How to get your medical aid to cover the FreeStyle Libre

We have had a lot of questions from our community, lately, about how to get your medical aid to cover the FreeStyle Libre.

We know that Discovery has an official CGM Benefit (details on the updated benefit are here), but many other medical aids also offer the FreeStyle Libre, if you submit the necessary documentation.

Search for your medical aid below to find out what you need to do to get your medical aid to cover the FreeStyle Libre (or a portion of your other CGM).

If your medical aid rejects your request for a flash glucose monitor, you can complain to the CMS.
Here’s exactly how to do that.

Bestmed

Not covered:
Beat 1, Beat 2, Beat 3, Beat 4

Motivation letter from doctor required (Type 1 and Type 2):
Pace 1, Pace 2, Pace 3, Pace 4
Pulse 1, Pulse 2

Bonitas ( Medscheme)

Motivation letter from doctor required (Type 1 and Type 2):
Boncap, BonClassic, BonComplete, BonComprehensive, BonEssential, BonFit Select and Bonsave
Hospital Standard, Primary and Standard

Cape Medical Plan

Motivation letter from doctor required (Type 1 and Type 2):
Healthpact, Premium, Healthpact Select and Healthpact Silver

Compcare Wellness Medical Scheme ( Universal Health)

Not covered:
MedX

Motivation letter from doctor required (Type 1 and Type 2):
Pinnacle, Dynamix, Symmetry, Selfsure, Mumed and NetworX

Limited, subject to Savings – call your medical aid for more details:
Unisave and Selfnet

Discovery Health

Not covered:
KeyCare Core, KeyCare Plus and KeyCare Start

Once-off prescription from doctor required (ONLY Type 1):
Classic Comprehensive, Classic Core, Classic Priority, Classic Saver, Classic Smart, Classic Smart Comprehensive, Coastal Core and Coastal Saver
Essential Comprehensive, Essential Core, Essential Priority, Essential Saver, Essential Smart and Executive

Full details of the CGM Benefit offered.

Fedhealth Medical Scheme( Medscheme)

Not covered:
MyFed

Motivation letter from doctor required (Type 1 and Type 2):
Flexi Fed 1, Flexi Fed 2, Flexi Fed 3 and Flexi Fed 4
Maxima Exec and Maxima Plus

Genesis Medical Scheme

Motivation letter from doctor required (Type 1 and Type 2):
Private, Private Choice, Private Comprehensive and Private Plus

Health Squared Medical Scheme (Agility)

Motivation letter from doctor required (Type 1 and Type 2):
Advance, Aspire, Cobalt, Flex, Flex Plus, Foundation, Millennium, Optimum, Rise and Ultimate

Hosmed Medical Aid Scheme (Now with Sizwe)

Motivation letter from doctor required (Type 1 and Type 2):
Access, Essential, Plus and Value

KeyHealth (PPSHA)

Not covered:
Equilibrium, Essence, Gold, Origin, Platinum and Silver

Makoti

Motivation letter from doctor required (Type 1 and Type 2):
Makoti Comprehensive and Makoti Primary

Medihelp Medical Scheme

Not covered:
Elite, Necesse, Plus and Unity
Prime 1, Prime 2 and Prime 3

Medimed Medical Scheme

Motivation letter from doctor required (Type 1 and Type 2):
Alpha, Essential Option, Medisave – Max and Medisave – Standard

Medshield Medical Scheme

Motivation letter from doctor required (Type 1 and Type 2):
MediBonus, MediCore, MediPhila, MediPlus Prime, MediSaver, MediValue Prime
and Premium Plus

Momentum Medical Scheme: Motivation

Not covered:
Ingwe and Summit

Motivation letter from doctor required (Type 1 and Type 2):
Custom, Evolve, Extender and Incentive

Sizwe Medical Fund (With Hosmed, 3SIXTY)

Motivation letter from doctor required (Type 1 and Type 2):
Copper Core Plan, Gold Ascend Plan, Hospital Care, Platinum Enhance Plan
and Titanium Executive Plan

