Frequently Asked Questions
Question (Q): Can one person belong to more than one medical scheme?
Answer (A): No person may belong to more than one medical scheme.
A: In terms of the Society's Rules, the following persons may be included as your dependants, provided that they are not a member or a registered dependant of a member of any other medical scheme.
- Your spouse
A member's spouse or partner. - Your immediate family
A parent, brother or sister in respect of whom the member is liable for family care and support. - Your children
A child under the age of 21.
A child, who due to mental or physical disability, is dependant upon the member.
A child over the age of 21, who is not self-supporting and not over the age of 25 and is a full-time student at a registered school, technikon or university.
A: Claims are paid twice a month to members and service providers. Please note that it is your responsibility to ensure that all your claims are sent to the Society within four months of the date of service.
Q: What is the Day-To-Day Risk Pool Benefit?
A: The Day-To-Day Risk Pool Benefit is an additional insured benefit from which claims are paid that do not fall under hospitalisation or chronic condition categories. It is subject to an annual limit set out in your Benefit Schedule.
Q: What is generic medication?
A: A generic medicine has the same active ingredients as the original medicine, but may have a different name, taste, colour and packaging. All generic medicines sold in South Africa are approved by the Medicine Control Council. You can save up to 60% of the cost of the original medicine by asking your doctor to prescribe the generic equivalent.
Q: Am I covered for medical treatment if I have resigned?
A: You are covered for treatment until the last day of employment. Should you withdraw from the Society during the year, your benefits will be adjusted accordingly on a pro rata basis and you will be liable for all monies owed to the Society after your withdrawal.
Qualsa
Tel: 0861 888 302
