Issue link: https://www.hub.camaf.co.za/i/1512932
2024 NETWORK CHOICE 21 What happens if I am diagnosed with a new chronic condition during the course of the year? If you have been diagnosed with a condition that falls under the PMB CDL then registration of this condition is required before access to chronic medication benefits will be granted - see above. Can my chronic medication be backdated if I realise that my medication qualifies for the chronic benefit? If, prior to your application for authorisation, you did not realise that your medication met the clinical criteria and your claim has been paid from your Acute benefits, CAMAF will reprocess those claims up to 120 days back (only in the same benefit year) and pay from your Chronic medication benefit, once you have registered your condition and had approval for your medication. Once approved, must I renew the application for chronic medication each year? Only medication that is not on the CML list (see above) and has to be specially authorised, must be applied for annually. Only the specially approved medication will appear in your personal profile on the website. What happens if my doctor changes my medication? You would require a new prescription from your doctor and you should advise the Disease and Medicine Risk Management Department. If I need to have my repeat medication dispensed earlier than normal because I am going away what do I need to do? Repeat medication may only be obtained 24 days after the previous supply. Should you need the medication to be dispensed before the 24 day period has lapsed, because you are going away, such arrangements should be made with the Disease and Medicine Risk Management department two weeks in advance, where possible. From what part of my benefit is payment made for the procedures and consultations related to my chronic condition? Consultations for PMB CDL conditions will be covered at cost, subject to protocols. If I travel for an extended period overseas how can I get my chronic medication? You can apply in writing for an extended supply of medication to be dispensed up to a maximum of 3 month's supply. This application should be made two weeks prior to departure, where possible. Should your stay extend beyond three months, motivation can be submitted to the Principal Officer. BACK TO CONTENTS PAGE