GP Visits
GP Benefit Includes
If the doctor you visit is not on the Essential Med network, you may be reimbursed up to R250 to cover the consultation cost a maximum of 3 times a year per policy.
Managed visits simply requires that you get authorisation after your 5th consecutive consultation for individuals (12th for families) per year. This allows us to ensure that your needs are getting met and to provide you with clinical assistance, should you need it.
More Day-to-Day benefits
GP Visits
Unlimited managed visits to your network GP at no additional cost. Your doctor may dispense or prescribe medication, which is also covered.
Acute &
Chronic Medication
Unlimited formulary medication when dispensed or scripted from your network doctor. Unlimited chronic medication for 24 specified chronic conditions.
Dentistry
Unlimited managed consultations & formulary procedures like pain control, fillings, extractions and cleaning at your network dentist. Select your level of cover to include crowns & root canals.
Pathology & Radiology
Unlimited basic blood tests and x-rays when referred from a network doctor. You can use any provider, your choice.
Optometry
Free eye-tests and a variety of frames and lenses will help you see more for less. Select your level of cover to include bifocals or contact lenses.
Specialists
Limited cover to pay for visits to specialists of any kind, when referred by a network doctor. Select your level of cover.