2025 MEMBER GUIDE - DOUBLE PLUS & DOUBLE NETWORK
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2025
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MEMBER GUIDE - VITAL PLUS & VITAL NETWORK
How can I track my claims?
On the website or mobile app, as a member, with your
personal login details and password.
How frequently are claims paid?
In terms of the Medical Schemes Act all claims must
be settled within 30 days of receipt of the claim by the
scheme, unless there are queries on the account e.g.,
incomplete information. CAMAF has weekly pay runs and
payment is made directly into the member's or service
provider's bank account and a detailed remittance
advice is sent to you. If you have asked for electronic
communication you will receive notification when your
claim has been received and when it has been paid.
What do I have to do to ensure that
my claim will be paid in terms of PMB
regulations?
Ensure that your PMB condition is registered with the
scheme and that you have followed the scheme
requirements in terms of:
• using a Designated Service Provider (DSP) in the case
of medication
• adhered to the formulary / protocol applicable to
your chosen option
• that the correct ICD10 code has been quoted on the
account.
