DISCOVERY PRIMARY CARE 1 Rewardsco is proud to introduce Primary - - PowerPoint PPT Presentation

DISCOVERY PRIMARY CARE

2 0 1 9

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:

D I S C O V E R Y P R I M A R Y C A R E

Discovery Primary Care I Summary of your benefits

Chronic medication

Cover for chronic medicine in line with a defined medicine list for 27 chronic conditions

Optometry

Cover for one eye test in our

• ptometry network and one

pair of glasses or contact lens equivalent every 24 months

Pathology

Covers basic blood tests through Ampath, Lancet or PathCare when referred by a Primary Care GP

Radiology

Covers basic radiology (black-and-white X-rays) when referred by a Primary Care GP

Ambulance services

Access to Netcare 911 ambulance services

Dentistry

Cover for consultations, fillings and tooth removals at a dentist in our Primary Care network

Maternity

Two ultrasound scans, range

• f essential blood tests and

unlimited day-to-day prescription medicine based

• n the defined medicine list

Trauma Benefit

Primary Care Advanced 9

+

Medical evacuation Casualty admission

+

In-patient stabilisation and treatment

Acute medication

Prescribed in accordance with a defined list and provided by a dispensing GP or Clicks pharmacy

Funeral cover

Up to R5 000 funeral cover for all members and their dependants under the age

• f 70 years

GP visits

Unlimited access to network GP consultations

Medical procedures in GP rooms

Access to a list of medical procedures performed in a Primary Care GP’s rooms

D I S C O V E R Y P R I M A R Y C A R E 10

Discovery Primary Care I Cover for GPs

What you need to do when you visit a GP

If your network GP is not available, you may use another network GP. You may change your GP twice a year without calling Discovery

Visiting your GP is as easy as…. Wide range of doctors to choose from You are covered at your network GP for

1,968

Primary Care GPs

Visit a GP on the Primary Care network Find a doctor? 1 | Talk to your HR department 2 | Call the helpline 0860 444 779 Take your Primary Care member card and proof of ID Check with your GP that your medicine

• r any additional

procedures are covered

1 2 3 4

Unlimited consultations with no co-payments Cover for medicine from a list with no co-payments Minor procedures done in the GP’s rooms such as circumcision, biopsy and stitching 112 95 105 649 405 85 136 342 39

D I S C O V E R Y P R I M A R Y C A R E 11

Discovery Primary Care I Cover for day-to-day medication

What to do when you need day-to-day medication

What to do to get medication

1

Your chosen network GP needs to prescribe your medicine from a list

2

If your GP is a dispensing GP, he/she will provide you with the prescribed medicines

3

If your GP is a non-dispensing GP, then you must get your medicines from a Clicks pharmacy

4

If you choose to get your medicine anywhere else, you will have to pay for the cost

• You have cover for minor

day-to-day illnesses such as the flu

• We pay for your

medicines as per our list

• You have cover for your

network doctor visits

D I S C O V E R Y P R I M A R Y C A R E 12

Discovery Primary Care I Cover for chronic medication

What you need to do to get your chronic medication

What to do to get chronic mediation

1

Your chosen network GP needs to prescribe your chronic medicine from a list

2

You have to get your medicines form Clicks pharmacies

3

If you choose to get your medicine anywhere else, you will have to pay for the cost yourself

4

There is no application process or registration that is required before you get your medicine

Addison’s disease Asthma Bipolar mood disorder Bronchiectasis Cardiac failure Cardiomyopathy COPD Chronic renal disease Coronary artery disease Diabetes insipidus Diabetes mellitus type 1 Diabetes mellitus type 2 Dysrhythmia Epilepsy Glaucoma Haemophilia HIV Hyperlipidaemia Hypertension Hypothyroidism Multiple sclerosis Parkinson’s disease Rheumatoid arthritis Schizophrenia SLE Ulcerative colitis

1 You have cover for the following conditions 2 We pay for your medicines as per our list 3 You have cover for your network doctor visits

D I S C O V E R Y P R I M A R Y C A R E 13

Discovery Primary Care I Cover for diabetes

What you need to do when you have diabetes

• A doctor has told you that

you have Diabetes

• You do not need to pay

any amount upfront 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

D I S C O V E R Y P R I M A R Y C A R E

You have cover for blood, urine and other fluid and tissue tests

14

Discovery Primary Care I Cover for blood tests

What you need to do to access the pathology benefit

• You are not well
• You visit 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
• You do not need to

pay any amount upfront

• Your results will be given

to your network GP

Pathology benefit is subject to a defined list

D I S C O V E R Y P R I M A R Y C A R E

You have cover for basic black and white x-rays

15

Discovery Primary Care I Cover for basic radiology

What you need to do to access the radiology benefit

• You are not well
• You visit 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

• You do not need to

pay any amount upfront

• Your results will be given

to your network GP

D I S C O V E R Y P R I M A R Y C A R E

You have cover for visits, ultrasound scans, medicine during your pregnancy

16

Discovery Primary Care I Cover for maternity

What you need to do when you are pregnant

• You find out you are pregnant
• You need to visit 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

• You do not need to

pay any amount upfront

• Your results will be given

to your network GP

D I S C O V E R Y P R I M A R Y C A R E

You have cover for basic dental treatment

17

Discovery Primary Care I Cover for dentistry

What do you need to do when you need to see a Dentist

• Call Discovery Primary Care on

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

• You do not need to pay

any amount upfront

D I S C O V E R Y P R I M A R Y C A R E

You have cover for basic eye care treatment

18

Discovery Primary Care I Cover for optometry

What do you need to do when you need to see an Optometrist Your benefit includes cover for:

• One eye test
• One pair of glasses or
• Contact lens

Benefit is available every 24 months

• You do not need to pay

any amount upfront

• Call Discovery Primary Care on

0860 44 47 79 to confirm a network provider for you

Optometry benefit is subject to a defined list of glasses

D I S C O V E R Y P R I M A R Y C A R E 21

Discovery Primary Care I Your Networks

1,968 Primary Care GPs across South Africa

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

Discovery Primary Care I Your Networks

To Switch from your current plan to Primary Care Advanced contact HR@rewards.co.za

DISCOVERY PRIMARY CARE

2 0 1 9

Thank you

34