Cover for Medicine

What is covered?

As an Engen Medical Benefit Fund member, your cover for medicine includes cover for Over the Counter (OTC), acute (day-to-day prescribed) and chronic medicine.

Cover for Self-medication: Over the Counter (OTC) medicine

Limited to R310 per script per beneficiary per day and to medicine which a pharmacist is entitled to prescribe, paid from your Medical Savings Account.

Cover for Acute or Day-to-day Prescribed Medicine

Acute medicine is medicine that is prescribed for a short term for a condition or illness that is not long lasting. You have cover for prescribed acute medicine from your available day-to-day benefits.

Acute, homeopathic or naturopathic medicine includes medicine, material for injections and vaccinations prescribed by a person legally entitled to prescribe.

Cover for Chronic Medicine

You have access to a list of medical conditions and treatments under Prescribed Minimum Benefits (PMBs). The PMBs cover the 26 chronic conditions on the Chronic Disease List. To access PMB cover, you need to meet certain terms and conditions.

Please find more information on the Chronic Illness Benefit medicine list here.