Specialist
Get a quote now
We’ll call you back
View our Privacy Policy
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.
Need Advice?
An accredited consultant will call you to discuss our medical aid options and benefits.
Your journey to quality healthcare starts here.
Get a quote now
We’ll call you back!
View our Privacy Policy
Health Insurance
Health4Me Bronze
Health4Me Silver
Health4Me Gold
Gap Cover
Gap Core
Gap Max
About
About Bloom
Frequently Asked Questions
Blog
Contact Us
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 2025. Bloom Financial Services (Pty) Ltd is an authorised financial services provider (FSP 50140). Bloom Gap is underwritten by Infiniti Insurance Limited a licensed non-life insurer and an authorised financial services provider (FSP No.35914)
Privacy Policy