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View the benefits, health management programmes and chronic conditions covered by your patient’s medical scheme and option.

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Optical

Preferred Provider Negotiators (PPN)

Cataract surgery

The Opththalmology Management Group Limited (OMG) is a network of opththalmologists that is contracted to provide cataract surgery on Guardian Plan.

Dental network

Dental Information Systems (DENIS) is contracted to manage all dental benefits.

Oncology network

The Independent Clinical Oncology Network (ICON) is a network of oncologists that is contracted to provide oncology treatment.

Pharmacy network

Pharmacy networkopen_in_new

Hospital Network Guardian Plan

The Transmed Guardian plan private hospital network is the secondary service provider for cases where the required medical treatment cannot be rendered by a State facillity. Use of these hospitals is strictly subject to pre-authorisation and a co-payment may apply if these facillities are used on a voluntary basis.

Improved Clinical Pathway Services (ICPS)

The Improved Clinical Pathway Services is a network of orthopaedic surgeons that is contracted for selected knee and hip replacements for members on the Guardian plan.

Network management
General Practitioners - group practices If you are part of a group practice, you need to supply us with the practice numbers of all the group practice
members, in order for us to capture the necessary detail on system. This will 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 will send you regular statements, showing your payments.

Resources for you and your patient

Momentum Carecross GP Guide

Health4Me network GP patient education pad

English, Afrikaans, Sesotho, isiZulu

Health4Me network GP IVR flow diagram