Metropolitan Medical Scheme
Contact Details
PO Box 15716

Tel: 0861 888 104 or
021 480 4414
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Managed care

Please note that the Scheme's managed care provider, formerly known as Qualsa Healthcare (Pty) Ltd, has undergone a name change and is now known as Metropolitan Health Risk Management (Pty) Ltd.


Please click on the links below for information on the Scheme's managed care programmes.


Medicine Risk Management


Chronic condition-basket
Metropolitan Medical Scheme introduced an innovative way of providing members with access to chronic medication from their chronic medicine benefit, in the form of chronic condition-basket authorisations. The chronic condition-basket provides the member with a variety of authorised medications to treat chronic conditions.
Click here to view the list of conditions applicable.
Click here for the chronic medication formulary and MetRef list for Metropolitan Medical Scheme.



Hospital Risk Management

LifeSense Disease Management/HIV Programme
Click here
to read more about the Programme.


Maternity Management 


Disease Risk Management 


Oncology Risk Management 


In the Oncology Management health leaflets below, we provide you with practical information on how to live with your condition:


Breast cancer

Cervical cancer


Chemotherapy side effects

Colorectal cancer

Lung cancer

Prostate cancer


Radiotherapy side effects


Eldercare Programme 


Metropolitan Pharmacy Network

Click here to read more and to find a MPN pharmacy near you.