A GP network for Managed Care Plan
In case you missed it in the 2016 Benefit Guide: Managed Care plan members can now make use of our administrator’s GP network. Claims for consultations and selected procedures will be submitted directly to the Scheme and be paid directly from your MSA or by the Scheme if PMB.
The amount that the GP will claim for a standard consultation is a fixed rate of R384, as agreed between our administrator and the network GP. Before changing to a network GP, compare your current doctor’s rate to the network rate.
If you choose to use a GP that is not on the network, the Scheme will reimburse the consultations and procedures at the normal SRR.
Find the nearest participating GP using the ‘provider search tool’ on www.angloms.co.za, after logging in as a member, or by calling the call centre. For more information please refer to page 61 of the Benefit Guide.