Medical aid, RAF and WCA claims help
Prostheses and orthoses can be costly. We help you understand what is covered and do the paperwork with you.
Every funder works differently, and benefits change each year. At your assessment we explain the options, prepare a quotation and, where needed, a motivation letter for your funder. We submit claims on your behalf where your funder allows it.
Medical aid
Most medical schemes cover prostheses and orthoses under an appliance or prosthesis benefit, often with a yearly limit and pre-authorisation. We send a quotation and motivation, follow up on authorisation and submit the claim. Ask your scheme what your plan allows before your fitting if you can.
Road Accident Fund (RAF)
If you were injured in a road accident, the RAF may cover your devices and their replacement over time. We work with you and your attorney, providing quotations, reports and the documents the RAF asks for.
WCA / COIDA
If you were injured at work, the Compensation Fund or your employer's insurer may cover your prosthesis or brace under COIDA. We help with the forms, quotations and progress reports needed for approval.
No medical aid?
If you do not have medical aid, or your benefit does not cover the full cost, we talk through the options before you decide, including prefabricated alternatives where they are suitable.
Funding questions
Most schemes cover prostheses under a prosthesis or appliance benefit, often with an annual limit and pre-authorisation. We provide a quotation and motivation and follow up with your scheme.
Yes, and we help with the paperwork, including quotations, reports and motivation letters.
We talk through the options before you decide, including prefabricated devices where suitable. Ask for a quotation at your assessment.
Ready to take the next step?
Book an assessment at Eldomed Centre, Eldoraigne, or WhatsApp us on 061 902 0850. We will tell you honestly what is likely to help.