What is the WellnessWallet?
As a Netcare Medical Scheme member, you and your registered dependant can enjoy the benefits of the WellnessWallet.
This once-off, additional risk benefit gives you and your registered dependants up to R4 000 per family to help you understand and manage your personal healthcare needs. The WellnessWallet is available for a two-year period and will expire on 31 December 2027.
Access to the WellnessWallet
The WellnessWallet is available to all beneficiaries who are active in 2026.
Beneficiaries who join the Scheme after 31 December 2026 will not have access to the WellnessWallet.
What does the WellnessWallet cover?
Your WellnessWallet covers a wide range of healthcare services designed to empower you to take action based on your individual health needs.
This benefit is separate from and additional to the Preventative Healthcare Benefits. You can use it for qualifying healthcare services up to your WellnessWallet limit. Cover is subject to the Scheme's clinical entry criteria, treatment guidelines, and protocols, and services are paid up to a maximum of the Scheme Rate.
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You have access to primary healthcare services which include screenings for visual, hearing, lung and skin conditions. You also have access to GP consultations for every beneficiary on the membership. |
You have access to acute medication subject to normal claiming rules as set out in the scheme rules and subject to the Scheme's Designated Service Provider Rules. |
You have access to services offered by allied health care professionals. |
You have access to certain approved medical monitoring devices which allow for personal monitoring of key health metrics including blood pressure, cholesterol and blood sugar management. |
How we calculate your WellnessWallet amount
The WellnessWallet is a once-per-lifetime benefit available to every beneficiary on your membership.
The total value of your WellnessWallet depends on the size and make-up of your membership.
It is allocated per membership, which means that once activated, any beneficiary can use any portion of the benefit, provided they meet the qualifying criteria.
R1 500 per principal member and R500 per child
R1 200 per spouse or adult dependant
Up to a maximum of R4 000 per membership
Unlock Your WellnessWallet with a Health Risk Assessment
Activating your WellnessWallet is simple - all it takes is a Health Risk Assessment.
The benefit will activate as soon as any eligible member (principal, spouse, or adult dependant) completes their Health Risk Assessment. The benefit is available from 1 April 2026, and all assessments completed during 2026 will contribute to unlocking your WellnessWallet. (see the section titled Access to the WellnessWallet for eligibility details).
Your annual Health Risk Assessment is fully covered by the Scheme from the Risk benefit, and you'll need to visit one of the Scheme's Wellness Providers for these tests.
Your results will give you a clear picture of your health and help you and your family doctor decide on the best next steps for your wellbeing.
Unlock Your WellnessWallet - Book Your Assessment Today
You and your dependants aged 18 years and older can activate your WellnessWallet by completing a Health Risk Assessment at a designated Wellness Provider near you.
Take the first step towards better health and unlock your benefit today!
Have a question? Check our FAQs!
Yes, the WellnessWallet covers the following specific medical devices if they have a registered NAPPI code and are bought from a registered healthcare provider with a valid practice number (such as a pharmacy or doctor):
- Blood pressure monitors
- Glucometers
- Cholesterol monitors
No, however your claims will be covered up to the Netcare Medical Scheme Rate. This means that should your healthcare professional charge above our rate, you could have an amount that you will need to pay out of your own pocket.
No, claims for optical check-ups will be paid from the available funds in your WellnessWallet before paying from your available day-to-day benefits.
Yes, you can claim for acute medication from the WellnessWallet subject to the Scheme's Designated Service Provider Rules.
- You or any dependant over 18 years old on your membership have not completed a Health Risk Assessment since March 2026, or
- Your healthcare provider has not yet submitted your Health Risk Assessment claim, or
Children who are younger than 18 years old, can still use your WellnessWallet benefits. The benefit will be activated on their behalf after the principal party has completed the Health Risk Assessment.
Yes, new dependants can use the WellnessWallet benefits, but the limit will only increase once they complete their Health Risk Assessment in 2026 (overall family limits apply).
No. Your WellnessWallet benefits will not decrease if a dependant leaves the Scheme during the year.
No, the benefit allocation remains unchanged as the amount is allocated based on the age of the member at the point of activation.
Please allow up to 24 hours for your Wellness Wallet information to update after you have completed your screening assessment claim.
This is subject to review. You can visit a registered healthcare practitioner in your country who can manually send us your screening results. Download the Health Risk Assessment: Exception form for your practitioner to complete. The form must include:
- Full name and date of birth of the beneficiary
- Results for: blood pressure, glucose, cholesterol or lipogram, weight or BMI
The healthcare professional must validate the form with a signature or stamp and confirm their details. Send the completed form to member@netcaremedicalscheme.co.za