The Admin Is Ours to HandleSo You Can Focus on Healing
Step by Step
Important To Know
Medical Aid Authorisation
Additional Practitioner Accounts
What Optima Covers
Good to Check Beforehand
Co-payments on Some Plans
A few medical aid plans ask for an extra step or a co-payment before admission. We’ll always let you know in advance if anything applies to your plan. For example:
Discovery Keycare
Momentum Custome
Private Patients
Not on a medical aid?
Physiotherapy Cover
You’ll receive separate accounts from the professionals involved in your care: psychiatrist, psychologist, occupational therapist, physiotherapist, and pathologist, depending on the services you receive.
Common Questions?
Clear answers to common questions about medical aid, and what to expect from Mcare Optima.
Do I need to arrange authorisation myself?
No, our case managers handle authorisation for you and stay in contact with your medical aid, and with your psychiatrist if anything needs to be confirmed.
Why have I received more than one account?
Optima bills for ward fees, medication and stock. The practitioners caring for you such as your psychiatrist and psychologist — bill separately for their own services.
Will my medical aid cover everything?
It depends on your plan and available benefits. Some plans need a co-payment or pre-authorisation. It’s worth checking you have benefits for extras such as physiotherapy, EEG and dietician services.
Can I be admitted without a medical aid?
Yes. You’re welcome as a private patient — contact us and we’ll share current costs and payment arrangements.








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admin@bloemoptima.co.za
