Emergency ServicesAs part of our aim of identifying and managing beneficiaries’ disease risks in good time, there are a number of programmes that form part of our Managed Care approach.
Emergency Medical Conditions
An emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical treatment and /or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs or other body parts, or even death.
In an emergency it is not always possible to diagnose the condition before admitting the patient for treatment. However, if doctors suspect that the patient is suffering from a condition covered by PMB, the medical scheme has to approve treatment. Schemes may request that the diagnosis be confirmed with supporting evidence within a reasonable period of time.
You and your registered dependants have access to emergency medical transportation 24 hours a day, 7 days a week via 084 124.
ER24’s trained staff will note the details of your condition and immediately authorise the dispatch of the closest appropriate Emergency Medical Services provider to assist you.
Services offered by ER24 include:
- 24-hour access to the ER24 Emergency Call Centre.
- Dispatch of emergency response.
- Medical transportation by ambulance or aircraft.
- Authorised inter-facility transfers.
In addition to emergency transportation, you will also receive emergency medical advice and assistance. ER24’s operators will guide you through a medical crisis situation, provide emergency advice and organise for you to receive the support you need – available at all times.
Members in Namibia, Lesotho and Swaziland may call ER24 by dialling +27 10 205 3052 for the following services:
- Life-threatening emergency (primary).
- For primary service, but not life-threatening.
- Any inter-facility transfers.
Remember that, in the case of an emergency where you (or your dependants) are admitted to hospital, you must arrange to notify the Fund on the first working day after being admitted.
Once you have exhausted your annual sub-limit for ambulance services, or if you need additional funding for this service, you can apply to the Fund for approval by submitting a clinical letter of motivation.