Submit a claim to NetcarePlus

Our experienced team will assess and process your claim. We make every effort to process claims within 10 working days.

Submit my claim

Select a product you would like to submit a claim for

GapCare

Complete the online claim form and upload supporting documents – medical aid statement, healthcare provider account, and proof of payment. We'll be in touch once your claim has been finalised.

Submit a claim

EmergencyCare

Email us at [email protected] with your request to submit an EmergencyCare claim, and we'll get back to you.

Email us

Further
information

Need help or have questions?

Email our team at [email protected] or contact us on 0860 101 151

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Your details

Main member details

Name Name is required

Surname Surname is required

Email address Email is required

Contact number Contact number is required

South African ID

Passport

ID / Passport number is required

Policy number (optional)

Banking details

The account into which the claim will be paid out.

Is this the main member's banking details?

Yes

Bank name

Select your bank

ABSA Bank
Access Bank
African Bank
Bidvest Bank
Capitec Bank
Discovery Bank
Finbond Net1
FNB/RMB
Grindrod Bank
Investec Bank
Mercantile Bank
Nedbank Limited
Old Mutual
SASFIN Bank
Standard Bank
TymeBank

Bank name is required

Branch code Branch code is required

Account type

Account type is required

Account number Account number is required

Name of account holder Name of account holder is required

Surname of account holder Surname of account holder is required

South African ID

Passport

ID / Passport number is required

Bank name

Select your bank

ABSA Bank
Access Bank
African Bank
Bidvest Bank
Capitec Bank
Discovery Bank
Finbond Net1
FNB/RMB
Grindrod Bank
Investec Bank
Mercantile Bank
Nedbank Limited
Old Mutual
SASFIN Bank
Standard Bank
TymeBank

Bank name is required

Branch code Branch code is required

Account type

Account type is required

Account number Account number is required

Dependant details

Are you claiming for yourself or for a dependant?

Medical aid number Medical aid number is required

Medical aid name

Select your medical aid name

Medical aid name is required

Medical aid option Medical aid option is required

Dependant name Dependant name is required

Dependant surname Dependant surname is required

Dependant date of birth Dependant date of birth is required

Medical aid details

Is your dependant covered on your medical aid?

What is your relationship with your dependant?

You may only claim for a child if they're covered on your spouse's medical aid.

Relationship of dependant is required

Dependant's medical aid number Medical aid number is required

Dependant's medical aid name

Select your medical aid name

Medical aid name is required

Dependant's medical aid option Medical aid option is required

Type of claim

Select one or multiple types of claims.

Claim information

Select a category below and complete the details required for your claim.

Add another

In-hospital specialist claim information

Select one or multiple options from the list below for your claim.

Select a category below and complete the details required for your claim.

Add another

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In-hospital specialist shortfall

Specialist claim

Claiming for fees charged for a consultation or an approved procedure while admitted in hospital.

Treatment information

Admission date Admission date is required

Discharge date Discharge date is required

Name of specialist Name of specialist is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Hospital co-payment claim information

Select one or multiple options from the list below for your claim.

Select a category below and complete the details required for your claim.

Add another

Want to do this another time? We’ll save all the information you’ve entered up to this point.

Save for later

Hospital co-payment

Co-payment claim

Claiming for co-payments or additional fees not covered by your medical aid while admitted in hospital.

Treatment information

Admission date Admission date is required

Discharge date Discharge date is required

Name of specialist Name of specialist is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Cancer claim information

Select one or multiple options from the list below for your claim.

Select a category below and complete the details required for your claim.

Add another

Want to do this another time? We’ll save all the information you’ve entered up to this point.

Save for later

Cancer

Cancer claim

Claiming for co-payments and shortfalls for approved cancer-related treatment.

Treatment information

Admission date Admission date is required

Discharge date Discharge date is required

Name of specialist Name of specialist is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Emergency department claim information

Select one or multiple options from the list below for your claim.

Select a category below and complete the details required for your claim.

