Medication cover

Unlimited access to Acute and Chronic medicine on our formulary

Medication is available from pharmacies and dispensing network doctors. Anything on our extensive formulary is covered when you need with no limits.

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Medication Benefit Includes

Unlimited acute medication
Unlimited chronic medication for 24 specified conditions
Limited Over-the-Counter medication
Access through pharmacies or dispensing network doctor
1 month waiting period
6 months for chronic


How do I know what is on the formulary?

Medication formularies are extensive, with tens of thousands of items so it is not practical to publish the lists. However, your network doctor does know what is covered and will advise you accordingly so that you can maximise the use of your benefits.

How do I get chronic medication?

Chronic patients need only apply with the help of their network GP to access the chronic benefit.

How does the OTC benefit work?

A limited Over-the-Counter medication benefit helps to take the edge off those low schedule drugs that you may need to prevent illness. Simply inquire at the pharmacy self-service counter.


R381 for single members and

R572 per month for families.

Episodic Health (Pty) Ltd, is a Financial Services Provider (FSP 49319). Health product is provided and administered by Essential Med (Pty) Ltd (FSP 42980), the Underwriting Management Agent on behalf of the insurer African Unity Life (FSP 8447). Episodic Health and Essential Med are a health insurance provider, not a medical aid scheme.