Designated Service Providers
To access the services, the member or representative must:
- Contact ER24 on 084 124 to obtain pre-authorisation.
- Provide the VPA Membership number, personal particulars, the place and telephone number where the Member or the Member’s representative can be reached and a brief description of the emergency and or the nature of the assistance required.
- Where the Member needs ambulance transportation, the Member or his representative must always seek pre-authorisation from ER24 prior to the ambulance transportation.
- When ER24 dispatches an ambulance, they will determine which contracted service provider is closest and most appropriate for the patient’s needs.
- ER24 cannot be held liable for any delays or costs should a Member or their representative fail to identify themselves as an RFMCF Member.
- Claims that have not been authorised by ER24 and that are deemed as “medically inappropriate use of an ambulance” or where an ambulance has been dispatched and the Member refuses appropriate ambulance transportation shall be for the Member’s own cost.
- Co-payment will apply for the voluntary use of a non-Designated Service Provider.
ER24 Benefits and Exclusions
Read and understand the ER24 benefits and exclusions to utilise the services effectively
ER24 Sticker Application Form
Apply for your ER24 vehicle stickers by completing the form. Email it to er24stickers@rfmcf.co.za
ER24 Ambulance Guideline
Follow this guideline to identify when its necessary to request an ambulance versus when it’s not necessary.
Optometry Network – Opticlear
The optical benefits are managed by Opticlear on behalf of the Fund, and not through the SAMHS.
For optical authorizations or optical enquiries, contact 011 461 6337 or 021 680 3823, alternatively, email opticlear@optics.co.za.
- Authorisation is required prior to services being rendered.
- If benefits are available, a unique authorisation number will be created.
- Authorisation is not a guarantee of payment, as claims will still be subject to final clinical validation, protocols and rules/policy.
An optical examination includes:
- One standard optometric examination (tariff code 11001) per beneficiary every second year from last date of service. The benefits (test and lenses) are calculated over a period of 24 months. If, for example, your initial test and lenses were received on 15/05/2022, you will only qualify for a new optometric examination on 2024/05/19.
- Frames are calculated over a period of 48 months.
To view a detailed breakdown of your optical benefits, click on the link below: