Specialist
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Specialist Benefits
A maximum of 2 visits, limited to R1 425 per visit and up to R2 850 per member/family per year
Members may consult any specialist, subject to a Network GP referral and pre-authorisation
The specialist may refer the member for pathology and radiology according to the applicable Health4Me pathology and radiology lists
The specialist may prescribe medication, subject to the event limit
Shortfalls will be payable by the member
Waiting periods apply
Specialist benefit disciplines covered
| Discipline | Discipline description | Discipline | Discipline description |
|---|---|---|---|
| 12 | Dermatology | 26 | Ophthalmology |
| 16 | Gynaecology | 28 | Orthopaedics |
| 17 | Pulmonology | 30 | ENT |
| 18 | Physicians | 31 | Rheumatology |
| Discipline | Discipline description | Discipline | Discipline description |
| 21 | Cardiology | 36 | Plastic and Reconstructive Surgery |
| 22 | Psychiatry | 40 | Radiation Oncology |
| 23 | Medical Oncology | 42 | General Surgeon |
| 24 | Neurosurgery | 44 | Cardio Thoracic Surgery |
| 25 | Nuclear Medicine | 46 | Urology |
Please note that this benefit is only available on the Health4Me Gold option.
To download a copy of the Specialist benefit information click on the download button below.
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