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 491021 673 1800
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.
