Issue link: https://www.hub.camaf.co.za/i/1512927
2024 ALLIANCE PLUS & ALLIANCE NETWORK 04 What is a Network option? It is an option where, for the purpose of containing costs, the scheme has negotiated rates to be charged with certain providers (DSPs) on behalf of members who are on the network options. These providers form the network, to which members of these options are restricted. Members on these network options get discounted contribution rates, which are directly linked to the discounts received from negotiating with the designated service providers. What is the difference between Alliance Plus and Alliance Network? The main difference between the two options is that members on the Network option are restricted to use network providers for some benefits. These are hospitalisation benefits, optical benefits and GP consultations. Alliance Network members are restricted to Life Healthcare and Netcare hospital groups for hospital- isation and to PPN for optical benefits. A 20% co-payment is applicable for utilising a non-network hospital provider. This does not apply in emergencies where a member is hospitalised. You will be stabilised and transferred to a network hospital once the emergency has been resolved. Alliance Network members are also required to nominate two GPs from the CAMAF GP network each year and only use those nominated GPs for their GP consultations. You may change your nominated GP once a year on the CAMAF mobile app or website, Member Login under My Option menu > Manage my Providers. There are no restrictions on the Plus option; members are free to use any provider. Is there any difference on benefits? No. Members on the Plus and Network options get the same benefits and the benefits limits are also the same. However, Network members are required to get referrals for some benefits, e.g. a referral from a nominated GP is required for specialist visits. See the section on referrals below or read more about the network options on our website www.camaf.co.za Who qualifies to be a dependant of a member? • Spouse or partner of the principal member who is not a member of another scheme - does not include ex- spouse or ex-partner. • Children - biological, adopted, stepchild and foster children provided the appropriate legal documents are submitted with the application. • Blood relative of the first degree of the Principal member - if fully dependent on the principal member for care and financial support. What proof is required by CAMAF of a dependency? • Marriage certificate in the case of a spouse. • Declaration on the application form in the case of a partner - domestic partnership form to be completed. • Birth certificate in the case of your own child. • Legal documents in the case of adoption or foster child. • Sworn affidavit and proof of income and relationship in the case of blood relatives - proof that the blood relative dependants are financially dependent on the member. How do I add a dependant to my membership? To add a dependant, login on the website or mobile app and go to Profile menu and select Beneficiaries or you can download the Additional Dependant form from the website and complete it. If you are an employee of a company, the form and accompanying documentation should be submitted to your HR department; if you are an individual you can forward the form and any required additional documentation to CAMAF. Contact Customer Care on 0860 100 545 if you have any enquiries in this regard. CAMAF Network Options Membership 04 BACK TO CONTENTS PAGE