Wellness
HIV & AIDS
Our HIV & AIDS Wellness Programme is designed to provide comprehensive support to individuals infected or affected by HIV. We ensure members are registered and authorised for treatment according to the latest evidence based and best practice guidelines. Enabling timely access to appropriate medical care and treatment. Through ongoing education, counselling, and support, we empower members to manage their health effectively, reduce stigma, and improve quality of life.
The programme also promotes awareness and prevention strategies to support the broader community.
Should you wish to register on the HIV programme please submit the application form to [email protected] or call 086 010 3228
Chronic Lifestyle Coaching
Your lifestyle coach is here to support you in managing your registered chronic condition. Think of them as your personal health partner, someone who listens, guides, and empowers you to take control of your health.
They’ll work with you to:
- Understand your care plan and medications, helping you stay on track with what your doctor has prescribed.
- Make healthier lifestyle choices through practical advice on nutrition, exercise, stress management, and more.
- Stay motivated and informed with regular check-ins, health education, and encouragement tailored to your needs.
Whether you’re newly diagnosed or have been managing your condition for years, your coach is here to help you achieve your treatment goals and empower at risk members to improve their outcomes.
Automated reminders to collect your chronic medication or go for blood tests and calls from the Lifestyle coach to offer support based on your risk factors are how we can work together to achieve the best outcomes for you on your health journey.
Should you wish to be contacted by a Lifestyle Coach you can email [email protected] or call 0860103228
Mental Health Lifestyle Coaching
A mental health lifestyle coach is a trained professional who supports individuals in optimizing members mental health journey and helping you navigate your mental health benefits after being diagnosed with a mental health condition. How can a mental health lifestyle coach assist you:
- Support Emotional Wellness
Guide you through managing stress, anxiety, low motivation, or emotional overwhelm—without diagnosing or treating mental illness. - Facilitate Goal Setting and Accountability
Work with you to set realistic, meaningful goals and hold you accountable for taking steps toward them. - Encourage Healthy Habits
Support you in building routines that promote mental clarity, such as sleep hygiene, exercise, nutrition, and digital detoxing. - Provide a Safe, Non-Judgmental Space
Offer a supportive environment where you can explore your challenges and strengths without fear of stigma.
Unlike therapists, mental health coaches do not diagnose or treat mental illnesses. Instead, they focus on empowerment, growth, and practical strategies for everyday mental wellness.
A mental health lifestyle coach will reach out to you based on risk or if you would like to speak to a mental health lifestyle coach you can email [email protected] or call 0860103228
Oncology
A cancer diagnosis can feel overwhelming and filled with uncertainty, fear, and countless decisions. During this deeply personal and challenging time, our Oncology Case Managers are here to walk beside you every step of the way.
Our case managers are more than coordinators—they are compassionate guides who help you make sense of your diagnosis, understand your treatment options, and feel supported throughout your journey. From your first appointment to survivorship or palliative care, they ensure you never have to face cancer alone.
Your oncology case manager can assist with:
- Understanding your Oncology benefits
- Authorisations to facilitate payment of claims
- Support for members and their families
- Care Co-ordination
Our Oncology Case Managers are here to bring clarity, comfort, and confidence to your cancer journey. With us by your side, you’ll have the support you need to move forward with strength and hope.
Registration on the Oncology programme requires confirmation of your diagnosis. The treating provider will submit a histology, pathology or radiology report that confirms the diagnosis.
RUMed’s preferred provider for Oncology care is the Independent Clinical Oncology Network (ICON) who provide clinical protocols and treatment guidelines to facilitate access to evidence based treatment for each condition.
To find an ICON provider please visit the website https://iconsa.co.za
You can contact the oncology team via email at [email protected] or call 0860103228 to speak to an Oncology case manager.
Compassionate Care
Facing the end of life is never easy—for you or your loved ones. It’s a time that calls for dignity, comfort, and unwavering support. Our Compassionate Care Benefits are here to help you navigate this deeply personal journey with grace and peace of mind.
Through your medical aid, you may have access to:
- Home-based palliative care for comfort in familiar surroundings
- Pain and symptom management to ease physical distress
- Emotional and spiritual support for you and your family
- Dedicated care coordinators to guide your care every step of the way
- Counselling services to help you and your loved ones cope
These benefits are designed to ensure that you receive holistic, respectful care—whether at home or in a hospice—without the added burden of financial stress. Compassionate care is not just about managing illness; it’s about honoring life, supporting families, and ensuring comfort and dignity at every stage.
If you or a loved one is facing a serious illness, speak to your doctor or care team about registering for these benefits. You are not alone, we’re here to walk this path with you.
To contact the Compassionate Care team please email [email protected] or call 0860103228
Maternity
Congratulations on your pregnancy! This is a special time, and we’re here to support you every step of the way. RUMed Maternity Programme is designed to provide you with the information and access to benefits that will help you during your pregnancy. The case managers are all registered nurses and happy to assist you on your journey to parenthood.
As part of the programme, you’ll receive:
- Telephonic support from case managers
- Information on your prenatal care
- Help with understanding your medical aid benefits
- Emotional support and answers to your questions—big or small
Our team is just a phone call away, ready to walk this journey with you. Whether it’s your first baby or your third, we’re here to make sure you feel informed, empowered, and cared for.
Please contact RUMed Maternity programme via email at [email protected] or call 086 010 3228
Prescribed Minimum Benefits
RUMed medical scheme operates under The Medical Schemes Act (No. 131 of 1998) which is the law that governs how medical aids operate in South Africa. It ensures:
- All medical schemes are registered and regulated.
- Members are protected from unfair treatment
- Certain health services, like Prescribed Minimum Benefits (PMBs), are guaranteed to all members
- Council for Medical schemes is a statutory body that ensures Medical schemes follow the legislation.
PMBs are a set of basic healthcare services that every medical aid must cover, no matter what plan you’re on. These are required by law under the Medical Schemes Act.
PMBs cover:
- Emergency medical conditions – like accidents or sudden illnesses that could be life-threatening.
- 271 medical conditions – grouped into what’s called Diagnostic Treatment Pairs (DTPs).
- 26 chronic illnesses – such as diabetes, asthma, epilepsy, and high blood pressure
What This Means for You as a Member
- You’re always covered for PMBs.
- No co-payments if you use your scheme’s approved doctors or hospitals (called Designated Service Providers).
- You must follow the rules – like getting pre-authorization, using approved medicine, treatment that is recognized as the prevailing level of care and registering for chronic care programs
When you need treatment for a condition that falls under PMBs:
- You submit a request to your medical aid (often through your doctor or hospital).
- The scheme checks if:
- The condition is on the PMB list.
- You followed the rules (e.g. used a Designated Service Provider).
- The treatment is clinically appropriate and is available as the prevailing level of care for that condition in South Africa
- If approved, the scheme will pay for the treatment, with no co-payment (if you and your treating provider followed the rules).
If they refuse, they must give a valid reason, and you can appeal or complain.
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