SCHEDULE 2022 - Bankmed

1 BENEFIT AND. CONTRIBUTION. SCHEDULE . 2022. MORE THAN A MEMBER. MORE WITH Bankmed . Contents 01. CONTACT US. 02. GET TO KNOW. 03. PLAN OPTIONS. Bankmed . 04. BENEFIT INFORMATION. 05. OUR DIGITAL TOOLS. 06. Bankmed PRIVACY. STATEMENT. CONTACT US. MEDICAL EMERGENCIES: CLAIMS Fax: 011 770 6247 COMPLAINTS. 0860 999 911 Include your membership number and Your pharmacist can call 0800 Bankmed AND DISPUTES. make sure the claim is easy to read (0800 226 5633). Should you have a complaint about your GENERAL QUESTIONS E-mail: Healthcare Professionals can membership, please let us know in writing: call 0800 132 345. Website: Fax: 021 527 1940 E-mail for members: Essential and Basic Plans Call: 0. 800 Bankmed (0800 226 5633) Post: B. ankmed Claims, Private Bag X2, Rivonia 2128 E-mail: E-mail for pensioners: toll-free on a Telkom landline Fax: 011 539 7000 E-mail for members: CLAIM USING THE Bankmed .

2 APP OR THE WEBSITE Your pharmacist can call 0800 Bankmed Post: Complaints Bankmed , Private Bag X2, (0800 226 5633) Rivonia 2128. E-mail for pensioners: By law, we have to respond to written complaints PRE-AUTHORISATION FOR Register to gain access to these benefits within 30 days, but we always do try to respond Fax: 021 527 1926 HOSPITAL ADMISSION, DAY HIV PROGRAMME FOR HIV much sooner. Post: B. ankmed Customer Services, SURGERY, MRI, CT SCAN OR AND AIDS (CONFIDENTIALITY. GUARANTEED) Lodge a formal complaint Private Bag X2, Rivonia 2128 RADIONUCLIDE SCAN. If you have given us a reasonable chance to address DIGITAL TOOLS Call: 0. 800 Bankmed (0800 226 5633) BABY-AND-ME PROGRAMME. your concerns, and you are still not satisfied with FOR PREGNANCY AND. toll-free on a Telkom landline CHILDBIRTH. View information about your membership the outcome of the process, you can lodge a formal and update your contact details: Fax: 021 527 1928 complaint with the Council for Medical Schemes: ONCOLOGY PROGRAMME.

3 Website: Log in to the member portal E-mail: FOR CANCER TREATMENT Customer Care Line: 0861 123 267. at ShareCall from a Telkom landline HOSPITAL CARE. Mobile site: Log in to AND PROCEDURES CHRONIC ILLNESS BENEFIT Reception: 012 431 0500. Bankmed App: Download and log in AUTHORISATION FOR CHRONIC Fax: 086 673 2466. Your username and password are the same MEDICATION COVID-19 BENEFITS E-mail: for the website, mobile site and App. Call: 0. 800 Bankmed (0800 226 5633) Post: C. ouncil for Medical Schemes, Block A, toll-free on a Telkom landline REPORT FRAUD Eco Glades 2 Office Park, FIND A HEALTHCARE Call: 0800 004 500 / 0800 007 788 420 Witch Hazel Avenue, Eco Park, Centurion PROFESSIONAL IN OUR Core Saver, Traditional, Comprehensive 0157 or Council for Medical Schemes, NETWORK SMS: 43477. and Plus Plans Private Bag X34, Hatfield, 0028.

4 E-mail: E-mail: 2. Post: Freepost DN298, Umhlanga Rocks 4320. CONTACT GET TO KNOW PLAN BENEFIT OUR DIGITAL Bankmed PRIVACY. US Bankmed OPTIONS INFORMATION TOOLS STATEMENT. Glossary Annual Threshold Insured Benefit This is a rand amount for the Plus Plan. We use the number of adult This is a benefit Bankmed pays from pooled contributions, instead of and child dependants on the membership to calculate the Annual using your personal Medical Savings Account (if you have one). Threshold for the year. Claims are paid out at 100% of Scheme Rate from your Medical Membership or Member Savings Account for Designated Service Providers, once this is The Principal Member is the person who pays the monthly exhausted you are able to access the Above Threshold Benefit. contribution and is the main member on the membership, and the membership contract holder.

