Day-to-day services
Member visits to a chosen doctor in their area are determined by the benefits offered by the relevant scheme. The doctor will provide consultations and will prescribe acute medication according to the list of specified generic medications on the ONECARE or Scheme formulary.
After hours / Emergency Benefits
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 two 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 ONECARE doctor.
Dental Benefits
Dental benefits are limited to basic dentistry. These services are to be obtained at a ONECARE contracted dentist. Should members need specialized dentistry they must contact their scheme for detailed information about the benefit available.
Optometry Benefits
Each one of the schemes contracted for ONECARE has their own specific optometry fee structure.
Medication Formularies