Add another

Want to do this another time? We’ll save all the information you’ve entered up to this point.

Save for later

Emergency department

Hospital claim

Claiming for shortfalls and out-of-pocket costs for emergency treatment in an emergency facility.

Treatment information

Treatment date Treatment date is required

Name of provider Name of provider is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Emergency department

Specialist or GP

Claiming for shortfalls and out-of-pocket costs for emergency treatment in an emergency facility.

Treatment information

Treatment date Treatment date is required

Name of specialist or GP Name of specialist or GP is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Emergency department

Other claim

Claiming for shortfalls and out-of-pocket costs for emergency treatment in an emergency facility.

Treatment information

Treatment date Treatment date is required

Name of healthcare provider Name of healthcare provider is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Maternity claim information

Select one or multiple options from the list below for your claim.

Select a category below and complete the details required for your claim.

Add another

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Maternity

Private ward cover

Claiming for maternity fees charged by hospitals during birth, as well as for day-to-day costs not covered by your medical aid.

Treatment information

Admission date Admission date is required

Discharge date Discharge date is required

Name of hospital Name of hospital is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Maternity

Gynaecologist or obstetrician

Claiming for maternity fees charged by hospitals during birth, as well as for day-to-day costs not covered by your medical aid.

Treatment information

Out of hospital

In hospital

In hospital means if you were admitted and received treatment in hospital.

Out of hospital refers to if you received treatment during a consultation.

Treatment date Treatment date is required

Name of specialist Name of specialist is required

Admission date Admission date is required

Discharge date Discharge date is required

Name of specialist Name of specialist is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Maternity

Baby immunisation

Claiming for maternity fees charged by hospitals during birth, as well as for day-to-day costs not covered by your medical aid.

Treatment information

Treatment date Treatment date is required

Name of healthcare provider Name of healthcare provider is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Maternity

Maternity fee or antenatal class

Claiming for maternity fees charged by hospitals during birth, as well as for day-to-day costs not covered by your medical aid.

Treatment information

Treatment date Treatment date is required

Name of provider Name of provider is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Maternity

Pregnancy complications

Claiming for maternity fees charged by hospitals during birth, as well as for day-to-day costs not covered by your medical aid.

Treatment information

Treatment date Treatment date is required

Name of healthcare provider Name of healthcare provider is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Out-of-hospital claim information

Select one or multiple options from the list below for your claim.

Select a category below and complete the details required for your claim.

Add another

Want to do this another time? We’ll save all the information you’ve entered up to this point.

Save for later

Out-of-hospital

Dental cover

Claiming for shortfalls for consultations or treatment while not admitted in hospital.

Treatment information

Treatment date Treatment date is required

Name of dentist Name of dentist is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Out-of-hospital

Specialist cover

Claiming for shortfalls for consultations or treatment while not admitted in hospital.

Treatment information

Treatment date Treatment date is required

Name of specialist Name of specialist is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

Has your medical aid covered a part of the specialist cost?

Yes

All documents displayed are required

Out-of-hospital

Specialised radiology or pathology

Claiming for shortfalls for consultations or treatment while not admitted in hospital.

Treatment information

Treatment date Treatment date is required

Name of healthcare provider Name of healthcare provider is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

Has your medical aid covered a part of the specialist cost?

Yes

All documents displayed are required

Out-of-hospital

Trauma counselling

Claiming for shortfalls for consultations or treatment while not admitted in hospital.

Treatment information

Treatment date Treatment date is required

Name of healthcare provider Name of healthcare provider is required

Have you settled the payment?

Yes

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Premium waiver claim information

Select one or multiple options from the list below for your claim.

Select a category below and complete the details required for your claim.

Add another

Want to do this another time? We’ll save all the information you’ve entered up to this point.

Save for later

Premium waiver

Accidental death cover

Claiming for GapCare premium or medical scheme contributions to be waived.

Treatment information

Date of event Date of event is required

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

Premium waiver

Accidental disability cover

Claiming for GapCare premium or medical scheme contributions to be waived.

