Dear member/ provider as we have transitioned to a new medical administration system, you would need to re-register for access if you had access on the previous WCMAS website.
Please use the link below to register with the original email used on the previous site to receive your password, please note you will be re-directed to another website for re-registration.
If you are a new or member / service provider, please use the link below to register for access, please note you will be re-directed to another website registration.
If you have registered with the above steps provided please click on the link below to log into the system with your new credentials, please note you will be re-directed to another website to login.
Benefits & Members' Guide for Midmas Option 2024
Please note:
If you require any information on the clinical entrance criteria,
prescribed minimum benefits algorithms, medicine exclusions and tariff codes
and amounts, please refer to the WCMAS Call Centre at (013) 656-1407.
Salary Code | Salary Range | Principal Member | Adult Dependant | Child Dependant |
---|---|---|---|---|
Any | Total | R 2 860 | R 2 650 | R 657 |
A Designated Service Provider (DSP) is a healthcare provider (doctor, pharmacist, hospital, oncology programme, opticians, etc.) with whom a medical scheme enters into a preferential rate agreement to render treatment, diagnosis or care to members and beneficiaries. Schemes may insist that you go to a DSP as soon as your condition is diagnosed, in which case the Scheme will cover the costs from the start. Treatment at a DSP will be covered in full by the medical scheme under the PMB conditions when delivered according to scheme protocols, clinical reviews and formularies.
If you choose not to use the DSP selected by your scheme, you may have to pay a portion of the bill as a co-payment. This could either be a percentage co-payment or the difference between the DSP’s tariffs and that charged by the provider you went to.
In terms of the Medical Schemes Act, Medical Schemes are allowed to enter into Designated Service
Provider (DSP) or Preferred Provider (PP) arrangements whereby specific service providers or hospitals
can be appointed to provide services to Scheme members.
Part of the agreement is a preferential rate offered to WCMAS members which is substantially lower than
the rates offered by most of the other Private Hospitals. WCMAS wish to encourage members to make use
of these hospitals in order to derive the savings the arrangements offer for the benefit of all members
of the Scheme and to avoid co-payments by members.
WCMAS has entered into such an agreement with the following Hospital Groups for hospital services rendered
to WCMAS members:-
Emergency cases
Members are reminded that in the case of an emergency, they are entitled to use any of their nearest hospitals and that they will not be penalized in terms of the Designated Service Provider or Preferred Provider arrangement for the emergency.
Doctors / Specialists
Members must take note that Doctors/Specialists may charge fees in excess of the Scheme Rate (contracted-out fees) for which they will be liable. We encourage you to obtain a quotation before undergoing any procedures.
Universal manages the oncology benefit management programme and network of oncologists.
For a list of ICON Network Doctors, please Click Here, or you can contact the Call Centre on 0861 486 472.
Optometrists that provide a further discount on scheme tariffs:
Pharmacies that charge our scheme dispensing rates.
15% co-payment will apply to medicine obtained from a non-DSP.
For more information on site-visits by our representative, please contact your
HR office.