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DISEASE RISK MANAGEMENT

Polmed’s Disease Risk Management (DRM) Programme aims to ensure that members receive health information, guidance and management of their conditions, while at the same time encouraging compliance to the treatment prescribed by their medical practitioner.

Members who are registered on the DRM Programme and who have registered chronic medication will receive a Care Plan that contains authorised medical services such as consultations, blood tests and radiological tests related to the management of their conditions.

Registration process

Claims data for chronic medication, consultations and hospital admissions are used to identify members who are eligible for registration to the Disease Risk Management Programme.

Members may also contact the DRM Programme when diagnosed with a chronic condition and request to be registered on the programme.

Once registered, telephonic follow-ups take place to:

Provide health information and guidance to improve understanding and management of your condition
Assist in getting authorisation for appropriate healthcare services
Coordinate treatment with your treating doctor.

Diseases managed:

Asthma
Chronic obstructive pulmonary disease (COPD)
Hyperlipidaemia
Diabetes
High blood pressure
Heart failure
Coronary artery disease
Cervical and lumbar spinal conditions
Dysrhythmia
Mental health conditions: depression, bipolar mood disorder, post-traumatic stress disorder (PTSD) and substance abuse

Contact details:

Polmed Disease Risk Management Programme

0860 765 633
0861 113 135
polmeddiseaseman@medscheme.co.za
Disease Risk Management

Tel: 0860 765 633 or 0860 POLMED
Email: polmed@medscheme.co.za
Fax: 0860 104 114

Postal Address:

Polmed, Private Bag X16,
Arcadia, 0007

Emergency Services:

ER24 0800 727 772 or
084 124

Council for Medical Schemes:

www.medicalschemes.com
Polmed Fraud Hotline:
0800 112 811
SMS: 33490

information@whistleblowing.co.za
fraud@medscheme.co.za

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