Health4All

We have over 3,500 Unity Health network doctors nationwide. For your nearest network doctor call our Call Centre on 086 136 6006 or search for a network doctor on your Unity Health App.
You have unlimited GP Visits, but Pre-Authorisation required. First call the Call Centre, select option 2 to the Nurse Call Centre, then option 1, for authorisation.
Where the nurse can’t assist, an Authorisation SMS will be sent to you to consult with a Network Doctor.

Minor procedures in doctors’ rooms are included in GP visits e.g., wound stitching, applying a cast to a broken arm, circumcision, etc.

Out Of Network GP Visits Payable up to a maximum of R330 per visit and limited to 2 out-of-network visits per person per year.

Unlimited. No pre-authorisation is required. You have unlimited consultations with a nurse at approved pharmacies (Alpha Pharm, Clicks, Dischem, Local Choice or Medicare). During your consultation nurses can provide acute medication up to Schedule 2 (subject to the acute formulary).
You have unlimited virtual GP consultations when referred and facilitated by a nurse at an approved pharmacy. The nurse will first discuss your health concerns and determine if a virtual consultation is necessary.

Limited to R1 600 per visit with an overall limit of R3 350 per family per year.
Referral by Unity Health Network GP and pre-authorization required.

Dispensing GP: This means your GP dispenses medication and will provide you with the necessary medication.
Non-Dispensing GP: Unlimited
Limited to medication prescribed during your Network GP visits.
This means your Network GP does not provide you with medication but will provide you with a prescription to collect your medication.

Available at approved pharmacies (Clicks, Dischem & Pick n Pay).

Chronic Medication Programme: 27 Listed “high impact” Conditions2 HIV/AIDS included. Chronic condition: A condition / disease that lasts for an extended period of time.

Chronic Medication Programme: Your Network GP will assist you to register on the Chronic Medication Programme with Mediscor. Your prescribed chronic medicines will be covered according to a set formulary. Find the chronic medication formulary (list) on Mediscor’s website: www.mediscor.co.za.

Approved pharmacies include Clicks, Dischem, Pick n Pay & Medicross.

1Asthma; Chronic Obstructive Pulmonary Disorder; Diabetes Type 1&2; Epilepsy; HIV/AIDS; Hyperlipidemia; Hypertension; Tuberculosis; 2 Addison’s Disease; Asthma; Bi-polar Mood Disorder; Bronchiectasis; Cardiac Failure; Cardiomyopathy Disease; Chronic Renal Disease; Coronary Artery Disease; Crohn’s Disease; Chronic Obstructive Pulmonary Disorder; Diabetes Insipidus; Diabetes Type 1 & 2; Dysrhythmias; Epilepsy; Glaucoma; Hemophilia; HIV / AIDS; Hyperlipidemia; Hypertension; Hypothyroidism; Multiple Sclerosis; Parkinson’s Disease; Rheumatoid Arthritis; Schizophrenia; Systemic Lupus Erythematosus; Tuberculosis; Ulcerative Colitis.

Limited to R1 500 per person per incident with overall family limit of R4 500 per year.
Treatment includes full mouth assessment, intra oral radiographs, scale & polish, extractions, emergency root canal treatment, fillings, pain and sepsis treatment.
Only available at Unity Health Dentists. Specialized dentistry/treatment, such as bridgework or crowns; orthodontic treatment; and dentures are not covered.

One eye test per person per year.
A standard frame to the value of R599 and one pair of clear standard spectacle lenses per person per 24 months. Available at Specsavers and Execuspecs Optometrists.

Basic list of blood tests at a Designated Service Provider.
Your Network GP must ask for these tests to be done. E.g., blood sugar or cholesterol tests

Radiology Black & white X-rays only at a Designated Service Provider. Your Network GP has to refer you to have X- rays done. Specialized radiology such as MRI / CT scans is not covered.

3 gynecologists visits, 3x2D ultrasound scans per year. Limited to R4 000 per family per annum. Pre-authorization is required.

1-month general waiting period, no pre-existing condition exclusions