You can visit any doctor on the network that you choose and there is no limit to the number of times you visit your Primary Care doctor, as long as it is medically necessary.
You may visit ANY doctor on the Primary Care Network. We also do not place a limit on the number of times you may visit the doctor per year, as long as it is medically necessary.
You may need specialist care and we offer 2 specialist consultations per year, limited to R1 050 per visit. Your Primary Care Network doctor needs to refer you to the specialist and the benefit is subject to pre-authorisation. Psychologists and psychiatrists are limited to Prescribed Minimum Benefits at State facilities. You can use your specialist visits for physiotherapy.
We cover you for a list of basic x-rays. Your Primary Care Network doctor can send you for x-rays when you need them.
You can visit any of the Primary Care Network optometrists to have your eyes tested every 2 years. If your refraction measurement is more than 0.5, we cover single vision or bifocal lenses and you can choose from a specific range of frames covered on the Ingwe option.
Your Primary Care Network doctor can prescribe any medicine from the list of approved medicines. If your doctor is a non-dispensing doctor, he/she will give you a prescription to collect medicine at a pharmacy. You cannot use your card to buy over-the-counter medicine. You can ask your doctor to register you for chronic benefits (26 different conditions), such as diabetes or epilepsy.
Your Primary Care Network doctor can send you for blood tests. A specific list of
blood tests applies.
You can visit one of the Primary Care Network dentists for an annual dental check-up. The benefit covers you for the consultation, cleaning, fillings and extraction of teeth.
You may need to see a doctor that is not on the Primary Care Network. You have 1 visit per year and this includes your emergency/casualty visit.
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