The CareCross option has been developed to curb escalating medical costs, and to provide core healthcare cover. This benefit option offers good value for money, with each member linked to a chosen CareCross Health doctor.
Day-to-day services
Members may have as many medically necessary visits to the CareCross GP as they need to remain healthy. The doctor will provide consultations and will prescribe acute medication according to the list of specified generic medications on the CareCross Health formulary. If a member is diagnosed with a chronic condition, the doctor will apply to CareCross for the patient to be registered for chronic medication according to the diagnosed condition and the CareCross Chronic Medication formulary.
After-hours / Emergency visits
If members need to visit a doctor after hours or when they are on holiday the account will be for their own cost. Each medical scheme makes provision for out of area consultations. Members have up to three out of network visits depending on their medical scheme and should check with their scheme how many out of area visits are allowed.
Pathology & Radiology benefits
Pathology and radiology tests are limited and must be co-ordinated through the chosen CareCross Health doctor.
Dental Benefits
Dental benefits are limited to fillings and extractions only. These services are to be obtained at a CareCross Health contracted dentist. Should members need specialized dentistry they must contact their scheme for detailed information about the benefit available.
Optometry benefits
Optometry benefits are available at CareCross Health contracted optometrists and are limited to white standard mono- or bifocal lenses, with a basic frame. If members choose a frame outside of the CareCross Health selection it will be for their own account. The benefit is available per beneficiary every 2 years.
Medication Formularies