNGILE MTWANA
Western Cape
C: 072 725 5112
E: lungilem@samwumed.org
PERCY MTHEMBU
KwaZulu Natal
C: 074 075 3480
E: percym@samwumed.org
SABINA LEKGANYANE
Gauteng
C: 072 340 4450
E: sabinal@samwumed.org
NANIKIE RAMOKGABA
Gauteng
C: 082 303 0377
C: 074 571 7045
E: nanikier@samwumed.org
NEW APPOINTMENT
Introducing our
New Sales and
Marketing Manager
ADELE HANSEN
W
e are pleased to announce
the appointment of
our new Sales and
Marketing Manager Mrs.
Adele Hansen who effectively
commenced her new role from
2nd January 2018. In order to
ensure we remain sustainable,
we have realigned our internal
departments to allow for better
efficiencies and improvements
in our recruitment and servicing
of our members, by renaming the Sales and Servicing Department
to Sales and Marketing Department, a change we are certain will
yield positive results.
Adele Hansen joined us with a wealth of Sales and Marketing
experience and is hungry to share her strategic vision for this
Department. She is a perfect candidate to be promoted as the new
manager as she is already familiar with the SAMWUMED membership
and the local government sector, since having joined the Scheme in
February 2017.
We are looking forward to presenting you with a revived and effective
Sales team, under her leadership as we strive to provide you with an
excellent service.
For more information or to contact Adele, please use the below
contact details below:
Tel: 066 300 4973
Email: adeleh@samwumed.org
WATER
SAVING
TIPS
Water is a precious resource that we as citizens must
preserve. The recent draught experienced in the Cape
region and other parts of the country is cause for concern
and we must act as a collective to avoid the looming
#DayZero. Every action that each of us takes to save water
in our homes or workplace, makes a difference. Herewith
are some water saving tips that you and your family could
implement in your household:
• Cut your water use to less than 50 litres per person, per day
• Use municipal drinking water only for essential washing,
cooking and drinking purposes, and only use indoors
• Fix water leaks: Cape Town’s water use is much higher than
it should be. This is because of leaks, dripping taps and
leaking toilets. Water leaks are especially wasteful if they are
underground or undetected and left for a long time. Leaks on
your property are your responsibility.
• Only flush the toilet when necessary.
• Take very short stop-start showers. Wet your body, turn off the
tap, soap, and then rinse quickly.
• Collect your shower, bath and basin water and re-use it to
flush your toilet.
• Wait for a full load before running washing machines and
dishwashers. The rinse water from some washing machines
can be re-used for the next wash cycle.
• Use a cup instead of running taps in the bathroom or kitchen
when brushing teeth, shaving, drinking, etc.
• Defrost foods in the fridge or naturally, rather than placing it
under running water.
TEBOHO MONOSI
Free State
C: 071 686 9389
E: tebohom@samwumed.org
BROKER
LOCATION
TOOANE HOLDINGS
PTY - SAM
PLEASE NOTE
Level 6B water restrictions have been in
effect since 1 February 2018. Avoid Day Zero
and use 50 litres or less per person, per day.
THUSO LOTLHARE
North West
C: 071 471 8953
E: thusol@samwumed.org
VUSUMUZI MONA
Limpopo
C: 071 686 9469
E: vusumuzim@samwumed.org
FYZER CHETTY
Western Cape
C: 072 340 4542
E: fyzerc@samwumed.org
YANDISWA MAKASI
Eastern Cape
C: 071 686 9387
E: yandiswam@samwumed.org
SALES AND MARKETING
ADMINISTRATIVE
ASSISTANTS
SINDISWA NGQULA
Western Cape
T: 021 697 9500
E: sindiswan@samwumed.org
STEVEN DLAMINI
KwaZulu Natal
C: 061 445 2775
C: 074 870 6129
E: stevend@samwumed.org
IDN
BROKERS
OPPERMANN
Attention Members,
UPTREND
BMMT
NEW PREMIUMS
DEPARTMENT
EMAIL CONTACTS
MFS
GLOPIN
AFN
BOLENG
We aim to improve our communication channels to ensure we
provide a speedy service to you at all times. To this end the
premiums@samwumed.org email inbox will be deleted and
three additional email inboxes have been created to allow for
a faster resolve to our members’ queries. These changes will
take effect from 1st March 2018, and will ensure immediate
identification of the type of incoming request, which in turn will
allow for the correct prioritisation of such emails. You can now
be assured of faster query resolve and can channel queries to
the following email inboxes:
NEW MEMBERS:
newapps@samwumed.org
MEMBER UPDATES:
memberupdates@samwumed.org
MEMBERSHIP AND DEPENDANT CANCELLATIONS:
resignations@samwumed.org
We look forward to adding great value in your engagements with
the Scheme.
