Issue link: https://www.hub.camaf.co.za/i/1512929
2024 ESSENTIAL PLUS & ESSENTIAL NETWORK 04 04 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 exspouse 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. With regard to a new born or adopted child you must register the child within 30 days of birth or adoption and contributions will be payable from the first day of the month of birth or adoption; benefits accrue from that date. The same process applies to marriage; contributions are due from the 1st of the month of the marriage and benefits accrue from the same date. 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 Essential Plus and Essential Network? The main difference between the two options is that Essential Network members are restricted to use network providers for hospitalisation benefits. Essential Network members are restricted to Life Healthcare and Netcare hospital groups for hospitalisation. 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. There are no restrictions on the Plus option; members are free to use any hospital provider. CAMAF Network Options Membership BACK TO CONTENTS PAGE