We’re all about your future

Affordable Medical Cover For Students From Only R450 Per Month*

If you are an international student and need medical cover to register at a South African university, this is the plan for you!

Medical cover with a twist.

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Leave your details and a CompCare customer specialist will give you a call to finalise your application.

Q
Medical aid with a twist.

ARE YOU READY?

Leave your details and a CompCare customer specialist will give you a call to finalise your application.

Q

The Low-down

Say hello to the NetworX option from CompCare. NetworX has been specifically designed for students and offers essential cover within a contracted provider network for in-and-out of hospital services. What’s more it is the most affordable student option on the South African medical schemes market and that’s a fact.

The Best Part

Real Benefits

When it comes to your
healthcare needs,
we’ve got you covered.

We Make It Easy

Access and view your medical scheme option, benefits and claims anywhere, anytime.

Let’s Chat

Not ready to sign up just yet? Let one of our friendly support specialists call you back to discuss what you need.

The NetworX Benefits

Day-to-day services paid from the Annual Flexi Benefit (AFB) at 100% at the Agreed Tariff (AT)

Specialist consultations, basic dentistry, optometry, out of network visits and emergency room visits for non-emergency consultations.

The Details

Annual Flexi Benefit (AFB)

R3 320 per beneficiary per year
R4 950 per family per year

 

  • Specialist consultations – limited to two per beneficiary, maximum of three per family, subject to referral by a Universal Network GP, pre-authorisation required. Referrals limited to specialists in DSP Network hospitals only
  • Basic dentistry – limited to one consultation per beneficiary including preventative care, infection control, fillings, extractions and dental X-rays at a Universal Network dentist – R1 700 per beneficiary up to R2 850 per family, subject to AFB
  • Optometry – limited to one test per beneficiary every 24 months, including lenses – clear plastic lenses for single vision and frames limited to R945 per beneficiary. Bi-focals and frames limited to R1 500 per beneficiary at a Universal Network optometrist, subject to AFB
  • Hospital emergency room/casualty emergency visits for non-emergency consultations

Services Covered in Hospital

100% of the agreed tariff (AT), subject to the Overall Annual Limit, pre-authorisation and Network DSP hospitals. All treatment in hospital is subject to case management and scheme protocols.

The Details

100% of the agreed tariff (AT), subject to the Overall Annual Limit, pre-authorisation and Network DSP hospitals. All treatment in hospital is subject to case management and scheme protocols.

 

  • GPs and specialists
  • Ward fees – general, ICU and high care
  • Theatre fees
  • Medication while in hospital
  • Blood transfusions
  • Oncology
  • Surgical prostheses (PMB only)
  • Clinical technologists limited to R11 500 per family
  • Radiology – MRI, CT and PET scans
  • Pathology
  • Confinements
  • Psychiatric treatment – subject to pre-authorisation and protocols (PMB only)
  • Organ and bone marrow transplants, plasmapheresis and renal dialysis (PMB only)
  • Cover for injuries sustained whilst participating in professional sports
  • Emergency medical treatment for injuries resulting from accidents or trauma
  • Physiotherapy – limited to R2 600 per family. Combined auxiliary services limit in and out of hospital
  • Alcoholism, drug dependence and narcotism

Wellness: Lifestyle and Preventative Care

When it comes to your health and wellbeing, we’ve got you covered, having taken extra care to ensure that you have the necessary benefits at your disposal when you need them most.

The Details

Paid From Risk

 

  • Blood pressure, blood sugar, cholesterol, BMI and waist circumference – one measurement per beneficiary over the age of 18 years. Limited to R220 per event
  • Flu vaccinations – one vaccination per beneficiary
  • Unlimited telephonic counselling sessions through the Universal Wellness Care Centre, with an option for referral to one-on-one sessions with qualified psychologists, social workers or registered counsellors to a maximum of 3 referral sessions PB per year.
  • Oral contraceptives limited to R145 per beneficiary per month. Subject to medication formulary

    Unlimited Day-to-day services (not subject to the Annual Flexi Benefit AFB)

    GP visits through the Universal Network of GPs, Acute medicine as prescribed by your Universal Network GP (medicine formulary applies), basic radiology and pathology as referred by your Universal Network GP (specific codes apply).

    The Details

    Not Subject to The Annual Flexi Benefit (AFB)

    Services Subject to the use of the Universal Provider Network.

    • GP visits – unlimited at a Universal Network GP, subject to clinical necessity. Clinical motivation may be required to authorise more than three GP visits per beneficiary per year
    • Two out-of-network visits per beneficiary per year. A 20% co-payment applies. Members are required to pay at point of service and claim back from the scheme. Benefits per event (including medicines, pathology and radiology) and excluding facility fees are limited to R1 200 per event
    • Acute medication – unlimited if prescribed by a Universal Network GP, or by a specialist provided member referred by a Universal Network GP. Subject to formulary. A 25% co-payment will apply if medicine is not on the formulary. No cover for non-formulary medicines unless otherwise pre-authorised. No cover in case of voluntary use of non-Universal providers, or voluntary use of specialist without referral by a Universal Network GP
    • Basic radiology – unlimited, subject to specific codes- referral by a Universal Network GP required
    • Basic pathology – unlimited, subject to specific codes- referral by a Universal Network GP required
    The Details

    Annual Flexi Benefit (AFB)

