Transcription of Discovery PrimaryCare Comprehensive
1 Discovery PrimaryCare Comprehensive Tips to ensure you are covered When you visit your GP, you need to take your In a medical emergency call Netcare 911 on Discovery PrimaryCare card, your policy number 0860 99 99 11 or 0860 44 47 79 and choose and either your ID, passport or driving licence with option 1 . The ambulance will take you to the you. This will let your GP check that you are part of nearest state hospital. Discovery PrimaryCare . If you have any questions about your benefits Always visit your chosen GP in the PrimaryCare or our services, use our USSD service by dialling Network. You are allowed to change your GP two *120*12203# on your cellphone. Otherwise, talk times each year. to your human resources (HR) department, call the Discovery PrimaryCare call centre on 0860 44 47 79.
2 Check with your GP that your treatment or medicine or email is on our list of covered services. Always use providers in the PrimaryCare Network. Providers can be doctors, pharmacies, hospitals, people who take X-rays and so on. PrimaryCare Comprehensive gives you access to many benefits Unlimited GP consultations Basic pathology and radiology We pay for GP visits and medical procedures done in We cover basic pathology (like blood tests) and radiology a doctor's rooms as long as the doctor is part of the (X-rays) on our list if your chosen PrimaryCare GP refers PrimaryCare Network. The first GP you visit becomes your you (writes you a letter to have the test) and you have the chosen GP (allocated GP). You are allowed to change your tests done at a provider in our network.
3 GP two times each year. Optometry Day-to-day prescription medicine We cover one eye test in our optometry network, and one We cover medicine on our medicine list that your chosen pair of glasses or contact lenses every 24 months. GP dispenses (gives you at their office). If the GP does . Dentistry not have the medicine at their office, they will write you a We cover consultations, fillings and tooth removals prescription (letter to the pharmacy). Take the prescription at a dentist in our dentist network. to any Clicks pharmacy to get your medicine. Maternity . Chronic medicine We support you throughout your pregnancy with the We pay for medicine you have to take for a long time following benefits: (chronic medicine) if it is on our medicine list and you - Unlimited GP consultations have any of 27 chronic conditions.
4 Your chosen GP has to - Unlimited day-to-day prescription medicine on our prescribe the medicine and you have to collect it from any medicine list Clicks pharmacy. We will not pay for any chronic medicine - Range of essential blood tests your GP gives you in their rooms. You do not need to - Two ultrasound scans. register your condition. Funeral cover PrimaryCare Wellness Experience . You have up to R5 000 funeral cover (underwritten by You have access to the PrimaryCare Wellness Experience. Discovery Life) for you, up to three spouses and five This measures your overall wellness by measuring your children. For funeral cover, we only cover people who are blood pressure, blood glucose (blood sugar), cholesterol younger than 70 years.
5 And your body mass index (BMI). You can have an HIV. test done at the same time. At the PrimaryCare Wellness Family Funeral Cover Benefit scale Experience you get a one-on-one session with a wellness Category Cover specialist who will explain what your test results mean and Main member (you) R5 000 how you can take care of yourself. Spouse R5 000 . Vitality Move Child aged 15 to 20 years R5 000 You have access to Vitality Move, a Discovery Vitality Child aged 5 to 14 years R2 500 programme that rewards members for taking steps Newborn to child aged 4 years R1 500 towards a healthy lifestyle. Vitality Move members can Stillborn R625. win shopping rewards at Pick n Pay. Emergency services Trauma Benefit (only some employers).
6 If your employer has extended cover through the Trauma Benefit. This allows you to use emergency private healthcare services for a broad range of traumatic events. Please check your cover with your employer since not all employers add the Trauma Benefit. We cover the treatment of the following traumas in our network of private hospitals: burns; head injuries; loss of an arm, hand, leg or foot; near drowning; poisoning or a serious reaction that may cause death; injuries resulting from a crime; sexual assault; a fall; a car accident; or an injury at work. Stabilising and treating Medical evacuation members admitted to hospital If you experience a traumatic event, you have cover for If your employer adds the Trauma Benefit, we pay up to medical evacuation services to the nearest private hospital R100 000 each time you are admitted to a network hospital facility in our network or state facility.
7 (you have a bed and have to stay overnight) for specific medical emergencies. With the benefit, you do not need to pay a network hospital or casualties before they will treat you. Casualty treatment If the cost of treatment reaches R100 000 and you still need treatment, the facility will transfer you to a state hospital. You At the hospital, you have access to medical treatment have to pay the rest of the hospital account if you stay in the in casualties. private hospital after your treatment cost reaches the limit. In a medical emergency, you will be taken to the nearest state facility. Call 0860 999 911 in the event of an emergency. Discovery PrimaryCare Discovery PrimaryCare Call Centre 0860 444 779 | Discovery PrimaryCare is a product by Prime Med Administrators (Pty) Ltd, registration number 2011/001667/07, wholly owned subsidiary and juristic representative of Discovery Health (Pty) Ltd, registration number 1997/013480/07, an authorised financial services provider and administrator of medical schemes.
8 Employee funeral cover is underwritten by Discovery Life Limited, registration number 1966/003901/06, an authorised financial services provider. Discovery Vitality (Pty) Ltd is an authorised financial services provider, registration number: 1999/007736/07. Terms and conditions apply. GM_49606 DHM_20/11/17_V3.
