Look At Our Frequently Asked Medical Insurance Questions | Elixi

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Your medical insurance questions answered

FREQUENTLY ASKED QUESTIONS

Do you have a question regarding medical insurance? We aim to provide our clients with the knowledge and medical insurance plan necessary for a happy, healthy life. Find a list of our most frequently asked medical insurance questions below.

Accidents and Emergencies

 

What do I do in the event of a medical emergency or serious accident?

1)Call the Unity Health call centre on 0861 366 006 or ER24 on 0871 351 248. The number is also on your Unity Health membership card.
2)ER24 will verify the membership of the person in need of help, whether it be you or your dependant.
3)ER24 will assist you with advice, and emergency transportation to your nearest in-patient hospital facility.
4)ER24 will issue the hospital with a guarantee of payment and you will be admitted for treatment.
5)Please ensure that you have your Unity Health membership card and ID for verification purposes. Unity Health will then settle the account directly with the provider.

 

What do I do in the event of a minor accident?

1)Call the Unity Health call centre on 0861 366 006 for a list of the nearest out-patient facilities that accept guarantee of payments, as some out-patient facilities only accept cash.
2)Please ensure that you have your Unity Health membership card and ID for verification purposes.
3)ER24 will arrange the guarantee of payment with the out-patient facility.
4)Unity Health will then settle the account directly with the out-patient facility, subject to the benefit limitations.

 

Do you need authorisation for an accident or emergency?

You will need a guarantee of payment (GOP). The Unity Health case manager will provide a GOP during office hours or ER24 will assist you.

Unity Health: 0861 366 006
ER24: 0871 351 248

 

Member Information

 

I did not receive my membership card, who do I contact?

Talksure SA will dispatch your card once your first premium is collected. In the interim, please use your membership certificate provided by Talksure SA, which will be accepted by our service providers. Should you not receive your card 45 days after your first premium, please contact Talksure SA on 0860 333 343 or email client.services@talksuresa.co.za.

 

What are the waiting periods?

Two month waiting period for all benefits, except emergency and accidents which is covered from the date of inception. Twelve month waiting period for chronic medication and optometry. Nine month waiting period applicable to pre-birth maternity benefits.

 

Who can be covered under my policy?

Your health insurance policy covers your immediate family – spouse and children.

 

Not sure which plan is for you?
Let us call you back.