 | SAOC
http://www.saoc.org.za/ | The South African Oncology Consortium (SAOC) facilitates cost-effective oncology (cancer) treatment to the broader South African population and is the designated service provider for providing oncology benefits to beneficiaries of the Medihelp Plus, Dimension Elite, Dimension Prime 3, Dimension Prime 2 and Dimension Prime 1 benefit options.
Certain types of cancer qualify for Prescribed Minimum Benefits, meaning that unlimited benefits are granted, without co-payments. Your oncologist, though, must be part of the SAOC network and your treatment plan must be aligned with the protocols of the SAOC
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ICON
http://www.cancernet.co.za/ | Independent Clinical Oncology Network (ICON) is the designated service provider for oncology benefits on the Necesse benefit option. Certain types of cancer qualify for Prescribed Minimum Benefits, meaning that unlimited benefits are granted, without co-payments. Your oncologist, though, must be part of the ICON network and your treatment plan must be aligned with the protocols of ICON.
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Verirad
http://www.verirad.co.za/ |
Verirad (Pty) Ltd specialises in the verification of radiology and pathology claims. Verirad assists Medihelp to ensure appropriate billing practice on all pathology and radiology claims.
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IPA
http://www.ipafoundation.co.za | The Independent Practitioners Association (IPA) is a doctor-driven network which functions as a managed care organisation and/or network management company. We act on behalf of general practitioners in private practice contracted to medical schemes. We’re committed to providing cost-effective, accessible healthcare to patients.
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 | Udipa | UDIPA functions as a network management company in Uitenage, Despatch; Kirkwood and Port Elizabeth, in the Eastern Cape. Medihelp offers quality day-to-day benefits, in co-operation with UDIPA, through our Unify network benefit option. Unify is specifically designed to meet the needs of members and employees of corporate companies in the above-mentioned areas.
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Mediscor
http://www.mediscor.net/ | Mediscor is an independent, specialist pharmaceutical benefit management organisation. Mediscor assists Medihelp to ensure appropriate, cost-effective medicine management.
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Denis
http://www.denis.co.za/ | Dental Information Systems (Denis) is the largest independent dental claims administrator in South Africa and is the market leader in dental benefit management.
Medihelp’s dental benefits are managed by Denis and granted in accordance with their protocols, while you obtain dental services from your regular dentist.
Members of the Necesse network benefit option, however, are required to use dentists belonging to the Denis network.
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 | PPN
http://www.ppn.co.za/ | Medihelp offers optical benefits through the Preferred Provider Negotiators (PPN) optical network. With over 2000 optometrists across South Africa a part of our network, PPN is the largest optical network in the country.
Medihelp members may visit any optometrist, but benefits are paid according to the PPN tariff (benefit amount).
Members of the Necesse medical aid benefit option must use an optometrist who is part of the PPN Network to qualify for benefits.
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Council for medical schemes
http://www.medicalschemes.com/ | The Council for Medical Schemes is a statutory body established by the Medical Schemes Act. It provides regulatory supervision of private health financing through medical schemes.
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Department of health
http://www.doh.gov.za/ | The Department of Health is the government department responsible for managing the country’s health issues.
The mission of the Department is to improve health status through the prevention of illnesses and the promotion of healthy lifestyles. We do this through legislation, policies and guidelines and programmes.
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Optipharm / One Health Managed Care
http://www.optipharm.co.za/ | Optipharm is an independent service provider, and designated service provider for supplying anti-retoviralretroviral and other medicine to beneficiaries enrolled on the HIV disease management programme.
Medihelp offers benefits for the treatment of HIV/Aids in co-operation with One Health / Optipharm, and all our members have access to the HIV/Aids programme.
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