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Bona Plus

2010
Quality healthcare at affordable prices
Bona Plus is a network plan which is specifically designed for lower income brackets which
allows access to all day-to-day medical services within a network of providers.

Benefit highlights Contact Centre


CareCross Health 0860 002 163

Liberty Medical Scheme (LMS) has contracted with CareCross The Liberty Medical Scheme has a one-stop Contact Centre for
to provide access to a national network of primary healthcare immediate resolution of queries. Our qualified consultants offer
providers for the delivery of the benefits and services to members. friendly and efficient service in record-breaking response times.
The Contact Centre is open Monday to Friday from 08h30 to 17h00
The Bona Plus option offers quality, affordable primary care benefits (closed on public holidays).
through this network. The chosen CareCross general practitioner (GP)
becomes the key to accessing out-of-hospital benefits. Email Communication
enquiries@libertyhealth.co.za
The big advantage of choosing the Bona Plus option is that you will
enjoy unrestricted access to your CareCross GP throughout the year. Our direct email service empowers you to keep up to date at the
click of a button, even without Internet access. As long as we have
The benefits on the plan have been formulated in such a way that your email address loaded on our database, accessing your personal
the member may have as many visits to the CareCross GP as he/ data, at any time day or night, is easy.
she will need to remain healthy and the member will never have to
worry about “running out” of doctor visits. You send us a blank email and our system immediately generates
a reply that includes membership details, claims history, benefits
In treating the member, the GP may also: used to date and chronic medication details.
• Perform minor surgical procedures
• Call for listed blood tests and X-rays SMS Facility
• Provide you with acute and chronic medication according to a 39372
formulary
• Offer pre- and post-natal care including two ultrasound scans per Our SMS facility allows you anytime access to important
pregnancy information. Simply ensure that your cellphone number is loaded on
our database before sending through your request for information.
The member will be entitled to basic dental benefits such as fillings,
extractions and cleaning. In addition, he/she will have access to an Only SMS the corresponding letter for the information you require:
optical benefit that is available to each beneficiary every 24 months. BN for benefits, CL for claims or DE for information on registered
dependants. Within seconds you will receive a return SMS containing
It is important to note however, that all primary care benefits the detailed and real-time information you requested.
are only available via CareCross contracted providers. Visit the
CareCross website on www.carecross.co.za for details of the
CareCross providers.
Interactive Member Website Walk-in Branches
www.libmed.co.za You can hand in claims at any of our walk-in branches, where
friendly and capable staff will assist in resolving your queries.
Our user-friendly and practical website puts you in control, enabling
Walk-in branches are located in Bedfordview, Johannesburg;
you to resolve most simple queries at your own convenience. With
city centre in Durban as well as Century City in Cape Town.
access to the same real-time systems used by our Contact Centre,
you can be confident that the information is relevant and up to date.
Walk-in facilities are open Monday to Friday from 08h30 to 16h00.
For additional regional walk-in branches call the Contact Centre.
Some of the online functions include tracking the status of
submitted claims, checking what benefits are still available, viewing
your contributions history, determining tax information when Monthly Contribution
completing your income tax returns and even finding a medical
Principal member R 852
service provider in a specific area. Although password controlled
(to ensure complete confidentiality), registration is easy and the Spouse or adult dependant R 652
website is available 24 hours a day. Child dependant R 249

Acknowledgement of Claims Note:


Contributions will be payable in respect of the first three child dependants only.
If your email address is registered on our database, the Liberty
Medical Scheme will send you a mini-claims statement via email as
soon as your claim has been processed. This means you do not have
to wait for your emailed or printed statement to arrive in the mail.

