2024 VITAL PLUS & VITAL NETWORK
20
What is the difference between a Disease
Management Programme and a Wellness
Programme?
Disease Management Programmes are designed to
manage specific life threatening chronic diseases
such as Diabetes, HIV/AIDS and Hypertension. They assist
the member to improve control of the condition and to
prevent the progression of the disease or complications.
Wellness programmes are designed to keep members
healthy, whether they have a medical condition or not.
What Disease Management Programmes
are offered as a benefit by CAMAF?
1. Diabetes - members diagnosed with diabetes
should register on the Diabetes Management
Programme by contacting 0861 700 600 or email
diabetes@camaf.co.za to obtain fully comprehensive
treatment of their condition. The programme provides
all medication and testing kits, education about your
condition, foot and eye screening - without depleting
your benefits.
2. HIV / AIDS - members diagnosed with this condition
or who have had exposure to the condition e.g.,
through rape or injury should register with Lifesense
at 0860 506 080 or email camaf@lifesense.co.za.
Members and their families will be treated in total
confidence and obtain all medication, advice
and counselling required. A 24 hour advice line is
available.
i) Once registered you should visit your GP for
consultations
ii) Any recognised laboratory may be used for
Pathology (blood tests)
iii) It is extremely important that the correct ICD 10
codes appear on these pathology accounts to
ensure payment is made from the HIV benefit
iv) Medication is authorised by Lifesense, dispensed
and delivered by Medipost. These medication
claims are submitted directly to CAMAF by
Medipost.
3. Cancer - members diagnosed with cancer or
wishing to prevent the disease should register on
this programme by calling 011 707 8461 or emailing
oncology@camaf.co.za to obtain the benefits and /
or relevant advice. Your treating doctor should submit
a treatment plan for approval. Consultations and
procedures are paid at 300% CBT. The ICON Core
protocols apply. See website for further details
www.camaf.co.za.
4. Hypertension and Hyperlipidemia Programme -
members who have one or both conditions should
register on this programme by contacting 0861 700 600,
or email cardiovascular@camaf.co.za
5. Respiratory Programme - members who have asthma
or other chronic respiratory diseases should contact
0861 700 600, or email respiratory@camaf.co.za
6. Musculo-skeletal Programe - contact 0860 100 544
or send an email to musculoskeletal@camaf.co.za
Disease Management /
Wellness Programmes
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