Health4Me Gold

Unlimited Network GP visits per member per year

Network GP visits can either be face-to-face or video call (virtual) consultations

Hello Doctor pre authorisation is not required

Minor medical procedures performed as part of a Network GP consult in rooms, such as stitching of wounds and nebulisation

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

A maximum of 2 visits, limited to R1 290 per visit and up to R2 580 per member/family per year is applied

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

Shortfalls will be payable by the member

Waiting periods apply

Provided in accordance with the Network prescribed acute medication formulary

Rules and protocols are applied

Provided in accordance with the Network prescribed chronic medication formulary

Rules and protocols are applied

27 Chronic conditions are covered as follows:
Addison’s Disease, Asthma, Bipolar Mood Disorder, Bronchiectasis, Cardiac Dysrhythmias, Cardiac Failure, Cardiomyopathy, Chronic Obstructive Pulmonary Disease, Chronic Renal Disease, Coronary Artery Disease, Crohn’s Disease, Diabetes Insipidus, Diabetes Mellitus Type 1, Diabetes Mellitus Type 2, Epilepsy, Glaucoma, Haemophilia, HIV, Hyperlipidaemia, Hypertension, Hypothyroidism, Multiple Sclerosis, Parkinson’s Disease, Rheumatoid Arthritis, Schizophrenia, Systemic Lupus Erythematosus and Ulcerative Colitis

Chronic medication is provided in accordance with the Network prescribed chronic medication formulary

Pathology and radiology related to condition monitoring is provided according to the applicable Health4Me pathology and radiology lists

Pre-authorisation is required

Waiting periods apply

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

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

Covered at any dentist on the Dental Network
Basic dentistry such as fillings, extractions, infection control, cleaning and polishing of teeth

Specialised dentistry such as bridges, crowns, surgical extractions, implants, root canals, gold fillings, dentures and braces are not covered

Provided in accordance with the Dental Network protocols and approved Health4Me dentistry list

Waiting periods apply

Covered at any optometrist on the Optometry Network

Benefit available every 2 years

1 Eye test and 1 pair of clear standard single vision lenses, or 1 pair of bi-focal lenses, with a standard frame Sunglasses

Tinted lenses, hard coating and contact lenses are not covered

Provided in accordance with the Optical Network protocols and approved Health4Me optometry list

A 3 month waiting period applies

Post-exposure prophylaxis (PEP) medication is provided in accordance with the Network prescribed HIV medication formulary, to prevent HIV infection in the event of accidental exposure to blood or fluids from an infected person, or by any other means

Antiretroviral medication is provided in accordance with the Network prescribed HIV medication formulary

Pathology related to condition monitoring is provided according to the applicable Health4Me pathology list

Pre-authorisation is required

Waiting periods apply

2 Foetal growth scans per member per pregnancy

Antenatal pathology tests linked to a Network GP visit and referred by a Network GP, according to the applicable Health4Me pathology list

Antenatal vitamins in accordance with the Network prescribed acute medication formulary, rules and protocols are applied

Antenatal support (access to current and credible information on all topics related to parenthood) via BabyYumYum

Support post-partum from a nurse/midwife at home with bathing, swaddling, latching and feeding Nurse/midwife home visits on day 2 and week 2 after the birth of the baby

Pre-authorisation is required

1 Flu vaccination per member per year at any pharmacy clinic, preferably at a Dis-Chem, Clicks, MediRite or Pick n Pay pharmacy clinic

1 Health assessment (blood pressure test, cholesterol and blood sugar finger-prick tests, height, weight and waist circumference screening) is provided per member per year at a pharmacy clinic, preferably at a Dis-Chem, Clicks, MediRite or Pick n Pay pharmacy clinic

Counselling and support services for adults, teenagers and children.

Trauma and critical incidence counselling.

Legal assist, credit health and debt management services.

Managerial support services.

Advice for road accident claims (via EAP services).

Advice for injury on duty claims (via EAP services).

Multiply Engage is free and offers rewards from a range of partnersMembers get great discounts on big brands like Makro, Nando’s, Intercape and FlySafair, as well as on the Multiply online shop

More4Me incentivises members with monthly airtime, data, Shoprite and Checkers vouchers or Takealot vouchers,
based on their Healthy Heart Score
Participating members will receive the following benefits:

Activation reward: Up to 500MB data/R50 airtime, R50 Shoprite and Checkers voucher or R50 Takealot voucher

Based on their Healthy Heart Score, members will receive monthly rewards for a period of 12 months, until their next health assessment is due

Green: Up to 1GB data/R80 airtime, R80 Shoprite and Checkers voucher or R80 Takealot voucher

Amber: Up to 500MB data/R50 airtime, R50 Shoprite and Checkers voucher or R50 Takealot voucher

Red: Up to 250MB data/R25 airtime, R25 Shoprite and Checkers voucher or R25 Takealot voucher

Members can save up their rewards and redeem even larger