Affordable Care,Trusted Results
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💳 Medical Aids & Fees
We want to make managing your healthcare costs as straightforward as possible. Here is exactly how our billing works, what you need to check.
Are we contracted with your medical aid?
We are contracted with select medical aid and medical insurance networks and administrators, but coverage varies significantly depending on your specific medical scheme and choice of plan. Because medical aids manage multiple distinct plans, networks, and options, we are not registered under every single plan of our contracted schemes.
1. Contracted In-Network Plans
Check Your Plan: Even if we accept your specific medical aid, we are not registered under every individual network plan. We kindly ask that you contact your medical aid directly prior to your visit or appointment. Check with them to confirm if our practice is a designated or contracted provider for your exact option.
Nominate our Practice: For certain network-specific plans (such as Discovery Smart/KeyCare, GEMS Tanzanite/Emerald Value, or fedHEALTH flexiFED), you may need to actively nominate our practice as your primary or preferred GP through your medical aid's member portal /app or call them directly.
Prior Approvals & Authorisation Numbers
Certain consultations (such as Kaelo patients after their 3rd GP visit), specialised procedures, minor in-room surgeries, or chronic benefits require pre-authorisation from your medical aid before they will pay.
Patient Responsibility: It remains the patient’s responsibility to obtain a valid authorisation or reference number from their medical scheme prior to their visit.
Avoid Rejected Claims: If an authorisation number is required by your scheme and is not obtained before your visit, the medical aid will reject the claim, and the account will automatically become the patient's personal liability.
2. Out-of-Network & Self-Paying Patients
If we are not contracted to your specific medical aid or plan or if you prefer to pay cash, you are still incredibly welcome at our practice!
Upfront Settlement: Out-of-network consultations must be settled in full at the practice on the day of your visit. Cash paying non-medical aid patients are also welcome and pay upfront immediately following their consultation.
Reclaiming from Medical Aid: Following your payment, we will write up and email you a detailed, fully coded formal invoice and statement containing all the necessary ICD-10 and procedure codes. You can then submit this statement to your medical aid to claim your reimbursement.
Excellence in Integrated Care
The clinical and operational direction of the practice is managed by a fully qualified, registered medical professional, Dr Monalisa Ntobongwana, who specialised in clinical pathology and has decades of experience as a clinician and specialist in Pathology under her name.
Meet Dr M Ntobongwana!
Wherever the art of Medicine is loved, there is also a love for Humanity -HippocratesMBChB(MEDUNSA) FC Path (SA) HAEM MSc(UNITRA) BScHons(UNITRA) BSc(UNITRA)MP 0561169Dr Monalisa Ntobongwana is a dedicated General Practitioner and founder of Izizi Optimus Medicare, with over 24 years of experience as a medical doctor. She earned her BSc, BSc Honours and Masters in Science degrees at the University of Transkei (UNITRA) then went on to earn her Medical degree (MBChB) at the Medical University of Southern Africa (MEDUNSA). She then specialised in Haematological Pathology, which earned her a Fellowship of the College of Pathologists of South Africa in Haematology, (FC Path (SA) Haem), from the Colleges Of Medicine of South Africa.
While working at Grooteschuur Hospital, Tygerberg Hospital and Red Cross Childrens Hospital, she lectured both undergraduate and post graduate students at the University of Cape Town and Stellenbosch University for many years, both as a Clinician and a Specialist Consultant Pathologist.
Her true calling is in clinical medicine and has worked extensively as a General Practitioner. She is a warm, compassionate and caring individual, which has endeared her to all her patients.
She has a keen interest in disease prevention, womens health and mental health and adopts a holistic approach to treating all her patients.
Every patient has their own unique background and her goal is to provide personalised medical advice and care, as medicine is more than just treatments, its about the connection and the trust between Patient and Doctor.
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💳 Medical Aids & Fees
We want to make managing your healthcare costs as straightforward as possible. Here is exactly how our billing works, what you need to check.
Are we contracted with your medical aid?
We are contracted with select medical aid and medical insurance networks and administrators, but coverage varies significantly depending on your specific medical scheme and choice of plan. Because medical aids manage multiple distinct plans, networks, and options, we are not registered under every single plan of our contracted schemes.
1. Contracted In-Network Plans
Check Your Plan: Even if we accept your specific medical aid, we are not registered under every individual network plan. We kindly ask that you contact your medical aid directly prior to your visit or appointment. Check with them to confirm if our practice is a designated or contracted provider for your exact option.
Nominate our Practice: For certain network-specific plans (such as Discovery Smart/KeyCare, GEMS Tanzanite/Emerald Value, or fedHEALTH flexiFED), you may need to actively nominate our practice as your primary or preferred GP through your medical aid's member portal /app or call them directly.
Prior Approvals & Authorisation Numbers
Certain consultations (such as Kaelo patients after their 3rd GP visit), specialised procedures, minor in-room surgeries, or chronic benefits require pre-authorisation from your medical aid before they will pay.
Patient Responsibility: It remains the patient’s responsibility to obtain a valid authorisation or reference number from their medical scheme prior to their visit.
Avoid Rejected Claims: If an authorisation number is required by your scheme and is not obtained before your visit, the medical aid will reject the claim, and the account will automatically become the patient's personal liability.
2. Out-of-Network & Self-Paying Patients
If we are not contracted to your specific medical aid or plan or if you prefer to pay cash, you are still incredibly welcome at our practice!
Upfront Settlement: Out-of-network consultations must be settled in full at the practice on the day of your visit. Cash paying non-medical aid patients are also welcome and pay upfront immediately following their consultation.
Reclaiming from Medical Aid: Following your payment, we will write up and email you a detailed, fully coded formal invoice and statement containing all the necessary ICD-10 and procedure codes. You can then submit this statement to your medical aid to claim your reimbursement.
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For all blood tests, tissue analysis and lab screenings, we collect samples safely in our rooms and partner directly with accredited institutions to ensure accurate and rapid turnaround times. Our pathology partners are as follows:
Elaca Labs
Lancet Laboratories
PathCare Laboratories
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Our principal practitioner, Dr M Ntobongwana, is an official member of the Qaulicare Doctors Network. This alignment ensures our practice operates under the highest standards of primary managed healthcare, evidenced based family medicine professional development.
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We make use of secure, industry-leading healthcare technologies. Our real-time medical aid billing and electronic data interchange are powered by Medis Technologies, while our digital bookings and virtual consultation portals are supported by RecoMed and Lupak Healthcare.
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We utilise City Medical Wholesalers to source our daily clinical supplies, surgical materials, and prescription medications. As a leading independent distributor in South Africa, they enable us to have direct access to certified medical products, ensuring that our treatment rooms are always stocked with safe, trusted, medication and equipment for your care.
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We partner with Compass Medical Waste Services to manage the responsible, disposal of all clinical risk waste generated at our practice. As a premier national leader in medical waste logistics, Compass ensures that all sharps, infectious matter, and clinical consumables are safely contained, transported and discarded thus guaranteeing 100% regulatory compliance and total patient safety.
Our Medical Networks and Partners.
Our practice collaborates with South Africa’s leading healthcare networks, pathology labs and digital platforms.
