Evolve network Hospitalsopen_in_new

Your practice will be subject to our profiling system on a quarterly basis and based on the profiling results, you may be upgraded to a higher level which would result in reimbursement above scheme rate for consultations.

Kindly note that this is a reimbursement agreement and therefore does not guarantee inclusion into a network.

If you are part of a group practice, you need to suppy us with the practice numbers of all the group practice members, in order for us to capture the neccesary detail on system. This will be enable these Practitioners to use their practice number as a referring practice number. It must be noted that billing must be done under the group practice number.

We would also like to encourage you to make use of our specialist network when you need to refer members. In so doing, members will not experience out-of pocket expenses as network specialists have agreed to charge contract rates.

We will send you regular statements, showing your payments.

Specialists on our network have agreed to change contract rates thereby ensuring that members do not experience out-of-pocket expenses. Members in need of a specialist visit should be referred to the relevant scheme in order to obtain an authorisation.

Members to access network pharmacies to ensure medication is dispense according to the applicable formularies.