Management

  • Fund Management

    Board of Trustees

    SEDMED is governed on behalf of its members by a Board of Trustees. The members of the Board of Trustees were elected by the members of SEDMED who were present at the scheduled yearly meeting during 2014 (Annual General Meeting) of the members of SEDMED. Trustees serve a term of office of 3 years at a time and may be re-elected/re-appointed to serve additional terms. In addition, Trustees may appoint an additional member, should they require someone with a particular skill or expertise that the Board finds lacking or otherwise.

    The focus of the Board of Trustees is to innovatively improve service delivery to its members while promoting sustainability. One of the Board's main objectives is to ensure that SEDMED provides the best possible benefits at affordable contribution rates.
    The current Trustees are:
    Dr Dave Spencer
    Mr Eric Odendaal
    Ps Trevor Kunene
    Mr Hennie van der Ness
    Ps Peter Maligudu
    Mrs Beauty Wakaba
    Mrs Mavis Mweemba
    Ps Leon du Preez
    Dr Jun Negre
    Mrs Ruth Layman

    Principal Officer

    The Board of Trustees appoints a Principal Officer who is the chief executive officer, managing the day-to-day affairs of the Fund. The Principal Officer of SEDMED is Mr Andrew du Preez.

    All requests or correspondence to the Board of Trustees should be sent via the Principal Officer.
    Contact details:

    Tel: +27 51 447 8271
    Fax: +27 51 448 8559
    SEDMED, 2 Fairview Street, Bloemfontein, 9301
    PO Box 468, Bloemfontein, 9300
  • General

    Contributions are payable in advance

    SEDMED contributions are payable in advance. Both members and employing organisations should take cognisance of the fact that contributions normally increase on 1 January every year which means that the increased member share is to be deducted from employee's salary in December of the previous year.

    Prescription formalities

    Members are requested not to detach the upper part of the prescription, but to submit the prescription in its entirety. SEDMED will only accept and process a prescription for payment of benefits in respect of which the upper part is still attached and no exceptions will be made in this regard.

    Electronic banking

    Each member must ensure that SEDMED has his or her correct banking details as benefits are paid electronically into the main member's bank account.

    Late payment of contributions

    Late payment of contributions jeopardises the member's continued SEDMED membership. In this event, SEDMED will not pay any benefits which would otherwise be due to a member. Where the employing organisation has deducted the member's share from his or her salary but fails to pay the contribution over to SEDMED, such organisation is guilty of fraud, exposes itself to a claim for damages from the member and runs the risk of the SEDMED membership being cancelled.

    Disputes

    Any dispute by prospective, current or former members must be directed in writing to the Principal Officer of SEDMED. The dispute will be dealt with by the SEDMED Dispute Committee. If a member is not satisfied with the finding/decision of the Dispute Committee, he/she may appeal to the Council for Medical Schemes for adjudication.

    Fraud

    The Board of Sedmed (“the Fund”) does not condone fraud of any form against the fund. Therefore the trustees have put fraud prevention initiatives in place to prevent fraud. One of these initiatives is aimed at providing the members of Sedmed the opportunity to report any suspected incidents of fraud, abuse, corruption, unethical behaviour and misconduct, through utilising any of the following channels:
    • Tip-off line: members can call the fund anonymously at 051 – 447 8991
    • Email: members can email the Principal Officer at
    • Fax facility: members can fax the fund anonymously at 051-448 3800
  • Cost Containment Tips

    WAYS IN WHICH YOU CAN MAXIMISE YOUR MEDICAL FUND BENEFITS BY CONTAINING COSTS

    Medication
    • Ask your doctor/pharmacist whether generic medication can be substituted for your medication.
    • Obtain prescribed medication from your pharmacist rather than from your doctor.
    • Make use of the over-the-counter ('OTC') medication benefit – Schedule 0, 1 and 2 medication (confirm schedule with your pharmacist) can be claimed without a prescription.
    • Make use of pharmacies with whom Sedmed has Preferred Provider Agreements (Dis-chem and Clicks) if readily available. Members who make use of other pharmacies than Dis-chem or Clicks, and in the event that the other pharmacy’s fee structure is higher than the agreed fee structure of Dis-chem and Clicks, will be responsible for the payment of the difference between the fee structure agreed to with Dis-chem and Clicks and the fee structure of the other pharmacy.

    Hospitalisation
    • Make use of the hospitals with whom SEDMED has an undertaking (MediClinic and Netcare) if such readily available.  Members who fail to observe this arrangement and make use of another hospital facility even though a MediClinic or Netcare is available, may be held responsible for the payment of any possible difference in the cost structure.
    • Check your hospital accounts (dates, name of patient, procedures undergone, admission and discharge times, etc.) in order to ensure that the charges are for actual services rendered.
    • If possible always negotiate the best possible rate with all service providers before being admitted to hospital as this has a direct impact on your own pocket due to the limitations set on your hospital-related benefits
    General
    • Live a healthy lifestyle and be pro-active in terms of your health, regular check-ups, exercise and eating habits. This will benefit not only your medical fund but also, more importantly, yourself.
    Visits and/or procedures
    • Always ask your doctor, specialist, dentist, etc. to charge according to the SEDMED Rate (Fund Rate)/contracted-in amount, instead of private rates
    • Ask your doctor for a treatment plan and/or detailed quotation before commencing with a planned procedure. Submit the treatment plan and/or detailed quotation to the Fund in order to be informed up front of the benefit that will be granted and any private or member portions (where applicable)

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This website contains a summary of the benefits offered by SEDMED. It does not replace the registered rules of the Fund, but attempts to summarise important information. Therefore, should a dispute arise, the rules of the Fund will apply, and not this website.

This is ultimately your medical fund and therefore you need to know how it operates, how to utilise it responsibly and how you can benefit from it. Please refer to your membership guide and this website to obtain information about your overall health care benefits.