Treatment information

Date of event Date of event is required

Amount you're claiming for Claim amount is required

Documents

All documents displayed are required

A summary of your claim details

Personal details

Name

Jane Doe

[email protected]

Contact number

0712345678

Policy number

1234567890

Edit

Banking details

Bank name

First National Bank

Branch code

12345678

Account number

64892920874692

Account type

Savings

Edit

Dependant details

Name

Kelly Smith

Date of birth

Child

Relationship

Child

Medical aid name

Discovery Essential

Medical aid plan

Discovery Essential

Medical aid number

1234567890

Edit

Medical aid details

Medical aid name

Discovery

Medical aid plan

Essential

Medical aid number

1234567890

Edit

Claim details

Maternity

Private ward cover

Admission date

21 June 2024

Discharge date

24 June 2024

Hospital or provider

Dr Rowland Lee

Amount claiming

R 15 000

Edit

Gynaecologist or obsterician

Admission date

21 June 2024

Discharge date

24 June 2024

Hospital or provider

Dr Rowland Lee

Amount claiming

R 15 000

Edit

Gynaecologist or obsterician

Admission date

21 June 2024

Discharge date

24 June 2024

Hospital or provider

Dr Rowland Lee

Amount claiming

R 15 000

Edit

In-hospital specialist

Specialist

Admission date

21 June 2024

Discharge date

24 June 2024

Hospital or provider

Dr Rowland Lee

Amount claiming

R 15 000

Edit

Specialist

Admission date

21 June 2024

Discharge date

24 June 2024

Hospital or provider

Dr Rowland Lee

Amount claiming

R 15 000

Edit

Emergency department

Hospital

Admission date

21 June 2024

Discharge date

24 June 2024

Hospital or provider

Dr Rowland Lee

Amount claiming

R 15 000

Edit

Authorisation and declaration acceptance

I declare that the details and supporting documents submitted are true and correct. I understand that non-disclosure or false representation may result in the rejection of this claim or the cancellation of cover.

I hereby authorise my medical aid and healthcare providers, where applicable, to provide NetcarePlus or their authorised representatives with any information that they require to assess my claim.

I hereby give consent to NetcarePlus or their authorised representatives to obtain medical information from third partiesthat is required to process my claim. Authorisation and declaration acceptance is required

Submitting your claim...

Thank you.
We've received your claim.

Next steps

You'll receive an email confirming the successful submission of your claim shortly. Our claims team will be in touch once your claim has been finalised.

Claim submission unsuccessful

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Submit a claim to NetcarePlus

Submit my claim

GapCare

EmergencyCare

Further information

Your details

Main member details

Banking details

Is this the main member's banking details?

Dependant details

Medical aid details

Type of claim

Select one or multiple types of claims.

Claim information

In-hospital specialist claim information

In-hospital specialist shortfall

Specialist claim

Treatment information

Have you settled the payment?

Documents

Hospital co-payment claim information

Hospital co-payment

Co-payment claim

Treatment information

Have you settled the payment?

Documents

Cancer claim information

Cancer

Cancer claim

Treatment information

Have you settled the payment?

Documents

Emergency department claim information

Emergency department

Hospital claim

Treatment information

Have you settled the payment?

Documents

Emergency department

Specialist or GP

Treatment information

Have you settled the payment?

Documents

Emergency department

Other claim

Treatment information

Have you settled the payment?

Documents

Maternity claim information

Maternity

Private ward cover

Treatment information

Have you settled the payment?

Documents

Maternity

Gynaecologist or obstetrician

Treatment information

Have you settled the payment?

Documents

Maternity

Baby immunisation

Treatment information

Have you settled the payment?

Documents

Maternity

Maternity fee or antenatal class

Treatment information

Have you settled the payment?

Documents

Maternity

Pregnancy complications

Treatment information

Have you settled the payment?

Documents

Out-of-hospital claim information

Out-of-hospital

Dental cover

Treatment information

Have you settled the payment?

Documents

Further
information

Thank you.
We've received your claim.