Name of the Organization : Universal Healthcare Administrators (Pty) Ltd
Type of Facility : CompCare Wellness NetworX option suitable for Students
Head Office : Rivonia
Website : compcare [dot] co [dot] za
Application Form : https://www.southafricain.com/uploads/2553-StudentApplication.pdf
Guideline : https://www.southafricain.com/uploads/2553-CompCare.pdf
CompCare Wellness NetworX Option :
** Say hello to the NetworX option from CompCare.
** NetworX has been specifically designed for young, busy people and offers essential cover within a contracted provider network for in and out-of-hospital services.
Related : How to join Government Employees Medical Scheme : www.southafricain.com/2546.html
** What’s more it is the most affordable option on the South African medical schemes market and that’s a fact.
Special Features :
** Private hospital cover.
** Unlimited GP consultations within the Universal Provider Network.
** Acute and chronic medication.
** Basic dentistry.
** Optometry.
** Radiology.
** Pathology.
** Specialist consultations.
** Hospital emergency room/ casualty emergency visits.
Covering All Major Medical Expenses, including emergency room treatment as well as great additional ‘out-of-hospital’ benefits such as :
** Unlimited visits to your GP
** Acute and chronic medication
** Radiology, pathology and specialist consultations
** Optometry and dentistry
In-hospital benefits :
Prescribed Minimum Benefits :
** Overall Annual Limit (OAL) for non-PMB and
** Elective admissions
** Unlimited – subject to scheme protocols
** R1 050 000 per family per year
Services covered in hospital :
** 100% of the agreed tariff (AT), subject to the OAL, pre-authorisation and Network DSP hospitals.
** All treatment in hospital is subject to case management and scheme protocols
** GPs and specialists
** Ward fees – general ICU and high care
** Theatre fees
** Medication while in hospital
** Blood transfusions
** Oncology
** Surgical prostheses (PMB only)
** Clinical technologists limited to R10 615 p/f
** Radiology – MRI, CT and PET scans
** Pathology
** Confinements limited to two days for normal birth and three days for caesarean section
** Psychiatric treatment is limited to 21 days in hospital
** Organ and bone marrow transplants, plasmapheresis and renal dialysis (PMB only)
** Cover for professional sports
** Emergency medical treatment for injuries resulting from accidents or trauma
** Physiotherapy
** Alcoholism, drug dependence and narcotism
Declaration :
1. I, the undersigned hereby apply for membership of CompCare Wellness Medical Scheme and agree that all answers and information contained in this application completed by me or by any other person/s will be the basis of the proposed agreement.
2. I warrant that the contents of this application are true, correct and complete. No cover will be granted unless CompCare Wellness Medical Scheme specifically notifies me in writing of their acceptance of the risk, or on receipt of a valid membership card. Failure to comply with any of the terms and conditions of the agreement shall render the agreement null and void.
3. I agree to abide by and undertake to familiarise myself with the rules of the scheme as amended from time and grant my employer the right to deduct from my remuneration any mounts (including members portion’s) outstanding by myself to CompCare Wellness Medical Scheme, including interest thereon. I further grant my employer the right to pay such monies over the scheme.
4. I understand that the scheme will not be liable for reimbursement in respect of health services obtained for any pre-existing conditions, unless the details are fully disclosed, which may be subject to waiting periods and condition specific exclusions in accordance with the Medical Schemes Act (No. 131 of 1998).
5. I agree to notify the scheme within 30 days in the event that any alternation in the circumstances on which the assessment of their risk is based, occurs between the date of this application and the date of their acceptance of the risk.
6. The following will apply in respect of exchange of confidential information and medically confidential information concerning members and their dependants:
6.1. For the purpose of considering application/s for membership, as well as any claims for benefits, CompCare Wellness Medical Scheme and any medical personnel authorised by CompCare Wellness Medical Scheme has the right to obtain or forward any medically relevant information including the HIV/AIDS status, which it may deem necessary from or to any medical practitioner or institution or nominee that possesses or needs such information, and that party may disclose such information to CompCare Wellness Medical Scheme and any party duly authorised by CompCare Wellness Medical Scheme.
6.2. The information may be requested and supplied at any time, including after the death of the member or dependants, and will include accounts from service providers, indicating diagnoses, and medical or clinical reports when indicated. Such information will, however, be treated as confidential at all times by the party to whom it is supplied.
6.3. By agreeing to sign the application form/s the applicant/member and dependants thereby waives his/her right to privacy in terms of the abovementioned clauses.
7. I (the member) acknowledge that it is my sole responsibility as a member to ensure that the monthly premium is received by the scheme.
8. Neither the applicant nor any of his/her dependant/s will/are be beneficiaries of another registered medical scheme, on the date of registration with CompCare Wellness Medical Scheme.
9. I hereby indemnify and hold harmless the scheme and administrator against any and/or claims that may result due to the use of preferred providers.
10. I hereby give the scheme permission to communicate to me by SMS Email
11. I hereby appoint the below mentioned broker as my Healthcare intermediary.
Contact Address :
Universal Healthcare Administrators (Pty) Ltd
Private Bag X49, Rivonia, 2128
Fax Number(s): +27 (0)11 803 6489 / +27 (0)11 807 4496
Email Us: correspondence AT universal.co.za