{"id":4031,"date":"2024-07-17T08:34:08","date_gmt":"2024-07-17T06:34:08","guid":{"rendered":"https:\/\/genrichealth.co.za\/?page_id=4031"},"modified":"2024-10-07T10:56:36","modified_gmt":"2024-10-07T08:56:36","slug":"claims-2","status":"publish","type":"page","link":"https:\/\/genrichealth.co.za\/?page_id=4031","title":{"rendered":"Claims"},"content":{"rendered":"\t\t
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How To Claim<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Waiting Periods<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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General Waiting Periods<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  • A 1-month <\/b><\/span>General Waiting Period is applied on all
    Out-of-Hospital benefits unless otherwise stated.<\/li>
  • A 6-month <\/b><\/span>General Waiting Period will be applied on Dental
    and Optical benefits.<\/li>
  • A 3-month <\/b><\/span>General Waiting Period will be applied on any
    In-hospital related benefits unless otherwise stated.<\/li>
  • A 6-month <\/b><\/span>Waiting Period will be applied on Chronic Medication.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    Pre-existing Condition Waiting Periods<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    12-month <\/b><\/span>Waiting Period will be applied on all In-and Out-of-Hospital related pre-existing conditions, diseases, or illness.<\/p>

    These include any conditions, including cancer, which existed prior to inception, or for which an insured person has sought or received medical advice or received treatment by a Registered Medical Professional or exhibited symptoms before inception of the policy.<\/p>

    Failure to disclose and pre-existing condition could render the policy being cancelled.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Policy Specific Waiting Periods<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    The following conditions are excluded within the first 6 <\/b><\/span>(six) months of the policy cover inception.<\/p>

    • Myringotomy and grommets;<\/li>
    • Adenoidectomy;<\/li>
    • Tonsillectomy;<\/li>
    • Hysterectomy(except where malignancy can be proven);<\/li>
    • Spinal, back, neck and joint related precedures or treatment except in the case of an Accident.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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      Specific Waiting Periods Applicable To Certain Benefit Categories<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      • A 12-month <\/b><\/span>Waiting Period for all treatment during the Pregnancy as well as for the confinement related to the birth.<\/li>
      • A 12-month <\/b><\/span>Waiting Period on all pre-existing cancer-related treatments.<\/li>
      • A 3-month <\/b><\/span>Waiting Period is applicable on the Accidental Death Benefit.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        How To Claim<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        If you visited a non-network provider or specialist and paid in cash, you are required to fill out and sign a CLAIM FORM in full.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        Claim Process<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        You should never have to pay claims at a network provider.<\/p>

        In the event you do have to pay and then claim, your claim will only be processed once a completed claim information is received.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        This information consists of the following:<\/p>

        \u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tStep 1\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

        \n\t\t\t\t\t\tFully completed and signed claim form.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tStep 2\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

        \n\t\t\t\t\t\tAll hospital and\/or related accounts substantiating your claim.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        \n\t\t\t<\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tStep 3\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

        \n\t\t\t\t\t\tSubmit all service providers accounts or invoices reflecting payments made relating to the claim\nto Health_claims@genric.co.za.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tNew Whatsapp Member Journey\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        You are now able to chat to a Nurse if you are feeling unwell.
        Whatsapp Nurse Hours: Mon – Fri 08:00 – 16:30 (excl. Public Holidays)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        STEP 1<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        STEP 2<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        STEP 3<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        STEP 4<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        Receive an SMS with the cell phone number for National HealthCare Group’s WhatsApp NurseLine.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        Save this number to<\/p>

        your phone:<\/p>

        +27 72 815 8226.<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        Are you feeling\u00a0unwell?
        Open\u00a0<\/span>WhatsApp and Text<\/span><\/p>

        \u201cHi<\/b>\u201d to +27 72 815 8226.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        Follow the prompts \u2013<\/p>

        Select \u201cChat to a Nurse<\/b>\u201d.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        STEP 5<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        STEP 6<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        STEP 7<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        STEP 8<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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        Explain your\u00a0symptoms to the nurse and the nurse will make an assessment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        The nurse will decide if
        you should see a GP or arrange a virtual consultation based on
        your symptoms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        If a GP referral is not required and the nurse advises to rather self medicate, a prescription may be issued via Whatsapp.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        If the GP provides a
        prescription, you may
        visit any pharmacy
        within South Africa.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        How To Claim Waiting Periods General Waiting Periods A 1-month General Waiting Period is applied on all Out-of-Hospital benefits unless otherwise stated. A 6-month General Waiting Period will be applied on Dental and Optical benefits. A 3-month General Waiting Period will be applied on any In-hospital related benefits unless otherwise stated. A 6-month Waiting Period […]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4031","page","type-page","status-publish","hentry"],"yoast_head":"\nClaims - GENRIC Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/genrichealth.co.za\/?page_id=4031\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Claims - GENRIC Health\" \/>\n<meta property=\"og:description\" content=\"How To Claim Waiting Periods General Waiting Periods A 1-month General Waiting Period is applied on all Out-of-Hospital benefits unless otherwise stated. A 6-month General Waiting Period will be applied on Dental and Optical benefits. A 3-month General Waiting Period will be applied on any In-hospital related benefits unless otherwise stated. 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A 6-month General Waiting Period will be applied on Dental and Optical benefits. A 3-month General Waiting Period will be applied on any In-hospital related benefits unless otherwise stated. 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