A frequently asked question is: “What is a network doctor and how does it differ from a non-network doctor?’
A network doctor is a medical doctor (and in this case also refers to a healthcare facility) that has accepted and signed an agreement to the terms and conditions of a medical service provider.
Through the agreement, network options also offer a lower fee to a provider of health services in return for more patients being channelled to their offices.
A non-network provider that doesn’t have an agreement with a primary healthcare provider will charge a patient or member full price for a consultation.
When a GetSavvi Health member consults a doctor for treatment, that doctor must be a member of our network so that there won’t be any shortfall in payment that the member will need to self-fund.
Should the member, however, consult with a medical doctor outside of the GetSavvi Health network, they will be liable for the full cost of the consultation.
When a network doctor is not accessible within a 10km radius of where a member resides, the member will be able to consult a non-network doctor for treatment, pay cash for the visit and send in a claims form.
GetSavvi Health will then refund the member at the standard scheme rate.
Should any claim exceed our rates, the member will be liable for the shortfall.
Other than this, any visit to a provider of health services outside of the network won’t be covered.
For peace of mind join GetSavvi Health and get access to our network doctors. Find out more about our medical plans.