We don’t have a hospital network which means that you may visit any hospital or clinic in the country under your Accident and Hospital benefits. We do advise making use of Busamed, NetCare, Mediclinic and Life hospital groups for the most seamless experience with our policies.
Episodic Health policies with Day-to-Day benefits make use of a nationwide network of doctors (GPs) provided through EssentialMED. Our doctors are familiar with the product, formularies and covered procedures so they can advise you on how to use your benefits to your maximum advantage.
Episodic Health has a nationwide network of dentists provided through EssentialMED. The network dentists can advise you on how to use your benefits to your maximum advantage.
Radiology & Pathology
The radiology and pathology benefits on our Day-to-Day benefits do not use a network. Your network doctor will refer you or provide a script for you to use at any provider. Your claim will then either be switched to us or you will be reimbursed directly.
The Day-to-Day optometry benefit is available through any Spec-Savers outlet nationwide. They are familiar with the product and can fulfil your needs within the limits of your benefit.
Acute and Chronic medication can be obtained from either a network doctor that dispenses medicine or from a pharmacy. All major pharmacies in the country support our product, you will just need a script from a network doctor.
Episodic Day-to-Day benefits do not have a network of specialist physicians. You will just need a referral script from a network doctor for your claim to be processed