Your GP Benefit on the Remedi Standard Option: Why Choosing a Network GP Is Crucial
If you're a member of the Remedi Standard Option, selecting a General Practitioner (GP) from the Scheme's designated network is essential to unlocking your full medical aid benefits. This article explains why GP selection matters, how to do it, and what happens if you don't.
Facts
Remedi Standard Option members must use healthcare providers within the Scheme's network to access full benefits. Choosing a GP from the Remedi Standard Option GP Network ensures:
- Unlimited GP Consultations: Members enjoy unlimited day-to-day GP visits when consulting with their selected network GP.
- Medication Coverage: Both acute and chronic medication are covered when prescribed and dispensed by a network GP or pharmacy.
- Out-of-Area Coverage: A limited "Out-of-Area" benefit is available for occasional visits outside your network, but this is restricted and not intended for regular use.
Failing to select a network GP can result in significant out-of-pocket expenses. Without a designated GP, consultations may be deducted from your day-to-day benefits, and once those are depleted, you'll be responsible for the full cost of doctor visits. Additionally, chronic medication may not be covered unless prescribed by a network GP, which could further impact your healthcare budget.
Actions
How to Select and Allocate a GP
Follow this simple three-step process to allocate a GP:
Step 1: Find a GP
Visit www.yourremedi.co.za and log in to the Member Zone. Use the Find a healthcare professional tool to search for GPs in your area who are part of the Remedi Standard Option GP Network. Remember that the full cover GPs make up the network providers.
Step 2: Choose a GP
Once you've identified a suitable GP, decide whether they will be your primary or secondary GP. You can allocate a GP for each dependant on your membership.
Step 3: Allocate a GP
Call the Contact Centre at 0860 116 116 for assistance in finding and allocating a GP. Members can also email service@yourremedi.co.za to indicate their chosen primary and/or secondary GP. GPs will always be allocated from the first of the next month.
Implications of Not Choosing a GP
Not selecting a network GP can have serious consequences:
- Reduced Benefits: You will not have access to unlimited GP consultations and may have to pay for visits out of pocket.
- Medication Coverage Issues: Chronic and acute medication will not be covered unless prescribed by a network GP.
- Limited Out-of-Area Support: While some coverage exists for out-of-area visits, it's restricted and not intended for regular use.
To make the most of your Remedi Standard Option, it is essential to choose and allocate a GP from the Scheme's network. This simple step ensures you receive unlimited consultations, medication coverage, and peace of mind knowing your healthcare needs are supported without unexpected costs.
If you haven't selected your GP yet, take action today. Your health - and your wallet - will thank you.