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06 July 2011

HIV and your medical scheme

HIV is a PMB. Medical schemes are increasingly geared towards giving people living with HIV/Aids that much-needed extra bit of support for a healthy and productive life.

HIV is a PMB. Medical schemes are increasingly geared towards giving people living with HIV/Aids that much-needed extra bit of support for a healthy and productive life.

However, the stigma associated with HIV/Aids in our society makes it very difficult for people to disclose their status and seek help. According to the Council for Medical Schemes, scheme members’ privacy is protected by the Medical Schemes Act.

  • Voluntary counselling and testing
  • Provision of co-trimoxazole as preventative therapy
  • Screening and preventative treatment for TB
  • Diagnosis and treatment of sexually transmitted infections
  • Pain management in palliative care
  • Treatment of opportunistic infections
  • Prevention of mother-to-child transmission of HIV
  • Post exposure preventative care following occupational exposure, such as a nurse receiving a needle prick, or sexual assault
  • Medication, including the provision of anti-retroviral therapy
  • Ongoing medical management, including the monitoring of medicine effectiveness and safety, to the extent provided for in the national guidelines applicable in the public sector

  • a network of professionals for pre-and post-testing counselling;
  • a network of doctors and specialists who are experts in the management and treatment of HIV/Aids;
  • specific interventions at specific intervals, such as pathology tests, necessary to monitor both the treatment and progress of the disease;
  • reminders to go for tests and consultations;
  • a network of hospitals for the treatment of HIV/Aids related illnesses;
  • anti-retroviral therapy and other treatments for, for example, opportunistic infections, according to the scheme’s formulary. The programme might make use of DSP pharmacies or courier pharmacies for participants in remote areas; and
  • HIV/Aids-specific call centres, mostly operated by registered nurses, for assistance with benefit queries, disease education and any additional information regarding aspects of the disease such as diagnosis, treatment side effects, caregiver support etc.

 
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