You get access to top private healthcare providers across the country with Episodic. Here's what you need to know.
Optometry benefits are available through any SpecSavers nationwide.
X-rays and scans on your Day-to-Day benefits can be done at any major radiology provider. Your network doctor will refer you.
The doctor and dentist network is constantly growing as more providers agree to join.
You can nominate your family doctor or dentist to join the network by filling in a request. Simply email firstname.lastname@example.org with the following information:
It is ultimately the decision of the doctor and the product administrator when a provider is nominated to the network. We cannot make a guarantee that they will join as it is their choice.
Episodic offers a health insurance product that is provided and administered by EssentialMED. The Episodic Health Insurance product is an EssentialMED product.
EssentialMED is the product administrator for our health insurance product and they are responsible for managing the network, processing claims and enhancing the product.
The GP benefit is unlimited in that you can visit a network doctor as often as is medically necessary. This needs to be managed to make sure that it is you or your family using the benefit and not someone else.
Preauthorisation is required from:
by calling Africa Assist on 0861 911 011
This protects you and us from fraud on your policy as well as helping us make sure you are getting real value from the network of providers.
Use the online provider search tool to find a doctor or dentist in your area.
Start with your immediate area and then broaden your search to your surrounding areas to make sure you find all the network providers near you.
A dispensing doctor is a doctor on our network that also has an in-house pharmacy and is able to supply medication (on our formulary) directly to you.
A scripting doctor is a doctor that does not have an in-house pharmacy and will issue a script for medication that can be fulfilled at a pharmacy.