Wooltru Healthcare Fund

Fund Rules

The Rules of the Fund as registered with the Council for Medical Schemes

2024 Rules

 picture_as_pdf REGISTERED RULES 2024

 picture_as_pdf ANNEXURE A: CONTRIBUTIONS

 picture_as_pdf ANNEXURE B1: NETWORK OPTION SCHEDULE OF BENEFITS

 picture_as_pdf ANNEXURE B2: SAVER OPTION SCHEDULE OF BENEFITS

 picture_as_pdf ANNEXURE B3: COMPREHENSIVE OPTION SCHEDULE OF BENEFITS

 picture_as_pdf ANNEXURE C: EXCLUSIONS

 picture_as_pdf ANNEXURE D: CLAIMS PROCEDURES

 picture_as_pdf ANNEXURE E: SAVER AND COMPREHENSIVE OPTIONS DOCTORS' ROOM PROCEDURES COVERED BY THE FUND

 picture_as_pdf ANNEXURE F: CHRONIC MEDICATION PROGRAMME

 picture_as_pdf ANNEXURE G: PRESCRIBED MINIMUM BENEFITS (PMBS)

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Required information

Your membership number

Your Medical Aid Membership Number on your card
The name and practice details of the admitting doctor

The Doctor who is to performing the procedure should provide this
The date of admission to hospital or clinic

Date at which the patient gets admitted or Procedure Date if it occurs on the same day
The name of hospital or clinic

The Doctor, Hospital or Clinic can provide
The medical condition

The Doctor who is to performing the procedure should provide this
The diagnosis / the ICD-10/ Procedure codes / The type of procedure

The Doctor who is to perform the procedure needs to provide
The expected length of stay

How long the patient is expected to stay in the Hospital / Clinic

Wooltru Healthcare Fund

Wooltru Healthcare Fund

Fund Rules

Cookies

Required information

Your membership number

The name and practice details of the admitting doctor

The date of admission to hospital or clinic

The name of hospital or clinic

The medical condition

The diagnosis / the ICD-10/ Procedure codes / The type of procedure

The expected length of stay