Contact the Unity Health call centre on 0861 366 006 for a list of providers close to where the

member lives or works. Make an appointment with the provider and ensure the member presents their Unity Health membership card and ID when they arrive for the consultation. You may also search for a provider using the Unity Health app or the member can log into their member portal and search for a provider online.

The Unity Health call centre is open during the following times:

• Monday to Friday: 08:00 to 17:00 and • Saturdays: 08:00 to 13:00

• In the case of emergencies after hours call ER24 on 087 135 1248.

Call the Unity Health call centre on 0861 366 006 and ask for a provider request form. Fill out the form with the member’s GP details and email to Unity Health at networks@unityhealth.co.za. Unity Health will contact the member’s GP and advise the member whether the GP decided to join or not.

The member has access to the Unity Health website portal. The member has to go onto www.unityhealth.co.za and register to gain access to search for a provider close to them via the Unity Health unique GEO mapping tool. The member can also contact Unity Health on 0861 366 006 or email at networks@unityhealth.co.za. Unity Health will forward the member a list of providers closest to them.

Unity Health provides their members with the options to download a mobile app. The Unity Health app offers useful features such as:

1. An emergency button for easy emergency assist;

2. Tracking the member’s GP visits, medication, and other claims;

3. Finding the member’s closest GP, Dentists or Optometrist;

4. The member’s digital membership card with their membership details;

5. A useful summary of the member’s plan details, benefits and limits;

6. The member’s personal details;

7. Contact details for any enquiries;

The dispensing provider will provide the member’s medication during their consultation and they will not need a script to go to the pharmacy. A non-dispensing provider will provide the member a script during their consultation and they will need to go to a Mediscor pharmacy to collect their medication.

The member should contact the Unity Health call centre on 0861 366 006 and select the option for pre-authorisations. The benefit needs to be pre-authorised by Unity Health before the member can access the benefit.

In most cases the member simply presents their Unity Health membership card and ID to the provider and the provider will submit the claim directly to Unity Health for processing and payment. In isolated cases, if the member did pay the provider directly, they may fill out a reimbursement form and email Unity Health at claims@unityhealth.co.za with all supporting documentation within 6 months from the date of treatment. Unity Health will assess and reimburse the member in respect of all valid claims.

An “emergency” is an event of a sudden, and at the time, unexpected onset of a health condition that requires immediate medical or surgical treatment, where failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or would place the person’s life in jeopardy. Examples include heart attacks, strokes.

1. Call Unity Health call centre on 0861 366 006 or ER24 on 087 135 1248.
2. ER24 will verify the membership of the person in need of help, whether it be the main member or a dependant.
3. ER24 will assist the member with advice, and emergency transportation to their nearest in-patient hospital facility.
4. ER24 will issue the hospital with a guarantee of payment and the member will be admitted for treatment.
5. Unity Health will then settle the account directly with the hospital, subject to the benefit limitations.