Suremed Health

Motivation letter from doctor required (Type 1 and Type 2):
Challenger, Explorer, Navigator and Shuttle

Thebemed

Motivation letter from doctor required (Type 1 and Type 2):
Energy, Fantasy, Universal and Energy

AECI Medical Aid Society ( Universal)

Motivation letter from doctor required (Type 1 and Type 2):
Comprehensive and Value

Alliance-Midmed Medical Scheme

Motivation letter from doctor required (Type 1 and Type 2):
Alliance-Midmed Medical Scheme

Bankmed (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Bankmed Basic, Bankmed Comprehensive, Bankmed Core Saver, Bankmed Essential Plan, Bankmed Plus and Bankmed Traditional

Barloworld Medical Scheme ( Medscheme)

Motivation letter from doctor required (Type 1 and Type 2):
Barloworld Medical Scheme

BMW Employees Medical Aid Society (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
BMW Option 119

BP Medical Aid Society (MHS)

Motivation letter from doctor required (Type 1 and Type 2):
BPSA Medical Society

Building & Construction Industry Medical Aid ( Universal)

Motivation letter from doctor required (Type 1 and Type 2):
Basic option

Chartered Accountants (SA) Medical Aid Fund (CAMAF)

Motivation letter from doctor required (Type 1 and Type 2):
Alliance Benefit Option, Double Plus Benefit Option, Essential Plus Benefit Option,
First Choice Benefit Option and Network Choice Benefit Option

De Beers Benefit Society

Motivation letter from doctor required (Type 1 and Type 2):
De Beers Benefit Society

Engen Medical Benefit Fund (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Engen Medical Benefit Fund

Fishing Industry Medical Scheme (Fishmed) (MHS)

Not covered:
Primary and Standard

Foodmed Medical Scheme

Motivation letter from doctor required (Type 1 and Type 2):
Foodmed

Glencore Medical Scheme (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
107

Golden Arrow Employees’ Medical Benefit Fund ( Universal)

Motivation letter from doctor required (Type 1 and Type 2):
Advance, Primary and Standard

Government Employees Medical Scheme (GEMS) (Metropolitan and MHS)

Motivation letter from doctor required (Type 1 and Type 2):
Beryl, Emerald, Emerald Network, Onyx, Ruby and Tanzanite One

Grintek Electronics Medical Aid Scheme ( Universal)

Motivation letter from doctor required (Type 1 and Type 2):
Option 1

Horizon Medical Scheme ( Medscheme)

Motivation letter from doctor required (Type 1 and Type 2):
Hospital Plus, Savings Plan, Hospital Core Plan and Hospital Plus Network Plan

Impala Medical Plan

Motivation letter from doctor required (Type 1 and Type 2):
Impala

Imperial and Motus Medical Aid

Motivation letter from doctor required (Type 1 and Type 2):
Imperialmed Health Plan and Imperialmed Budget Plan

LA-Health Medical Scheme (Discovery)

Prescription only to pharmacy:
LA Active, LA Comprehensive, LA Core, LA Focus and LA Keyplus

Libcare Medical Scheme ( Liberty)

Motivation letter from doctor required (Type 1 and Type 2):
Libcare

Lonmin Medical Scheme ( Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Lonmin Medical Scheme Benefit Plan

Malcor Medical Scheme (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Plan A, Plan B, Plan C and Plan D

Massmart Health Plan (Universal)

Not covered:
Essential

Motivation letter from doctor required (Type 1 and Type 2):
Choice and Network

MBMed Medical Aid Fund (Medscheme)

Motivation letter from doctor required (Type 1 and Type 2):
MB Med

Medipos Medical Scheme (MHS)

Motivation letter from doctor required (Type 1 and Type 2):
Plan A, Plan B, Plan C and Plan D

Motohealth Care (MHS)

Motivation letter from doctor required (Type 1 and Type 2):
Classic, Custom, Essential, Hospicare and Optimum

Naspers (Discovery)

Prescription only to pharmacy

Nedgroup Medical Aid Scheme (Medscheme)

