MEDICINE CARD MISSING MEDICATION

<p> I received a letter from Fedhealth stating my urbanol cannot be put on chronic thats fine but the medicine card i reveived is incorrect missing info medication Its Epilim 300mg and Epilim 500mg Limictin 200mg Please CORRECT THIS IF NOT EPILIM THEM THE GENERIC EPILIZINE IM NOT MAKING A 40% CO PAIMENT</p> <p> </p> <p>FEDHEALTH MEDICAL SCHEME ( ********** 1445) Medicine App Number FDH ********** 426</p> <p>We have received and processed your medicine request. The purpose of this letter and its attachments is to help</p> <p>you better understand your chronic benefits and the Fedhealth rules relating to these benefits. It is therefore</p> <p>important that you carefully read all the information provided.</p> <p>Chronic Medicine Benefit Limit: Your option provides you with an unlimited chronic medicine benefit for the 25</p> <p>Prescribed Minimum Benefits (PMB) chronic conditions, subject to the DSP and the formulary as described below.</p> <p>Medicine Access Card (MAC): The attached MAC lists the chronic conditions, medicines and specialised drugs</p> <p>that are approved and will be paid from your benefits. Please remember that you must present your MAC to your</p> <p>pharmacist with the matching prescription from your doctor.</p> <p>Formulary: This is a list of medicine, for your chronic condition, which has been approved by Fedhealth for</p> <p>funding. If you use a medicine which is not on this list (Formulary) you will have to make a co-payment of 40%</p> <p>which you cannot claim back. There are always alternative medicines on the list, which will not attract a</p> <p>co-payment. Ask your doctor to prescribe or dispense a medicine on the approved list (Formulary). You can view</p> <p>the Formulary by logging in on the Fedhealth website.</p> <p>Medicine Price List (MPL): Fedhealth applies an MPL of reference prices to your medicine. Choosing a medicine</p> <p>with a higher price than the MPL reference price, will mean that you will have to pay the difference between the</p> <p>cost of the chosen medicine and the reference price. There will always be medicines available at or below the</p> <p>reference price. Ask your doctor or pharmacist to give you an alternative which will not attract a co-payment. You</p> <p>can view the MPL on the Fedhealth website.</p> <p>Disease Authorisations: When you apply for chronic medicine, you are approved for treatment of your chronic</p> <p>condition and will have access to a list of pre-approved medicine, referred to as a basket. The pre-approved</p> <p>medicine in this basket is still subject to MPL and out of formulary co-payments. You can view the baskets on the</p> <p>Fedhealth website by logging into the member zone. If you need to change or add a new medicine for your</p> <p>condition, you can do this quickly and easily at your pharmacy with your new prescription. Not all conditions are</p> <p>managed this way and you will need to contact the scheme to update medicine telephonically or online if:</p> <p>• your medicine is not in the basket; or</p> <p>• you are diagnosed with a new chronic condition; or</p> <p>• you need a quantity or dosage of a medicine that is more than the quantity listed in the basket.</p> <p> </p> <p>Payment of the treatment below is subject to available benefits and will be rejected once limits have been exceeded (if applicable).</p> <p>Presentation of this card does not guarantee that the bearer of this card is a valid Beneficiary of the medical scheme.</p> <p>Scheme: FEDHEALTH MEDICAL SCHEME</p> <p>Med Aid No: ********** 1445 Beneficiary Code: 01</p> <p>Member: ANNA C M ROODT</p> <p>Beneficiary: FRANS D ROODT</p> <p>Application</p> <p>Number:</p> <p>FDH ********** 426</p> <p>*** Disease Authorisation: Disease Basket available</p> <p>+ OF drug: co-payment will always apply</p> <p>PMB drug: payment will continue above limits</p> <p>PMB condition: payment may continue above limits</p> <p>X Reference Pricing drug: co-payment may apply</p> <p>Approved Medicine or Condition From To Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec</p> <p>PMB Epilepsy Mar 2016 Ongoing *** *** *** *** *** *** *** *** *** ***</p> <p>X PMB + Lamictin 200mg Mar 2016 Ongoing ******60 </p>