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is a community Medical Assistance fund that helps you pay for day-to-day doctor’s visits and consultations for as little as R135/month.
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About Us
Who is Primo health
Medical Assistance Fund
Primo Health is a community Medical Assistance fund that helps you pay for day-to-day doctor’s visits and consultations for as little as R135/month.
WE OFFER:
- Annual Contract that suits your pocket and needs
- Transferable benefits to other members
- Covers basic acute medication at the doctor
Our Medical Plans
Get medical assistance from as little as R135/pm. Choose from a range of plans that is designed to fit your need.
Choose your plan.
Primary Care Benefits
(all plans include medication)
- 4 Doctor’s visit annually per member with transferable benefits
- Acute medication at the doctor is covered 100%
- Follow up appointments required by the doctor is 100% free
Medical insurance plan recommendation
Per month contribution
- 1 Family member with 4 GP visits per year
R135
- 2 Family members with 8 GP visits per year
R235
- 3 Family members with 12 GP visits per year
R335
- 4 Family members with 16 GP visits per year
R435
Primary Care Benefits
(all plans include medication)
- 6 Doctor’s visit annually per member with transferable benefits
- Acute medication at the doctor is covered 100%
- Follow up appointments required by the doctor is 100% free
Medical insurance plan recommendation
Per month contribution
- 1 Family member with 6 GP visits per year
R185
- 2 Family members with 12 GP visits per year
R335
- 3 Family members with 18 GP visits per year
R485
- 4 Family members with 24 GP visits per year
R635
Primary Care Benefits
(all plans include medication)
- 8 Doctor’s visit annually per member with transferable benefits
- Acute medication at the doctor is covered 100%
- Follow up appointments required by the doctor is 100% free
Medical insurance plan recommendation
Per month contribution
- 1 Family member with 8 GP visits per year
R235
- 2 Family members with 16 GP visits per year
R435
- 3 Family members with 24 GP visits per year
R635
- 4 Family members with 32 GP visits per year
R835
Primary Care Benefits
(all plans include medication)
- 2 Doctor’s visit annually per member with transferable benefits
- Acute medication at the doctor is covered 100%
- Follow up appointments required by the doctor is 100% free
Medical insurance plan recommendation
Per month contribution
- 2 Family members with 4 GP visits per year
R135
- 3 Family members with 6 GP visits per year
R185
- 4 Family members with 8 GP visits per year
R235
- 5 Family members with 10 GP visits per year
R285
FREQUENTLY ASKED QUESTIONS
1. How does transferable benefits work?
If member A and B are both members of PrimoHEALTH, and member A has 3 visits left for the year and member B has none left, the benefits of A can be shared with B for the rest of the active year.
2. Can I visit outside the Primo network?
Yes, however this must be justified and communicated to PrimoHEALTH by the doctor before the consultation to a limit of R500/year. PrimoHEALTH cannot be held liable for the service received by doctors outside the network.
3. What is covered under the day-to-day consultations?
The full consultation with a medical doctor is covered, any injections and medication issued by the doctor during the consultation is also covered. The only medication for your own account would be scripted/ chronic medication.
4. Can I take out cover for my mother or child without being a member myself?
Yes, you can obtain membership for any family or non-family member as long as you remain the paying entity.
5. Can I increase my benefits midway through the year?
Yes, a consultant can be contacted in this regard.
6. What is the waiting period after joining?
The waiting period for new members and changing memberships are both 2 months of paid premiums.
7. If I do not comply with the payment plan, will my benefits be suspended?
Yes, your benefits will be suspended, and you will be granted 1 month’s grace to bring your account up to date. If you have any difficulties paying, please contact a consultant so that we can arrange for your benefits to be active until payment can be made during the month pending suspension.
8. Can I arrange that my Government Clinic medication be sent to a CommunityMed branch?
Yes, please contact a consultant in this regard
Contact Us
Claims / Queries
083 780 3024
info@primohealth.co.za
PLEASE FILL IN THE FORM BELOW