DID YOU KNOW?
MONITOR YOUR WATER
CONSUMPTION
One leaking toilet wastes between 2 600 and 13
000 litres per month, depending on the flow rate
of the leak. A leaking tap wastes between 400 and
2 600 litres per month. Just one leaking toilet can
add R2 600 to your monthly water bill.
To save water, it helps to know how much
water you are using and how you could
use it more efficiently. Monitor your daily
average water consumption and check for
leaks if it is higher than expected.
Make sure you know where your property’s water meter is
located and how to read it. Your daily average water consumption
is provided in your municipal invoice. Alternatively, you can
monitor your consumption online using e-Services.
FAST FACT
About 70% of all water used in the city is
consumed in homes, which is why saving water at
home is so important.
Cape Town residents can report water issues and offences
by using the contact details below:
Help us save water, report water issues (e.g. burst pipes or faulty
meters) and restriction offences:
• Call 0860 103 089 (choose option 2: water related faults)
• Email water@capetown.gov.za
• Online through our Service Requests tool
• SMS 31373 (max of 160 characters)
• WhatsApp 063 407 3699
Source: http://www.capetown.gov.za/Family%20and%20
home/residential-utility-services/residential-water-andsanitation-services/saving-water-in-the-home

Our
COMMUNITY
PENSIONER MEETINGS
I
n order for the Scheme to ensure that pensioner members stay informed and updated on the changes
that are taking place at the Scheme, SAMWUMED hosted Pensioner Meetings around the Cape
Metro. The meetings were held at Retreat Library, Grassy Park Civic Centre and Strandfontein. These
were coordinated by our pensioner Board of Trustee members: Mr. Lance Veotte and Mr. JJ Floris with
the assistance of SAMWUMED staff. The objectives of the meetings were to cement relations between
the Scheme and its loyal and dedicated stakeholders, the pensioner members. Furthermore, the aim is to
inform and educate pensioners on new benefits offering for 2018 and to devise solutions to help better
service our members, and ensure that they are satisfied as the Stalwarts of the Scheme. Productive
and empowering discussions with light meals and refreshments were the order of the day at each of
the meetings. We look forward to hosting more of these meetings to meet the needs and queries of our
members. Please see pictures from the meetings.
PLEASE EMAIL YOUR FEEDBACK TO COMMUNICATION@SAMWUMED.ORG
Letters from members
COMPLIMENTS FROM MEMBERS AND SERVICE PROVIDERS TO OUR STAFF
STAFF:
Zainab Arendse
Back Office Clerk
Miryam van Rheede
Call Centre Team Leader.
STAFF:
Miryam van Rheede
Call Centre Team Leader
Zerlinda Titus
Quality Assurance Clerk
STAFF:
Dineo Maliwa
Call Centre Agent
Good day,
STAFF:
Thabisa Phanyana,
Call Centre Agent
Hi Thabisa
STAFF:
Vuyani July
Back Office Clerk
Hi Roslyn and Vuyani
STAFF:
Nicole April
Back Office Clerk
Goeie dag.
I am Vincent Khuvutlu father
of Saseka Khuvutlu who is a
beneficiary of Ms BM Tshabangu
member number 000002251.
I once visited your offices where
I was assisted by Miryam. Eshaam
came and gave me a present.
Recently I had a problem of
authorisation where Medscheme
refused. Miryam came in to assist
and the challenge was resolved
within 12 hours. I applaud the
service rendered by her to me.
She has been so sweet, lovely
and sympathetic. I differ with
the people who always complain
and forget to thank good works.
I thank the professional services
rendered to me.
I need not forget Zainab who also
called to check if am satisfied,
Zainab who insist on assistance
as well.
Kindly pass my appreciation to
them. I am proud of your service.
Feedback is critical be it positive
or negative. Thanks Eshaam for
checking on us. I will give you
feedback as the procedure will be
done tomorrow 4th of August 2017.
Kind regards to you all from me
and my family.”
Hi Neil, trust that you are well.
Firstly, I would like to mention
three names linked to our
experiences with Samwumed
and Medscheme. Miryam,
Zerlinda (Samwumed) and
Ameer (Medscheme) have been
exceptional in firstly, listening to
the client and making the client
their priority. I am responsible
for all chronic requirements for
my mother mentioned above.
These three individuals must be
recognised and acknowledged
for service excellence and then
some more.
I feel comfort in the fact that
they are so committed and
compassionate people who have
found their passions in what
they do. Here’s to a relationship
of faith and trust.
Our appreciation as a family
in times of need, thanks to
you and your team for the
compassion shown.
This email long overdue.