Please Note: Claims relating to primary care services will be


managed by CareCross and will not reflect on your Liberty
Claims Statement.
Bona Plus Benefits (Primary care by CareCross)

1 Sub-acute facilities, 2 HIV/Aids Prevention 3A In-Hospital (at any hospital)


rehabilitation and private GP’s and Specialists 100% of Scheme rate*
Provided and managed by
nursing Optipharm
Radiology R17 900 per family, general and
R11 900 per family, per
Subject to registration and specialised radiology, 100% of Scheme rate*
treatment alternative*
PMB protocols
Physiotherapy, Clinical Technologist,
Occupational Therapy, 100% of Scheme rate*

Pathology R17 900 per family, 100% of


6 Optical Scheme rate*
1 frame, 1 pair of lenses per
beneficiary every 2 years
3B In-Hospital (at any hospital)
1 consultation per beneficiary
Oncology R130 000 per family* via ICON
Bona Plus as DSP
Overall Annual Limit
up to Organ Transplants, 100% of Scheme
5 Radiology and Pathology R860 000 rate*
(out-of-hospital
Renal dialysis R130 000 per family,
prescribed by specialists)
100% of Scheme rate*
Radiology R4 300 per family,
including MRI and CT scans* Blood Transfusions, blood products and
blood substitutes*
Pathology 100% of Scheme
rate*
3C In-Hospital (at any hospital)
Hospice Services R11 900 per family*
4 GP’s and Specialists (out-of-hospital)
Take out medication R1 405 per
GPs Unlimited, Subject to CareCross providers admission, max of 7 days’ supply*
subject to Reference Price
Out-of-network/emergency visits R1 000 per family
Internal Prosthesis R23 800 per family*
Specialists R1080 per beneficiary limited to R1 720 per family 100% of
Scheme rate* External Prosthesis R11 900 per family*

Unlimited pathology and radiology according to approved list of codes and


prescribed by CareCross GP

*Subject to Overall Annual Limit and Agreed Tariff


Member support and contact details

Liberty Medical Scheme Contact Centre


A dedicated contact centre to assist with enquiry resolution and information Tel: 0860 002 163
requested by current and prospective Liberty Medical Scheme members and Fax: +27 (21) 657-7571
healthcare service providers Email: enquiries@libertyhealth.co.za
(8:00 -17:00, Monday to Friday). Postal address Liberty Medical Scheme
Private Bag X35, Claremont, 7735

Intermediary Contact Centre


A dedicated Intermediary contact centre to assist with enquiry resolution and Tel: 0860 002 168
information requests Fax: +27 (21) 657-7581
(8:00 -17:00, Monday to Friday). Email: intermediaries@libertyhealth.co.za
Escalation (>24hr): teamleader.intermediaries@libertyhealth.co.za
Escalation (>72hr): teammanager.intermediaries@libertyhealth.co.za
Postal address Liberty Medical Scheme
Private Bag X35, Claremont, 7735

CareCross Contact Centre


Contact Numbers and Support Services Member Call Centre: 0860 103 491
Chronic Call Centre: 0860 102 182
Enquiries: liberty@carecross.co.za
Website: www.carecross.co.za

Web Service
24hr access to all linked membership and commission information. Registration Website: www.libmed.co.za
for web service by Members and Healthcare Professionals is facilitated via Liberty Under Login tab, you will find process for on-line login
Medical Scheme Contact Centre (details above) and Intermediaries may register registration and other helpful information.
via the Vcommissions Contact Centre. Contact Centre: 0860 266 647
Vcommisions email: commissions@uniquepay.co.za

Hospital Authorisations and/or Specialist Referral programme


Admission to hospitals and registered medical institutions. Tel: 0860 002 163
Fax: +27 (21) 657-7711
Email: approvals@libertyhealth.co.za

Oncology Management Programme


Requests for the registration and approval of treatment plans related Tel: 0860 002 163
to oncology. Fax: +27 (21) 657-7621
Email: oncology@libertyhealth.co.za

HIV Management Programme


Administered by Optipharm. Tel: 0860 906 090
Fax: 0865 009 822
Email: liberty@optipharm.co.za
Website: www.optipharm.co.za

Emergency evacuation:
Netcare 911 SA Tel: 082 911
Outside SA Tel: +27 (0) 10 209 8663

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