5 In the case of Bankmed , the Principal Above Threshold Benefit Member is an employee of a participating employer or bank that has an agreement with Bankmed . Alternatively, membership may extend The Above Threshold Benefit gives Plus Plan members cover for to continuation members such as retirees or surviving dependants. healthcare they receive without being hospitalised when they reach their Annual Threshold. It is an Insured Benefit. Networks and Designated Service Providers We negotiate tariffs for you with hospitals, pharmacies, GPs and Day-to-day Benefits specialists. When these Healthcare Professionals agree to charge Day-to-day expenses include items such as medication, visits to your GP, the Bankmed Rate, we contract with these Healthcare Professionals x-rays and blood tests. and call them Network Providers or Designated Service Providers.

6 On the Plus, Comprehensive, and Core Saver Plans, we pay these These providers must meet our quality standards and charge you expenses from your Medical Savings Account. the agreed rates. On the Traditional, Basic, and Essential Plans, we cover these Prescribed Minimum Benefits (PMBs). expenses from the Insured Benefits subject to limits. According to the Medical Schemes Act, all medical schemes have to Deductible pay for a minimum level of care for a list of medical conditions. The deductible is an upfront payment that you have to pay to a hospital, day clinic or other healthcare facility before you can receive Scheme Rate treatment. The facility will not admit you until you pay the deductible. Healthcare Professionals in our network charge the Scheme Rate. If you visit a Healthcare Professional who is not in our network, they Dependants can charge you more than the Scheme Rate and you will be liable for A dependant is either a spouse, partner, child, or special dependant.

7 The difference. Applications will need to be submitted to Bankmed for membership. 3. CONTACT GET TO KNOW PLAN BENEFIT OUR DIGITAL Bankmed PRIVACY. US Bankmed OPTIONS INFORMATION TOOLS STATEMENT. GET TO KNOW. Bankmed . We are your partner in health and wellness Bankmed gives you better benefits Bankmed has over 100 years of experience in the Banking and Healthcare industry We are experts in providing insights into your health and wellness needs and have the ability to HOW Bankmed WORKS BETTER VALUE. VS offer you a medical scheme tailored to your unique Bankmed is registered in accordance with the Medical requirements. Schemes Act 131 of 1998. The Council for Medical Schemes has approved all our rules and benefits. We offer tools to measure and improve your health through the Wellness and Preventive Care Benefits.

8 A Board of Trustees manages the Scheme for you. They put your interests first, and make sure we can Bankmed 's Solvency Ratio as at Our communication hub provides you with 31 December 2020 vs Industry Average keep paying claims now and into the future. You choose The average for restricted schemes in information, news and tips on how to create half of the trustees by voting at our Annual General 2020 was as per the CMS report and maintain a healthy lifestyle. Your health Meeting (AGM), and your employers appoint the other and wellbeing is our number one priority! half of the trustees that make up the Board Of Trustees. WE GIVE YOU COVER SO. AA+ GLOBAL CREDIT RATING. YOU CAN ACCESS QUALITY. 6 AA+. Bankmed has been awarded the AA+ Global Credit HEALTHCARE Rating for twelve years in a row. We are one of the Bankmed takes part in a yearly survey commissioned few closed medical schemes in South Africa to have PLANS GLOBAL CREDIT.

9 By the Health Quality Assessment. This survey achieved this rating. RATING IN 2021. measures the quality of the medical care members Bankmed is built on a solid financial base. We aim to of medical schemes receive. Based on the 2020 give you more benefits and lower contributions when Health Quality Assessment findings, Bankmed compared with the rest of the market. We offer a range of Plans to suit our Global Credit Rating 2021. members receive better quality healthcare in the members' healthcare needs and pockets 4 industry across most clinical quality indicators. CONTACT GET TO KNOW PLAN BENEFIT OUR DIGITAL Bankmed PRIVACY. US Bankmed OPTIONS INFORMATION TOOLS STATEMENT. What sets Bankmed apart? We believe that we must embark on a journey aimed at dramatically improving the way our members engage with wellness.

10 By assessing the way that the COVID-19 pandemic has so rapidly changed the way we manage our health and our behaviour, I believe that with the correct leadership and focus, we can do the same when it comes to managing our day-to-day health management going forward.'. VS Bankmed CEO, Teddy Mosomothane. PREVENTIVE SCREENING TESTS PLANS DESIGNED SPECIFICALLY FOR YOU. Non-healthcare Expenses Ratio AND WELLNESS INITIATIVES All our Plans, benefits and contributions are designed to reflect our intimate (Administration, Managed Care and knowledge of your challenges, workplace environment, lifestyle choices and Our wellness initiatives help you to identify any conditions before they become General Administration Expenses) health risks. a problem. We pay for your screening tests and ensure that you get the best Bankmed as at 31 December 2020.