GP
Benefits / GP
Benefits / GP
GP benefit (excluding GP visit
booster benefit)
Unlimited GP visits at a Network GP can be unlocked via a consultation and pre-authorisation from Hello Doctor
3 GP visits at a Network GP per member per year, that do not require Hello Doctor pre authorisation
Hello Doctor pre-authorisation is required for every GP visit from the 4th GP visit onwards
2 Additional GP visits at a Network GP per member per year for members registered on either the chronic benefit, HIV benefit or maternity benefit programme (2 additional Network GP visits per benefit programme), that do not require Hello Doctor pre-authorisation
Network GP visits can either be face-to-face or video (virtual) call consultations
Hello Doctor consultations can either be via chat, phone call or video (virtual) call
GP benefit (including GP visit
booster benefit)
Unlimited Network GP visits per member per year
Network GP visits can either be face-to-face or video (virtual) call consultations
Hello Doctor pre-authorisation is not required
Please check on your Health4Me membership certificate if you and your family (if they are included on your membership) have the GP visit booster benefit. If you do not have this benefit, then you and your family (if they are included on your
membership) will be required to follow the Hello Doctor preauthorisiation process in order to unlock additional Network
GP visits once your yearly limit has been reached
GP in room procedures
Minor medical procedures performed as part of a Network GP consult in rooms, such as stitching of wounds and nebulisation
Acute medication
Provided in accordance with the Network prescribed acute
medication formulary
Rules and protocols apply
Basic pathology
Unlimited cover for pathology, when linked to a Hello Doctor or Network GP visit and referred by a Hello Doctor or Network GP, according to the applicable Health4Me pathology list
Basic radiology
Unlimited cover for black and white x-rays, when linked to a Hello Doctor or Network GP visit and referred by a Hello
Doctor or Network GP, according to the applicable Health4Me radiology list
There is no overall limit on the number of GP visits that you can go for at a Network GP per year. You do however need to have Hello Doctor pre-authorisation for every GP visit from your 4th Network GP visit onwards. Your Network GP visit can either be a face-to-face or video (virtual) call consultation. If you are registered on the chronic benefit, the HIV benefit or the maternity benefit programme, you will get an additional 2 Network GP visits per year that do not require Hello Doctor
pre-authorisation. Hello Doctor pre-authorisation can be done via the Momentum More Health app, or via USSD by dialling *120*394*120#. Hello Doctor will have a telephonic or video (virtual) call consultation with you, and if clinically required, authorize an additional Network GP visit if a Hello Doctor GP is not able to assist you over the phone.
You may visit any doctor on our GP Network for GP visits and acute medication. Acute medication is medicine like antibiotics that you need to take for a few days only. Your GP can prescribe medication for you from a list of approved medicines called a formulary. Your GP will either dispense the medicine to you after your consultation, or give you a prescription that you can take to a pharmacy to get your medicine. You can go to any pharmacy, but we suggest you go to a Dis-Chem, Clicks, MediRite or Pick n Pay pharmacy, as other pharmacies might charge an extra fee, which you will have to pay.
Your Network GP may also send you for basic blood tests and black-and-white x-rays, and may also perform minor medical procedures as part of a consultation in rooms, such as stitching of wounds and nebulisation. We will pay the account if the doctor is on the GP Network, and if the blood tests and x-rays, or minor procedures received are on the approved list that we cover.
Hello Doctor
Unlimited GP consultations with a Hello Doctor GP Hello Doctor consultations can either be via chat, phone call or video (virtual) call
Hello Doctor consultations include scripting of formulary-based medication, in accordance with the Network prescribed acute medication formulary, rules and protocols are applied
Hello Doctor consultations include referral for pathology, according to the applicable Health4Me pathology list
Hello Doctor consultations include referral for radiology, according to the applicable Health4Me radiology list
Hello Doctor offers you easy to understand health and medical services, letting you talk to a GP in any language, any time you need to for free. Hello Doctor consultations can either be chat, phone call or video call consultations. A Hello Doctor GP may also prescribe medication for you from a list of approved medicines called a formulary. If a Hello Doctor GP has prescribed medication for you as part of your consultation, you will be able to collect your prescribed medicine from your nearest DisChem, Clicks, MediRite or Pick n Pay pharmacy of your choice.
Hello Doctor consultations may also include referrals for pathology and radiology, according to the applicable Health4Me pathology list or Health4Me radiology list. If you need to speak to a Hello Doctor GP, simply dial *120*394*120# from your cell phone and choose the relevant option to ask a doctor to call you. A registered GP will call you back within an hour. You can also request a Hello Doctor call back via the Momentum More Health app, which you can download from the App Store, Google Play or the AppGallery on your cell phone. The Hello Doctor helpline is available during business hours if you experience any technical problems. You can call the Hello Doctor helpline on 0872 30 00 02.
You will need to call us on 0860 10 29 03 and provide us with your cell phone number, so that we can register you for the Hello Doctor benefit, and send you your unique username and password.
You will have a number of unlocked GP visits and unlimited locked GP visits at a Network GP every year. To view your unlocked Network GP visits, download the Momentum More Health app from App Store, Google Play or the AppGallery, and go to the GP visit benefit under Momentum Health4Me. If you have no more unlocked visits, click on the “unlock visits” button. A pop up message will ask you to confirm if the cell phone number we have for you on record is correct. You
can update the cell phone number by clicking on the “update number” button, and then click on the “yes” button. Hello Doctor will call you back within an hour on the cell phone number that you confirm.
Hello Doctor will have a telephonic or virtual consultation with you, and if required, authorise an additional Network GP visit. If Hello Doctor authorises an additional Network GP visit for you, your unlocked visit and authorisation number will display on the app, and you will be able to consult with your Network GP.
It is important to note that the authorisation is only valid for three days, so you will need to see your Network GP within three days. If you do not visit your Network GP within three days, your authorisation will expire and your unlocked visit will no longer be available. You will need to follow this process for all Network GP visits once you have used all your unlocked visits.
If you have the GP visit booster benefit, your GP visit benefit will show that you have unlimited unlocked Network GP visits. You will not be required to follow the process described above to unlock your Network GP visits. You can still use Hello Doctor if you need to speak to a registered doctor, any time you need to, for free. However, you do not need Hello Doctor to unlock your Network GP visits before you visit your Network GP.
Please note that the GP visit booster benefit is only available to members who have this benefit as an additional benefit on their membership. Please check on your Health4Me membership certificate if you and your family (if they are included on your membership) have the GP visit booster benefit
View the Momentum Health4Me network doctors list.
Momentum Health4Me is not a medical scheme product, and is not a substitute for medical scheme membership. The information provided on this website does not constitute advice in terms of the Financial Advisory and Intermediary Services Act. Momentum is a division of Momentum Metropolitan Life Limited, an authorised financial services provider (FSP 6406) and a wholly owned subsidiary of Momentum Metropolitan Holdings Limited.
Bloom Gap Cover is not a medical Scheme. Products that are offered are not the same as that of a medical scheme.
© Bloom Financial Services 2022. Bloom Financial Services (Pty) Ltd is an authorised financial services provider (FSP 50140). Bloom Gap is underwritten by Guardrisk Insurance Company Limited (FSP No 75).
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