OCSACare | FAQs

  • What should I do if I need to visit a doctor and don't know where to go?
    • Call the CareCross Client Centre on 0860 103 491
    • The Client centre will refer you to the nearest CareCross Health General Practioner.
  • What are the day-to-day benefits covered by OCSACare?
    • OCSACare offers basic primary healthcare at a CareCross General Practioner of your choice.
    • The benefits cover diagnosis and treatment of most ailments as well basic surgical procedures.
    • Your doctor will submit the claims for services rendered to CareCross on your behalf.
    • For full benefit details please refer to your OCSACare member guide.
  • What is the difference between Acute and Chronic medication?
    • Acute medication is the type of medicines your GP will prescribe if the medicine is intended to treat a short-term illness. For example, if you developed a chest infection that required a course of short-term antibiotics for treatment.
    • Chronic medication is medication taken to treat a long-term condition on an ongoing basis, for example, chronic bronchitis or asthma
  • What happens if I need acute medication?
    • Your doctor will prescribe medication from the list of medicines on the CareCross acute medication formulary.
    • OCSACare will only cover the cost of the medicines on this acute medicine list.
    • Your doctor should advise you if the medicine you need is not on this list and you will need to pay for medicines not on the list.
    • Your CareCross doctor will either self dispense the medicine or will give you a medicine script to take to the nearest pharmacy to fill the prescription.
  • What happens if I need Chronic Medication?
    • The CareCross clinical division has developed an extensive list of medications that are considered suitable for certain chronic conditions.
    • OCSACare will only cover the cost of the medications listed on the CareCross Chronic formulary (6 month waiting period applies).
    • The CareCross doctor will complete the chronic application form on your behalf and forward it the CareCross Health for approval.
    • On completion and approval of your chronic application form, CareCross Health will send a letter of confirmation to your doctor.
    • Approved chronic medication will be sent to your preferred address e.g. either your doctor or the nearest contracted pharmacy.
    • Remember to schedule your visit to your doctor well before your chronic medication runs out.
  • Can I use my OCSACare card to buy medicines direct from the pharmacy?
    • No, you can't, as the membership card is not a cash card.
  • What are my dental benefits on OCSACare?
    • If you have been an OCSACare member for 6 months then you can access the dental benefits.
    • OCSACare will cover fillings, extractions, dental x-rays, cleaning and polishing.
    • The dental benefits are available from a contracted CareCross dentist.
    • Please use the CareCross website and search for a dentist under Looking for a doctor? or call 0861 115 057 to confirm the benefits and/or to find out where to go for your dentist.
    • Your benefits do not cover specialist dentistry such as crowns and bridges.
    • For full benefit details please refer to your OCSACare member guide.
  • What are my optometry benefits on OCSACare?
    • If you have been an OCSACare member for 6 months then you can access the optometry benefits.
    • The benefit covers an optical test and a frame from a specified selection with either white standard mono or bi-focal lenses. If you choose frames outside the specified selection or request additional services then you will need to pay the optometrist directly for these services.
    • The optometry benefits are available from a CareCross contracted optometrist. Please visit the CareCross website and search for an optometrist under Looking for a doctor? or call 0860 101 159 to confirm the benefits and/or to find out where to visit your nearest optometrist.
    • The optical benefit is available once every 24 months.
    • For full benefit details please refer to your OCSACare member guide.
  • What if I need to have a blood test?
    • Your CareCross doctor has a list of the blood tests covered by OCSACare. The doctor will advise you whether your required blood test is covered by OCSACare (e.g. liver function, HIV etc.).
    • Your CareCross doctor will complete a referral form for the pathology lab.
    • The doctor may take the blood specimen or will send you to the pathology lab to have the test done.
  • What if I need x-rays?
    • The OCSACare benefits cover a list of x-rays that may be performed by a radiologist.
    • Your CareCross doctor can tell you whether the x-ray you require is covered. Your CareCross doctor will complete a referral form for the x-ray to be performed. The x-rays will assist the radiologist and doctor to diagnose your condition.
  • What happens if an x-ray or blood test is not covered by OCSACare formulary?
    • You can ask your CareCross GP to refer you to a state hospital or you can sign a liability form and agree to pay for the x-ray or blood test required.
  • What if I need to visit a specialist?
    • Specialist visits are not covered by the OCSACare benefits.
    • If you need these services ask your CareCross GP to refer you to a state hospital specialist.
  • When can I visit a CareCross GP?
    • You can make an appointment during practice hours Monday-Friday 9am-5pm or during relevant hours if the practice is open on a Saturday.
    • No after hour visits are covered by OCSACare.
  • What do I do if I receive an account?
    • Your doctor has submitted the account to CareCross on your behalf.
    • If you receive an account, please post the account to CareCross Health, P.O. Box 2212, Bellville 7535.
    • When posting your account to the above please ensure your name and membership number are clearly visible on the account.
  • Things to remember
    • Always remember to keep your OCSACare membership card and Identity Document with you when consulting with your chosen CareCross doctor.