2 0 1 9 DISCOVERY PRIMARY CARE 1
Rewardsco is proud to introduce Primary Care Advanced from Discovery, a new company-funded medical insurance plan that covers you for a wide range of medical needs. Switch from your current plan to Primary Care Advanced and you can enjoy these great benefits:
Discovery Primary Care I Summary of your benefits D I S C O V E R Y P R I M A R Y C A R E GP visits Acute medication Funeral cover Medical procedures in GP rooms Unlimited access to network Prescribed in accordance Up to R5 000 funeral cover GP consultations with a defined list and for all members and their Access to a list of medical provided by a dispensing dependants under the age procedures performed in a GP or Clicks pharmacy of 70 years Primary Care GP’s rooms Primary Care Advanced Chronic medication Pathology Radiology Maternity Cover for chronic medicine in Covers basic blood tests Covers basic radiology Two ultrasound scans, range line with a defined medicine through Ampath, Lancet or (black-and-white X-rays) of essential blood tests and list for 27 chronic conditions PathCare when referred when referred by a Primary unlimited day-to-day by a Primary Care GP Care GP prescription medicine based on the defined medicine list Optometry Dentistry Ambulance services Cover for one eye test in our Cover for consultations, Access to optometry network and one fillings and tooth removals Netcare 911 pair of glasses or contact lens at a dentist in our Primary ambulance services equivalent every 24 months Care network + + Medical Casualty In-patient stabilisation Trauma Benefit evacuation admission and treatment 9
Discovery Primary Care I Cover for GPs D I S C O V E R Y P R I M A R Y C A R E What you need to do when you visit a GP Visiting your GP is as easy as…. Wide range of doctors to choose from You are covered at your network GP for 1 1,968 Find a doctor? 1 | Talk to your HR department Unlimited consultations 2 | Call the helpline 0860 444 779 Primary Care with no co-payments 85 2 GPs Visit a GP on the Primary Care network 105 649 95 Cover for medicine from a 3 list with no co-payments 112 Take your Primary Care 405 member card and 39 proof of ID Minor procedures done 4 136 Check with your GP in the GP’s rooms such that your medicine as circumcision, biopsy or any additional 342 and stitching procedures are covered If your network GP is not available, you may use another network GP. You may change your GP twice a year without calling Discovery 10
Discovery Primary Care I Cover for day-to-day medication D I S C O V E R Y P R I M A R Y C A R E What to do when you need day-to-day medication What to do to get medication You have cover for minor 1 Your chosen network GP needs to day-to-day illnesses prescribe your medicine from a list such as the flu 2 If your GP is a dispensing GP, he/she will provide you with the prescribed We pay for your medicines medicines as per our list 3 If your GP is a non-dispensing GP, then you must get your medicines from a Clicks pharmacy You have cover for your 4 network doctor visits If you choose to get your medicine anywhere else, you will have to pay for the cost 11
Discovery Primary Care I Cover for chronic medication D I S C O V E R Y P R I M A R Y C A R E What you need to do to get your chronic medication What to do to get chronic mediation 1 You have cover for the following conditions 1 Your chosen network GP needs to prescribe your chronic medicine Bipolar mood from a list Addison’s disease Asthma disorder Bronchiectasis Cardiac failure Cardiomyopathy 2 Coronary artery COPD Chronic renal disease You have to get your medicines disease form Clicks pharmacies Diabetes mellitus Diabetes mellitus Diabetes insipidus type 1 type 2 Dysrhythmia Epilepsy Glaucoma 3 Haemophilia HIV Hyperlipidaemia If you choose to get your medicine Hypertension Hypothyroidism Multiple sclerosis anywhere else, you will have to pay Parkinson’s disease Rheumatoid arthritis Schizophrenia for the cost yourself SLE Ulcerative colitis 2 We pay for your medicines as per our list 4 There is no application process or registration that is required before 3 You have cover for your network doctor visits you get your medicine 12
Discovery Primary Care I Cover for diabetes D I S C O V E R Y P R I M A R Y C A R E What you need to do when you have diabetes You do not need to pay A doctor has told you that any amount upfront you have Diabetes We support you with the following cover: Unlimited network GP consultations Unlimited prescription medicine from our medicine list Essential blood tests Learn more about Diabetes through DrConnect You must obtain your medicine from a Pharmacy 13
Discovery Primary Care I Cover for blood tests D I S C O V E R Y P R I M A R Y C A R E What you need to do to access the pathology benefit You have cover for blood, urine and other fluid and tissue tests You do not need to You are not well pay any amount upfront You visit your network GP Your results will be given to your network GP Your network GP requests for blood tests to be done You need to go to the following providers to ensure you get full cover for these tests: 1. Ampath Laboratories 2. Lancet Laboratories 3. Pathcare Laboratories These providers are available nationwide 14 Pathology benefit is subject to a defined list
Discovery Primary Care I Cover for basic radiology D I S C O V E R Y P R I M A R Y C A R E What you need to do to access the radiology benefit You have cover for basic black and white x-rays You do not need to You are not well pay any amount upfront You visit your network GP Your results will be given to your network GP Your network GP requests for x-rays to be done You need to go to a Primary Care Network Provider to benefit from full cover Call 0860 44 47 79 to find a provider near you There are network radiologists available nationwide for you to go to 15
Discovery Primary Care I Cover for maternity D I S C O V E R Y P R I M A R Y C A R E What you need to do when you are pregnant You have cover for visits, ultrasound scans, medicine during your pregnancy You find out you are pregnant You do not need to You need to visit your pay any amount upfront network GP Your results will be given to your network GP We support you throughout your pregnancy with the following benefits : Unlimited network GP consultations Unlimited day-to-day prescription medicine from our medicine list Range of essential blood tests Two ultrasound scans at a network radiologist 16
Discovery Primary Care I Cover for dentistry D I S C O V E R Y P R I M A R Y C A R E What do you need to do when you need to see a Dentist You have cover for basic dental treatment You do not need to pay Call Discovery Primary Care on any amount upfront 0860 44 47 79 to confirm a network provider for you Your benefit includes cover for: consultations, fillings and tooth removals at a dentist in our Primary Care network 17
Discovery Primary Care I Cover for optometry D I S C O V E R Y P R I M A R Y C A R E What do you need to do when you need to see an Optometrist You have cover for basic eye care treatment You do not need to pay Call Discovery Primary Care on any amount upfront 0860 44 47 79 to confirm a network provider for you Your benefit includes cover for: One eye test One pair of glasses or Contact lens Benefit is available every 24 months Optometry benefit is subject to a defined list of glasses 18
Discovery Primary Care I Your Networks D I S C O V E R Y P R I M A R Y C A R E 1,968 Primary Care GPs across South Africa 21
Discovery Primary Care I Your Networks D I S C O V E R Y P R I M A R Y C A R E 510 Clicks pharmacies across South Africa 22
Discovery Primary Care I Your Networks D I S C O V E R Y P R I M A R Y C A R E 2,185 Primary Care Dentists and Dental Therapists across South Africa 23
Discovery Primary Care I Your Networks D I S C O V E R Y P R I M A R Y C A R E 2,192 Primary Care Optometrists across South Africa 24
To Switch from your current plan to Primary Care Advanced contact HR@rewards.co.za
2 0 1 9 DISCOVERY PRIMARY CARE Thank you 34
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