Motivation letter from doctor required (Type 1 and Type 2):
Comprehensive Plan, Hospital Network Plan, Platinum, Savings and Traditional

Netcare Medical Scheme: (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Netcare Savings

Old Mutual Staff Medical Aid Fund (Universal)

Not included:
Network and Hospital

Motivation letter from doctor required (Type 1 and Type 2):
Traditional Plus, Traditional and Savings

Parmed Medical Aid Scheme ( Medscheme)

Motivation letter from doctor required (Type 1 and Type 2):
007

PG Group Medical Scheme (MHS)

Motivation letter from doctor required (Type 1 and Type 2):
PG Group Medical Scheme

Pick n Pay Medical Scheme (MHS)

Motivation letter from doctor required (Type 1 and Type 2):
Plus option and Primary option

Platinum Health

Motivation letter from doctor required (Type 1 and Type 2):
Platinum health

Profmed (Medikredit) (PPSHA)

Motivation letter from doctor required (Type 1 and Type 2):
Pro Active, Pro Active Plus, Pro Pinnacle, Pro Secure and Pro Secure Plus

Quantum Medical Aid Society (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Essential Comprehensive, Essential Saver and Keycare Plus

Rand Water Medical Scheme

Motivation letter from doctor required (Type 1 and Type 2):
Option A and Option B Plus

Remedi Medical Aid Scheme (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Classic, Comprehensive and Standard

Retail Medical Scheme (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Essential Option, Essential Plus Option

Rhodes University Medical Scheme ( MHS)

Motivation letter from doctor required (Type 1 and Type 2):
RUMED

South African Breweries Medical Aid Scheme (SABMAS) (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Comprehensive option and Essential Option

SABC Medical Aid Scheme ( Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
SABC Plan 009

SAMWUMed

Motivation letter from doctor required (Type 1 and Type 2):
Option A and Option B

Sasolmed (MHS)

Motivation letter from doctor required (Type 1 and Type 2):
Sasolmed

Sedmed

Motivation letter from doctor required (Type 1 and Type 2):
Sedmed

Sisonke Health Medical Scheme

Motivation letter from doctor required (Type 1 and Type 2):
Pride Plan and Heritage Plan

South African Police Service Medical Scheme (POLMED) (Medscheme)

Not covered:
Aquarium

Motivation letter from doctor required (Type 1 and Type 2):
Marine

TFG Medical Aid Scheme ( Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
TFG Health Plan and TFG Health Plus

Tiger Brands Medical Scheme ( Universal)

Not covered:
Base

Motivation letter from doctor required (Type 1 and Type 2):
Level A, Level B and Level C

Transmed Medical Fund (MHS)

Not covered:
Link Plan and Select Plan

Motivation letter from doctor required (Type 1 and Type 2):
Guardian and Prime Plan

Tsogo Sun Group Medical Scheme (Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Classic Comprehensive and Classic Saver

Umvuzo Health Medical Scheme (Universal)

Motivation letter from doctor required (Type 1 and Type 2):
Activator, Standard, Supreme, Ultra Affordable and Extreme

University of Kwa-Zulu Natal Medical Scheme ( Discovery)

Motivation letter from doctor required (Type 1 and Type 2):
Savings Plus Plan

Witbank Coalfields Medical Aid Scheme (Universal)

Motivation letter from doctor required (Type 1 and Type 2):
Comprehensive option, Midmas option, Ntsika option, Yebomed and Comprehensive option

Wooltru Healthcare Fund (MHS)

Motivation letter from doctor required (Type 1 and Type 2):
Comprehensive Option, Network Option, Saver Option and Comprehensive Option

What to read next?

What is a CGM? Flash glucose monitoring and CGM: Not sure what the difference is, or what these words mean? Read this article.

We did it! How to claim the Discovery CGM Benefit: A step-by-step guide to claiming the new CGM Benefit.

Your options on the Discovery CGM Benefit: There are 3 CGM / flash glucose monitors available in South Africa. Here’s what they are, and how much they cost.