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Please ensure pre-authorisation is obtained prior to accessing any healthcare service to ensure that the member is entitled to benefits and that the account will be paid by the Scheme

Administered By: Universal Healthcare Administrators
Membership queries Universal Healthcare
Tel:011 208 1000 membership@universal.co.za.
Contribution queries Universal Healthcare
Tel: 011 208 1000 contributions@universal.co.za
Clinically Managed By: Enablemed
Pre-authorisation 24 Hour call centre Tel: 0860 00 24 00
Fax: 086 660 7023
Emergency sms: 060 982 3823
Account queries   Tel: 0860 00 24 00 admin@enablemed.com
Chronic registration or
medication queries

(Managed via Mediscor)
Please note that approved
medicines are generic medicines.

Denise Selemela,
Zelda Emmerich.

Approved courier pharmacies
that may be used for chronic
medicine deliveries:

Pharmacy Direct
Tel: 0860 00 24 00

Tel: 012 643 3000
Tel: 012 426 4000
General queries   Tel: 0860 00 24 00 admin@enablemed.com
Optometry Must be pre-authorised to
avoid higher out of pocket costs
to members
Tel: 0860 00 24 00 admin@enablemed.com
Dental Benefits
DENIS (Dental Information
Tel: 0860 033 647
Fax: 0866770336
Ambulance Services Contracted to Lifemed
Lifemed will use other providers
Tel: 0861 086 911  
Complaints And Disputes
Members may lodge their complaints telephonically, or in writing, to the Scheme. The Scheme’s dedicated telephone number for dealing with telephonic complaints is 0860 00 24 00.

Call centre agents will assist the member immediately if possible. All unresolved telephone complaints or complaints received in writing will be responded to by the Scheme in writing within 30 days of receipt thereof.

Any dispute, which may arise between a member, prospective member, former member or a person claiming by virtue of such membership and the Scheme or an officer of the Scheme, must be referred by the principal officer to a disputes committee (appointed by the Board of Trustees) for adjudication.

On receipt of a request in terms of this rule, the principal officer must convene a meeting of the disputes committee by giving not less than 21 days’ notice in writing to the complainant and all the members of the disputes committee, stating the date, time and venue of the meeting and particulars of the dispute. The disputes committee may determine the procedure to be followed.

The parties to any dispute have the right to be heard at the proceedings, either in person or through a representative. An aggrieved person has the right to appeal to the Council for Medical Schemes against the decision of the disputes committee. Such appeal must be in the form of an affidavit and directed to Council and shall be furnished to the Registrar not later than three months after the date on which the decision concerned was made.
Complaints Council for Medical Schemes Reception:
(012) 431 0500
Complaints Contact number:
(086) 111 3267
Complaints Fax number:
(086) 673 2466

Copyright © Universal Healthcare (Pty) Ltd. 2011 - 2019.
All rights reserved.

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