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 pre-authorisation 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 formularyRules 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.