Dear Valued Members (RWMS)
COVID-19 Process –Testing , Medication &Virtual Consultation Declaration OF 2ND Wave by Minister of Health
1. Kindly encourage members to utilise any nearest Laboratory within SA , Not to use Drive Through run by Pharmacies as they do not insert all required information as per Legislated requirements to process the claim e.g. the correct tariff code/s for COVID-19 and Dr’ s PR No required .
2. Some Laboratories will request an Auth No prior testing , others they will not request an Auth No – the claim will be processed by the scheme ( irrespective )
3. The SCRIPT received from the Dr will be processed subject to available benefits with an ICD10 Code in the script
4. No Pre-Auth No required for the script in order to dispense the medication , the Pharmacist will process the medication respectively
5. Script for COVID-19 medication is valid for 21 days ( i.e claim within 21 days of receipt from the DR)
6. If medication is completed with no improvement ,kindly visit the DR or consult Virtually , the RWMS pay for Virtual Consultation for GP5’S Specialist s and Psychologists .
More information will be made available as we receive an update.