Medical Aid Cover

Most medical aids & PMI’s will cover:

  • 24 days of in-patient addiction rehabilitation, per year – and
  • 21 days of in-patient psychiatric treatment, per year.

In some cases we can arrange that your medical aid pays for 6 weeks of treatment. Our clinics are divided into three specialities:

  • Addiction treatment for adults.
  • Psychiatric care for adults.
  • Treatment for adolescents – whether addiction, psychiatric or behavioural issues. Teenagers are kept separate from adults.

We can also get pre-authorisation from medical aids for the treatment of process addictions like eating disorders, gambling & sex addictions.

With more than 70 years collective experience in the field, WeDoRecover will help you find the option that will work best for you. Be wary of centre’s that cannot accept medical aid payments. They are likely unregistered and not run by certified professionals.

Ensure that the people treating you are accredited to practice in the addiction field through organisations like the Federation of Drug & Alcohol Professionals, the International Certification & Reciprocity Consortium or are qualified doctor’s, psychiatrists, psychologists, social workers and occupational therapists in good standing with their relevant boards.

The facility must be fully licensed through organisations like the South African Department of Health, Department of Social Development & Board of HealthCare Funders or the UK’s Quality Care Commission.

Substance use disorder & mental health problems fall under prescribed minimum benefits (PMBs) of medical schemes. This means your ‘savings’ portion is not affected. If you’re looking for a luxury rehab you’ll have to pay a little to top up what your medical aid will not fund.

The brain disease model of addiction is strongly supported by scientific evidence. It affects the reward centre of our brains and has been classified as a primary illness for more than 50 years.  Addiction to alcohol and others drugs is a complex problem and getting into recovery takes more than will power, intellect or strength of character.

Once addicted the brain has changed in ways that make stopping, even for those with the best intentions, very difficult.

Usually PMI covers treatment in full so patients choose to stay in the UK close to home & family. If paying privately many UK & Middle East patients travel to Thailand & South Africa to take advantage of the strong GBP currency, reduce costs & ensure anonymity. The current US$ / GBP£ / Euro € exchange rates makes luxury rehab attractive to our patients from the Middle East, the UK & Europe, the USA and Canada who aren’t on PMI or would like an exotic rehab experience in a holiday destination. Costs for similar quality treatment in North America or Europe are much higher, so the value for money with treatment abroad is superb.

Here’s an extensive list of South African medical aids:

BESTMED MEDICAL SCHEME, BONITAS MEDICAL FUND, CAPE MEDICAL PLAN, COMMUNITY MEDICAL AID SCHEME (COMMED), COMPCARE WELLNESS MEDICAL SCHEME, DISCOVERY HEALTH MEDICAL SCHEME, FEDHEALTH MEDICAL SCHEME, GENESIS MEDICAL SCHEME, HOSMED MEDICAL AID SCHEME, KEYHEALTH, LIBERTY MEDICAL SCHEME, MAKOTI MEDICAL SCHEME, MEDIHELP, MEDIMED MEDICAL SCHEME, MEDSHIELD MEDICAL SCHEME, MOMENTUM HEALTH, NATIONAL INDEPENDENT MEDICAL AID SOCIETY (NIMAS), PHAROS MEDICAL PLAN, PRO SANO MEDICAL SCHEME, RESOLUTION HEALTH MEDICAL SCHEME, SELFMED MEDICAL SCHEME, SIZWE MEDICAL FUND, SPECTRAMED, SUREMED HEALTH, THEBEMED, TOPMED MEDICAL SCHEME, AECI MEDICAL AID SOCIETY, AFROX MEDICAL AID SOCIETY, ALLIANCE MIDMED MEDICAL SCHEME, ALTRON MEDICAL AID SCHEME, ANGLO MEDICAL SCHEME, ANGLOVAAL GROUP MEDICAL SCHEME, BANKMED, BARLOWORLD MEDICAL SCHEME, BMW EMPLOYEES MEDICAL AID SOCIETY, BP MEDICAL AID SOCIETY, BUILDING & CONSTRUCTION INDUSTRY MEDICAL AID FUND, CHARTERED ACCOUNTANTS (SA) MEDICAL AID FUND (CAMAF), DE BEERS BENEFIT SOCIETY, ENGEN MEDICAL BENEFIT FUND, EYETHUMED MEDICAL SCHEME, FISHING INDUSTRY MEDICAL SCHEME (FISH-MED), FOOD WORKERS MEDICAL BENEFIT FUND, GOLD FIELDS MEDICAL SCHEME, GOLDEN ARROWS EMPLOYEES’ MEDICAL BENEFIT FUND, GOVERNMENT EMPLOYEES MEDICAL SCHEME (GEMS), GRINTEK ELECTRONICS MEDICAL AID SCHEME, HORIZON MEDICAL SCHEME, IBM (SA) MEDICAL SCHEME, IMPALA MEDICAL PLAN, IMPERIAL GROUP MEDICAL SCHEME, LA-HEALTH MEDICAL SCHEME, LIBCARE MEDICAL SCHEME, LONMIN MEDICAL SCHEME, MALCOR MEDICAL SCHEME, MASSMART HEALTH PLAN, MBMED MEDICAL AID FUND, MEDIPOS MEDICAL SCHEME, METROCARE, METROPOLITAN MEDICAL SCHEME, MINEMED MEDICAL SCHEME, MOTOHEALTH CARE, NAMPAK (SA) MEDICAL SCHEME, NASPERS MEDICAL FUND, NEDGROUP MEDICAL AID SCHEME, NETCARE MEDICAL SCHEME, OLD MUTUAL STAFF MEDICAL AID FUND, PARMED MEDICAL AID SCHEME, PG BISON MEDICAL AID SOCIETY, PG GROUP MEDICAL SCHEME, PICK N PAY MEDICAL SCHEME, PLATINUM HEALTH, PROFMED, QUANTUM MEDICAL AID SOCIETY, RAND WATER MEDICAL SCHEME, REMEDI MEDICAL AID SCHEME, RETAIL MEDICAL SCHEME, RHODES UNIVERSITY MEDICAL SCHEME, SABC MEDICAL AID SCHEME, SAMWUMED, SAPPI MEDICAL AID SCHEME, SASOLMED, SEDMED, SOUTH AFRICAN BREWERIES MEDICAL SCHEME, SOUTH AFRICAN POLICE SERVICE MEDICAL SCHEME (POLMED), TFG MEDICAL AID SCHEME, TIGER BRANDS MEDICAL SCHEME, TRANSMED MEDICAL FUND, TSOGO SUN GROUP MEDICAL SCHEME, UMVUZO HEALTH MEDICAL SCHEME, UNIVERSITY OF KWA-ZULU NATAL MEDICAL SCHEME, UNIVERSITY OF THE WITWATERSRAND – JOHANNESBURG STAFF MEDICAL AID FUND, WITBANK COALFIELDS MEDICAL AID SCHEME, WOOLTRU HEALTHCARE FUND, XSTRATA ALLOYS MEDICAL AID SCHEME.

International PMI:

Bupa, PPP, Van Breda, Interglobal, Aetna International, Allianz Worldwide Care, Cigna Global Health Benefits, Generali Global Health, IMG Europe Ltd, Pacific Prime, Humana, Allianz, AIA Insurance Group, Aetna Foundation, Blue Cross Blue Shield, Axa, Aviva, United Healthcare, Express Scripts, Zurich Insurance Group, ALC Health, AXA PPP International, Allianz Worldwide Care, BUPA International, ExpaCare, Globality Health, MediCare International and Morgan Price International.

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