PLEASE NOTE!
This information is correct at the time of publication, but may be subject to change throughout the year. Please contact the Fund's client service department or the healthcare provider directly to confirm whether they are on the network.
Visiting doctors, specialists and payments
Golden Arrow Employees' Medical Benefit Fund has contracted certain specialists in a specialist network. Patients are encouraged to visit these providers, as they charge agreed rates. If a patient visits healthcare providers who are not part of the specialist network, they may be liable for co-payments.
The Fund covers seven general practitioner consultations per beneficiary in a year, which is subject to an overall annual limit.
All specialist visits must be authorised and requires referral by a general practitioner.
Claims must be submitted within four months of the date of service.
Hospitalisation
On the Standard and Advanced Options, hospital pre-authorisation must be obtained at least 48 hours before you go to the hospital.
In the case of an emergency, pre-authorisation is required within 24 hours of the admission, or on the next working day after you were admitted.
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Only network hospitals may be used
- Netcare Kuils River Hospital - PrivateKuils River
- UCT Private Hospital (no trauma unit) - PrivateObservatory
- West Coast Private Hospital - PrivateVredenburg
- Christiaan Barnard Memorial Hospital - PrivateCape Town
- Kenilworth Clinic - PrivateKenilworth
- Rondebosch Medical Centre - PrivateMowbray
- Booth Memorial Hospital - StateOranjezicht
- Groote Schuur Hospital - StateObservatory
- Karl Bremer Hospital - StateParow
- Mowbray Maternity Hospital - StateMowbray
- Red Cross Children's Hospital - StateRondebosch
- Somerset Hospital - StateGreenpoint
- Tygerberg Hospital - StateParow
The Primary Option only covers State facilities.