    R3 320 per beneficiary per year
    R4 950 per family per year

     

    • Specialist consultations – limited to two per beneficiary, maximum of three per family, subject to referral by a Universal Network GP, pre-authorisation required. Referrals limited to specialists in DSP Network hospitals only
    • Basic dentistry – limited to one consultation per beneficiary including preventative care, infection control, fillings, extractions and dental X-rays at a Universal Network dentist – R1 700 per beneficiary up to R2 850 per family, subject to AFB
    • Optometry – limited to one test per beneficiary every 24 months, including lenses – clear plastic lenses for single vision and frames limited to R945 per beneficiary. Bi-focals and frames limited to R1 500 per beneficiary at a Universal Network optometrist, subject to AFB
    • Hospital emergency room/casualty emergency visits for non-emergency consultations
    The Details

    100% of the agreed tariff (AT), subject to the Overall Annual Limit, pre-authorisation and Network DSP hospitals. All treatment in hospital is subject to case management and scheme protocols.

     

    • GPs and specialists
    • Ward fees – general, ICU and high care
    • Theatre fees
    • Medication while in hospital
    • Blood transfusions
    • Oncology
    • Surgical prostheses (PMB only)
    • Clinical technologists limited to R11 500 per family
    • Radiology – MRI, CT and PET scans
    • Pathology
    • Confinements
    • Psychiatric treatment – subject to pre-authorisation and protocols (PMB only)
    • Organ and bone marrow transplants, plasmapheresis and renal dialysis (PMB only)
    • Cover for injuries sustained whilst participating in professional sports
    • Emergency medical treatment for injuries resulting from accidents or trauma
    • Physiotherapy – limited to R2 600 per family. Combined auxiliary services limit in and out of hospital
    • Alcoholism, drug dependence and narcotism
    The Details

    Paid From Risk

     

    • Blood pressure, blood sugar, cholesterol, BMI and waist circumference – one measurement per beneficiary over the age of 18 years. Limited to R220 per event
    • Flu vaccinations – one vaccination per beneficiary
    • Unlimited telephonic counselling sessions through the Universal Wellness Care Centre, with an option for referral to one-on-one sessions with qualified psychologists, social workers or registered counsellors to a maximum of 3 referral sessions PB per year.
    • Oral contraceptives limited to R145 per beneficiary per month. Subject to medication formulary
        The Details

        Not Subject to The Annual Flexi Benefit (AFB)

        Services Subject to the use of the Universal Provider Network.

        • GP visits – unlimited at a Universal Network GP, subject to clinical necessity. Clinical motivation may be required to authorise more than three GP visits per beneficiary per year
        • Two out-of-network visits per beneficiary per year. A 20% co-payment applies. Members are required to pay at point of service and claim back from the scheme. Benefits per event (including medicines, pathology and radiology) and excluding facility fees are limited to R1 200 per event
        • Acute medication – unlimited if prescribed by a Universal Network GP, or by a specialist provided member referred by a Universal Network GP. Subject to formulary. A 25% co-payment will apply if medicine is not on the formulary. No cover for non-formulary medicines unless otherwise pre-authorised. No cover in case of voluntary use of non-Universal providers, or voluntary use of specialist without referral by a Universal Network GP
        • Basic radiology – unlimited, subject to specific codes- referral by a Universal Network GP required
        • Basic pathology – unlimited, subject to specific codes- referral by a Universal Network GP required

        In-Hospital Benefits

        Unlimited – subject to scheme protocols.

        The Details

        Prescribed Minimum Benefits:

        Overall Annual Limit (OAL) for non-PMB and elective admissions:
        R1 500 000 per family per year.

        Cover for Chronic Conditions

        27 chronic conditions covered.

        The Details

        27 chronic conditions covered
        Chronic medication is subject to the Core Formulary list of medicines and a Formulary Reference Price (FRP). Members are required to register for all chronic conditions.

         

        • Chronic medication is unlimited, subject to medicine formulary and if prescribed by a Universal Network Provider and dispensed within a Universal Network pharmacy or by a dispensing Universal Network GP. Any voluntary use of chronic medicine prescribed by an out-of-network provider and any non-formulary medicines are for the member’s own account, unless pre-authorised by the medical advisor. (PMB rules apply)
        • Subject to formulary reference pricing
        The Details

        Prescribed Minimum Benefits:

        Overall Annual Limit (OAL) for non-PMB and elective admissions:
        R1 500 000 per family per year.

        The Details

        27 chronic conditions covered
        Chronic medication is subject to the Core Formulary list of medicines and a Formulary Reference Price (FRP). Members are required to register for all chronic conditions.

         

        • Chronic medication is unlimited, subject to medicine formulary and if prescribed by a Universal Network Provider and dispensed within a Universal Network pharmacy or by a dispensing Universal Network GP. Any voluntary use of chronic medicine prescribed by an out-of-network provider and any non-formulary medicines are for the member’s own account, unless pre-authorised by the medical advisor. (PMB rules apply)
        • Subject to formulary reference pricing

        To obtain the registered scheme rules approved by the Council of Medical Schemes, please email your request through to [email protected].

        We’re all about you and your future

        You are passionate about the future and we have a passion for life.

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        CompCare Medical Scheme is administered by Universal Healthcare Administrators (Pty) Ltd

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