Yours sincerely
Carl Thornton
Thank you for assisting me in
a friendly professional manner
even though I sounded a bit
abrupt you controlled the
call well and did not let your
emotions get the best of
you, you still remained calm
and politely assisted with the
information I was requesting.
As for Samwumed you guys
seriously need to sort out your
admin issues because this is
causing a whole lot of problems
between us and our patients
and as your lovely agent we to
try to offer the best customer
service experience and we would
appreciate that we keep having
a good relationship between the
scheme and provider.
Many Kind Regards
Zita
Spec Savers Cape Town Station
As the member of SAMWUMED
I wish to profoundly thank you
for the amazing service you
have rendered towards me, your
welcoming and caring stature
during this process is very
much appreciated.
You are an epitome of empathy
and compassion and displayed
a beautiful example of the
decades’ old Xhosa adage:
“Umntu ngumntu ngabantu”.
Thank you for you service once
again, have a blessed week
further
Thanking you
Xolani
I hope this email finds you well.
I just want to tell you both my
mother’s larytube was delivered
today to my excitement.
You guys don’t know what a
difference this had made in
our lives. I will never be able
to thank both of you for your
patience and your time and
effort you guys did put in. From
my family thank you very much
for what you have done for my
mom.
THANK YOU MUCH
Kind Regards
Ivan I. Sapto
Nicole wil net vir jou baie dankie
se vir al jou hulp met my kind
se goed. niks was teveel moeite
nie.
kan jy dalk net vir my n staats
stuur dat ek kan sien of ek nog
day to day het sussie se ore en
boeta se borsie is nie lekker nie
Surika van Antwerp
MEMBER CONTACT
DETAILS UPDATE
COMPETITION
Stand a chance of winning
these AMAZING Prizes!
All you need to do as a
member is to update your
details with the Scheme.
You can update your details
via the following platforms:
The Scheme is GIVING AWAY
10 SAMSUNG GALAXY TABLETS
valued at R5 000.00 each.
Email: memberupdates@samwumed.org (Kindly put
your membership number on the subject line and hyphen
update my details e.g. 000012345 - Update my details)
or you can fax the details that you would like the Scheme
to update for you to 021 697 3505. Alternatively, you can
contact the Scheme on 0861 104 117 and request to speak
to the Membership Department to update your details.
The above-mentioned competition rules will ensure that you are
automatically entered into a weekly lucky draw to stand a chance
of walking away with a SAMSUNG Galaxy Tablet. After the 10
weeks, there will be a GRAND PRIZE of R10 000 that stands a
chance of being WON by the entrants.
Winning made EASY. What are you waiting for, Enter NOW!!
DISCLAIMER: *Terms and Conditions Apply. Please note that the winner will be chosen every by means a lucky draw. Only SAMWUMED members may enter this competition, excluding SAMWUMED
employees who are also members.
GET IN TOUCH WITH SAMWUMED TODAY
SHARECALL
0860 104 117
T: 021 697 9000
OPERATING HOURS
CONTACT CENTRE
Mon - Fri: 08H00 - 16H00
ADDRESS
P.O. BOX 134, Athlone, 7760
cnr Trematon & Lascelles Streets,
Athlone, Cape Town
HIV MANAGEMENT - AID FOR AIDS (AFA)
MEMBER ENQUIRIES
T: 0860 100 646 E: afa@afadm.co.za
HOSPITAL AUTHORISATION ENQUIRIES
T: 0860 33 33 87 F: 0860 433 0796
E: samwumed.authorisations@medscheme.co.za
CHRONIC MEDICINE AUTHORISATION ENQUIRIES
T: 0860 33 33 87
E: samwumedcmm@medscheme.co.za
MEDSCHEME ONCOLOGY
T: 0860 33 33 87
E: cancerinfo@medscheme.co.za
LIKE OUR FACEBOOK PAGE:
WWW.FACEBOOK.COM/SAMWUMED
FOLLOW US ON INSTAGRAM:
WWW.INSTAGRAM.COM/SAMWUMED
FOLLOW US ON TWITTER:
WWW.TWITTER.COM/SAMWUMEDHEALTH
FOLLOW US ON LINKEDIN:
@SAMWUMED MEDICAL SCHEME
WEBSITE
WWW.SAMWUMED.ORG
DISCLAIMER: The SAMWUMED Bulletin is prepared and distributed for purposes of providing you with essential information to keep you updated on Scheme developments and to provide tips for you and your family. The information pertaining to benefits does not supersede the Rules
of the Scheme. Every effort has been made to ensure the SAMWUMED Bulletin is an accurate reflection. Please note that SAMWUMED is not a medical advisor, therefore all articles included in this Bulletin have been researched and referenced accordingly.