Visiting doctors, specialists and payments
Golden Arrow Employees' Medical Benefit Fund has contracted certain specialists in a specialist network. Patients are encouraged to visit these providers as they charge agreed rates. If a patient visits healthcare providers who are not part of the specialist network, they may be liable for co-payments.
The fund covers 7 General Practitioner consultations per beneficiary in a year, which is subject to an overall annual limit.
All specialists visits are required to be authorised as well as refered by a general practitioner.
Claims are required to be submitted within four months of the date of service.
Hospitalisation
On the Standard and Advanced Options, hospital pre-authorisation must be obtained at least 48 hours before you go to the hospital.
In the case of an emergency, pre-authorisation is required within 24 hours of the admission, or on the next working day after you were admitted.
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Only network hospitals may be used
- Netcare Kuils River Hospital - PrivateKuils River
- UCT Private Hospital (no trauma unit) - PrivateObservatory
- West Coast Private Hospital - PrivateVredenburg
- Christiaan Barnard Memorial Hospital - PrivateCape Town
- Kenilworth Clinic - PrivateKenilworth
- Rondebosch Medical Centre - PrivateMowbray
- Booth Memorial Hospital - StateOranjezicht
- Groote Schuur Hospital - StateObservatory
- Karl Bremer Hospital - StateParow
- Mowbray Maternity Hospital - StateMowbray
- Red Cross Children's Hospital - StateRondebosch
- Somerset Hospital - StateGreenpoint
- Tygerberg Hospital - StateParow
The Primary Option only covers State facilities.